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1.
J Pers Assess ; 103(1): 19-26, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-32141772

RESUMO

This study examines the convergent validity of the substantive scales of the Minnesota Multiphasic Personality Inventory-2-Restructured Form (MMPI-2-RF) in the Veteran Affairs (VA) population. The sample includes test protocols drawn from all administrations of the MMPI-2-RF or MMPI-2 entered into the electronic medical record system between January 1, 2008 and May 31, 2015 at any VA across the United States. After excluding invalid protocols, substantive scale scores were correlated with external measures of depression, anxiety, and posttraumatic stress disorder if they were administered within |14| days of the MMPI-2/-RF. Results supported the convergent validity of the MMPI-2-RF emotional dysfunction domain scores. Discriminant validity for the remaining MMPI-2-RF substantive scale scores was also adequate. Limitations and implications of these findings are discussed.


Assuntos
MMPI/estatística & dados numéricos , Transtornos de Estresse Pós-Traumáticos/psicologia , Serviços de Saúde para Veteranos Militares/normas , Veteranos/psicologia , Adulto , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Psicometria , Qualidade de Vida/psicologia , Valores de Referência , Reprodutibilidade dos Testes , Estados Unidos
2.
Psychol Assess ; 33(2): 142-155, 2021 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-33090829

RESUMO

The Minnesota Multiphasic Personality Inventory (MMPI) instruments have a longstanding history of clinical applications in neuropsychological settings, and many studies have supported the utility of MMPI-2-Restructured Form scores among specific neuropsychological populations. However, the MMPI-3, a new version of the MMPI, has yet to be studied in a clinical neuropsychological setting. To address this need, we investigated the psychometric properties of MMPI-3 scores using a sample of 197 independent practice outpatient neuropsychology examinees (56.9% women; 80.2% White). Internal consistency coefficients and standard errors of measurement were generally consistent with statistics reported for two comparison groups included in the MMPI-3 Technical Manual, supporting the reliability of MMPI-3 scores. Correlations with external criteria-including presenting problems, neurocognitive, psychological/behavioral, and psychiatric diagnostic variables-supported the convergent and discriminant validity of MMPI-3 scores. Finally, relative risk analyses showed meaningful and theoretically expected findings, supporting the utility of the MMPI-3 in a clinical neuropsychological setting. Practical applications, study limitations, and future research directions are discussed. (PsycInfo Database Record (c) 2021 APA, all rights reserved).


Assuntos
MMPI/estatística & dados numéricos , Transtornos Mentais/diagnóstico , Doenças do Sistema Nervoso/diagnóstico , Psicometria , Adulto , Idoso , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Reprodutibilidade dos Testes , Risco
3.
Psychol Assess ; 32(10): 991-995, 2020 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-32718163

RESUMO

[Correction Notice: An Erratum for this article was reported in Vol 32(10) of Psychological Assessment (see record 2020-72093-001). In the article "Examining the 'Traditional Background Hypothesis' for the MMPI-2-RF L-r Scores in a Muslim Faith-Based Sample," by R. Michael Bagby, Karin A. Onno, Ardeshir Mortezaei, and Martin Sellbom (Psychological Assessment, 2020, Vol. 32, No. 10, pp. 991-995, http://dx.doi.org/ 10.1037/pas0000941), the word "not" was missing in the abstract from the text "(b) direct assessments of strength of faith or positive impression management were not included or measured independently." The correct sentence should have read as follows: "(b) direct assessments of strength of faith or positive impression management were not included or measured independently." All versions of this article have been corrected.] The traditional background hypothesis (TBH) is a long-standing belief associated with the Minnesota Multiphasic Personality Inventory (MMPI) L scale; a validity scale, which appears on every version of the family of MMPI instruments including the soon-to-be released MMPI-3. The L scale was originally designed to assess whether test respondents presented themselves in an unrealistically favorable light. Both researchers and clinicians noted, however, that those from traditional Christian faith-based groups produced elevated L-scale scores. A recent meta-analysis supported this observation, reporting an average L-scale elevation 0.50 SD greater than the MMPI-2 normative sample compared to samples of those with presumptively strong Christian-Judeo faith. Some limitations of this meta-analysis are that (a) the samples used in it included those undergoing an evaluative assessment, which could elevate L-scale scores independent of strength of faith belief, and (b) direct assessments of strength of faith or positive impression management were included or measured independently. Our primary goal in this study was to examine the TBH addressing these limitations with a sample of those who self-identified as believers in the Muslim faith (N = 267), the examination of which expands the scope beyond those of the Christian-Judeo faith. Consistent with previous results, the mean L-r (MMPI/MMPI-2 L scale counterpart on the MMPI-2-Restructured Form) was 56.41 T. Higher L-r scale scores were associated with increasing strength in the Muslim faith, and although increasing L-r scores were primarily associated with impression management, increasing Muslim-based faith values had a nontrivial influence on L-r scores and especially in the moderate score range of this scale. (PsycInfo Database Record (c) 2020 APA, all rights reserved).


Assuntos
Islamismo/psicologia , MMPI/estatística & dados numéricos , Religião e Psicologia , Adolescente , Adulto , Canadá , Feminino , Humanos , Masculino , Reprodutibilidade dos Testes , Estudantes/psicologia , Estudantes/estatística & dados numéricos , Adulto Jovem
4.
J Clin Psychol Med Settings ; 27(2): 256-267, 2020 06.
Artigo em Inglês | MEDLINE | ID: mdl-31560100

RESUMO

This is the first controlled study regarding personality and psychopathology in adults with Noonan syndrome (NS). Anxiety, depression, alexithymia and symptoms of Attention Deficit-Hyperactivity Disorder and Autism Spectrum Disorder, have been previously described in NS. More information regarding personality and psychopathology in NS could improve mental health care for this population. Therefore, scores on the Minnesota Multiphasic Personality Inventory-2-Restructured Form (MMPI-2-RF), a widely used self-report questionnaire of personality and psychopathology, were compared between patients with NS (n = 18) and matched, healthy controls (n = 18). Furthermore, correlations between MMPI-2-RF scores and alexithymia, measured by the Toronto Alexithymia Scale-20, were investigated. Patients with NS showed significantly higher scores, with medium effect sizes, on MMPI-2-RF scales reflecting infrequent responses (F-r), somatic and cognitive complaints (FBS-r and RBS-r), internalizing problems (EID), demoralization (RCd) and introversion (INTR-r), although the overall profile in both groups was within the non-clinical range. Alexithymia correlated with internalizing problems and negative emotionality in the patient group. In conclusion, patients with NS showed higher levels of introversion, which may predispose them to internalizing problems. These problems were indeed more frequent in patients with NS, especially higher levels of demoralization. Patients may benefit from psychological interventions aimed to decrease internalizing problems, introversion and alexithymia.


Assuntos
Transtornos de Ansiedade , Transtorno do Espectro Autista , Síndrome de Noonan , Transtornos da Personalidade , Adulto , Ansiedade , Transtornos de Ansiedade/complicações , Transtorno do Espectro Autista/complicações , Feminino , Humanos , MMPI/estatística & dados numéricos , Masculino , Pessoa de Meia-Idade , Síndrome de Noonan/complicações , Síndrome de Noonan/psicologia , Personalidade , Transtornos da Personalidade/complicações , Reprodutibilidade dos Testes , Autorrelato
5.
Psychol Assess ; 32(2): 132-139, 2020 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-31512901

RESUMO

The purpose of this study was to examine associations between substance use disclosure during the clinical interview and on the Minnesota Multiphasic Personality Inventory-2-Restructured Form (MMPI-2-RF) Substance Abuse Scale (SUB) among forensic inpatients. Of the 223 archival reports reviewed that had MMPI-2-RF data, 69% of the MMPI-2-RF protocols were valid based on standard validity criteria, resulting in a final sample of 154 patients (98 men, 56 women). We found that patients who endorsed alcohol or marijuana use during the clinical interview often concurrently denied substance use on the MMPI-2-RF SUB scale (the opposite was found for prescription drug abuse). We also found that the MMPI-2-RF SUB scale and other MMPI-2-RF externalizing scales were meaningfully associated with concurrent substance use variables from a record review form. Finally, we found that the MMPI-2-RF SUB scale demonstrated incremental validity over other MMPI-2-RF externalizing scales in the prediction of substance use problems. These results highlight the utility of SUB scale and other self-report instruments in assessing substance use problems. (PsycINFO Database Record (c) 2020 APA, all rights reserved).


Assuntos
MMPI/estatística & dados numéricos , Autorrelato , Transtornos Relacionados ao Uso de Substâncias/epidemiologia , Adulto , Transtorno Bipolar/epidemiologia , Transtorno Depressivo Maior/epidemiologia , Feminino , Psiquiatria Legal , Hospitais Psiquiátricos , Humanos , Pacientes Internados , Defesa por Insanidade , Masculino , Competência Mental , Pessoa de Meia-Idade , Pedofilia/epidemiologia , Transtornos Psicóticos/epidemiologia , Reprodutibilidade dos Testes , Esquizofrenia/epidemiologia , Transtornos Relacionados ao Uso de Substâncias/diagnóstico
6.
BMC Res Notes ; 12(1): 480, 2019 Aug 05.
Artigo em Inglês | MEDLINE | ID: mdl-31382988

RESUMO

OBJECTIVE: Psychological distress among medical students is related to personality. The Minnesota Multiphasic Personality Inventory (MMPI) is a common instrument used to assess personality and psychological problems during the medical school admission process in Thailand. The purpose of this study was to examine how the MMPI can predict medical students' psychological problems including perceived stress, anxiety, depression, interpersonal difficulties as well as self-esteem in later years. RESULTS: Anxiety and depressive symptoms were predicted by the psychopathic deviation, psychasthenia, and schizophrenia scales of the MMPI, while perceived stress was predicted by schizophrenia scale of MMPI. Social introversion predicted interpersonal difficulties. No MMPI scale was found to predict self-esteem.


Assuntos
Sintomas Comportamentais/psicologia , MMPI/estatística & dados numéricos , Personalidade , Critérios de Admissão Escolar/estatística & dados numéricos , Faculdades de Medicina/estatística & dados numéricos , Feminino , Humanos , MMPI/normas , Masculino , Estudos Prospectivos , Faculdades de Medicina/normas , Autoimagem , Tailândia , Adulto Jovem
7.
J Clin Psychol ; 75(12): 2248-2258, 2019 12.
Artigo em Inglês | MEDLINE | ID: mdl-31386196

RESUMO

OBJECTIVE: The purpose of the present study was to compare psychometric properties of the Substance Abuse (SUB) Scale on the Korean Minnesota Multiphasic Personality Inventory-Adolescent-Restructured Form (MMPI-A-RF) with those on the Korean MMPI-A (the Alcohol/Drug Problem Acknowledgment Scale [ACK]), the Alcohol/Drug Problem Proneness Scale [PRO], and the MacAndrew Alcoholism Scale-Revised Scale [MAC-R]). METHOD: Participants consisted of 237 Korean adolescent psychiatric patients whose scores on these measures were compared in terms of internal consistency and predictive validity. RESULTS: Scores on SUB exhibited superior internal consistency to that of the MMPI-A substance abuse scales. Further, scores on SUB predicted substance abuse more accurately than did the optimal combination of scores on the MMPI-A substance abuse scales. CONCLUSION: Results provide strong support for the use of the Korean MMPI-A-RF SUB scale when assessing substance abuse in Korean youth.


Assuntos
Alcoolismo/diagnóstico , Comparação Transcultural , MMPI/estatística & dados numéricos , Transtornos Relacionados ao Uso de Substâncias/diagnóstico , Transtornos Relacionados ao Uso de Substâncias/psicologia , Adolescente , Adulto , Alcoolismo/psicologia , Comorbidade , Feminino , Humanos , Coreia (Geográfico) , Masculino , Transtornos Mentais/diagnóstico , Transtornos Mentais/psicologia , Psicometria
8.
PLoS One ; 14(1): e0209116, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-30601844

RESUMO

Road traffic injuries are the ninth cause of death across all age groups, globally (WHO, 2015). Many road traffic crashes are caused by Driving Under the Influence (DUI) of alcohol by persons who have previously had their license suspended for the same reason. The aim of this study was to identify specific risk factors and personality characteristics in repeat offenders. The sample was comprised of 260 subjects who were not repeat DUI offenders (DUI-NR), but had a single license suspension between 2010 and 2011; and 97 repeat offenders who received at least two DUI convictions within a period of 5 years. At the time of their first driving license suspension, participants provided their blood alcohol content (BAC) and completed a valid MMPI-2 test. ANOVA and MANOVAs were performed to determine whether there were significant differences in BAC and MMPI-2 profiles between DUI-NR and DUI-R participants and a logistic regression was run to identify whether BAC at the time of the first suspension and specific personality features could predict recidivism. A two-step cluster analysis was run to identify recidivist typologies. Results showed that, relative to DUI-NR participants, DUI-R participants had higher BAC at the time of their first conviction and more problematic MMPI-2 profiles, despite the presence of social desirability responding. The best predictors of recidivism were BAC and the scales of Lie (L), Correction (K), Psychopathic Deviate (4-Pd), Hypomania (9-Ma), and Low Self-Esteem (LSE). Two-step cluster analyses identified two recidivist profiles, according to 32 selected MMPI-2 validity, clinical, content, supplementary, and PSY-5 scales. Comparisons with previous research are discussed and ideas for further study are generated.


Assuntos
Concentração Alcoólica no Sangue , Dirigir sob a Influência/prevenção & controle , Adulto , Idoso , Consumo de Bebidas Alcoólicas/efeitos adversos , Condução de Veículo/estatística & dados numéricos , Feminino , Humanos , MMPI/estatística & dados numéricos , Masculino , Pessoa de Meia-Idade , Adulto Jovem
9.
Psychol Assess ; 31(3): 404-409, 2019 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-30520653

RESUMO

Given the diversity of individuals who undergo psychological assessment, examining whether cultural bias exists in psychological assessment instruments (i.e., differential validity) is crucial. This issue occurs when a measure systematically over- or underpredicts a criterion across demographic groups or is associated with the criterion unequally across the groups. We tested the differential validity of a widely used psychological test, the Minnesota Multiphasic Personality Inventory (MMPI)-2-Restructured Form (MMPI-2-RF), as a function of gender (male, female) and ethnicity (Caucasian, African American, and Hispanic/Latino American) in large samples of forensic psychiatric inpatients. Regression models were estimated in a multigroup framework. The analyses yielded negligible to small statistical evidence of differential validity in MMPI-2-RF scores predicting the number of future suicidal behaviors and violent behaviors in the samples. This evidence supports use of the MMPI-2-RF as a generally unbiased instrument for predicting key criteria across genders and ethnicities in a forensic psychiatric population. (PsycINFO Database Record (c) 2019 APA, all rights reserved).


Assuntos
Negro ou Afro-Americano , Criminosos , Hispânico ou Latino , MMPI/normas , Escalas de Graduação Psiquiátrica/normas , Suicídio , Violência , População Branca , Adulto , Negro ou Afro-Americano/estatística & dados numéricos , Criminosos/estatística & dados numéricos , Feminino , Hispânico ou Latino/estatística & dados numéricos , Humanos , MMPI/estatística & dados numéricos , Masculino , Pessoa de Meia-Idade , Prognóstico , Escalas de Graduação Psiquiátrica/estatística & dados numéricos , Reprodutibilidade dos Testes , Fatores Sexuais , Suicídio/estatística & dados numéricos , Violência/estatística & dados numéricos , População Branca/estatística & dados numéricos
10.
J Clin Psychol Med Settings ; 26(3): 302-312, 2019 09.
Artigo em Inglês | MEDLINE | ID: mdl-30353402

RESUMO

Previous studies suggest the importance of understanding what factors increase risk of lack of physical activity (PA) prior to bariatric surgery, which may increase risk of suboptimal postoperative outcomes. Therefore, the current study sought to explore which Minnesota Multiphasic Personality Inventory-2-Restructured Form (MMPI-2-RF) scales were associated with lack of pre-surgical PA. The mean age of the sample (N = 1170) was 45.97 years [standard deviation (SD) = 11.59]. Bivariate correlations and relative risk ratios were utilized to examine associations between MMPI-2-RF scale scores and regular preoperative PA. Of the ten hypothesized associations, seven MMPI-2-RF scales in the internalizing and somatic domains were associated with increased risk of preoperative lack of PA. Interventions designed to increase levels of preoperative PA are especially important because individuals with higher levels of preoperative cardiorespiratory fitness experience less complications in surgery and greater weight loss postoperatively.


Assuntos
Cirurgia Bariátrica/psicologia , Exercício Físico/psicologia , MMPI/estatística & dados numéricos , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Período Pré-Operatório , Risco
11.
Assessment ; 26(1): 85-98, 2019 01.
Artigo em Inglês | MEDLINE | ID: mdl-29169252

RESUMO

Suicide occurs at high rates among veterans, underscoring a need for improved identification of veterans at risk of engaging in suicidal behavior. Considering dimensions of psychopathology in the context of an ideation-to-action framework, the present study examined the utility of the Minnesota Multiphasic Personality Inventory-2-Restructured Form in distinguishing depressed, psychiatrically hospitalized male veterans ( N = 430) at varying levels of suicide risk. Analysis of variance and hierarchical logistic regression analyses indicated that internalizing scales differentiated depressed ideators ( n = 147) and depressed controls ( n = 143); and in line with expectations, both broad and narrowly focused externalizing scales provided incremental validity in distinguishing depressed attempters ( n = 140) from depressed ideators. Interactions between Suicidal/Death Ideation and externalizing scale scores were found to differentiate only depressed ideators from depressed controls. Clinical implications in the areas of suicide risk assessment and therapeutic interventions with suicidal veterans are discussed.


Assuntos
Transtorno Depressivo/psicologia , Controle Interno-Externo , MMPI/estatística & dados numéricos , Medição de Risco/estatística & dados numéricos , Suicídio/psicologia , Veteranos/psicologia , Adulto , Transtorno Depressivo/diagnóstico , Humanos , Masculino , Pessoa de Meia-Idade , Psicometria/estatística & dados numéricos , Ideação Suicida , Tentativa de Suicídio/estatística & dados numéricos , Prevenção ao Suicídio
12.
Early Interv Psychiatry ; 13(3): 673-676, 2019 06.
Artigo em Inglês | MEDLINE | ID: mdl-29920958

RESUMO

AIMS: Childhood adversities combined with unsafe parenting may disturb personality development. This study investigated whether psychotic personality organization as defined by Kernberg and assessed with de Dutch Short Form of the MMPI (DSFM) is more prevalent in ultrahigh risk (UHR) for psychosis compared with non-psychotic psychiatric control patients (NPPC). METHODS: A total of 73 UHR and 119 NPPC patients were assessed with the DSFM and the Comprehensive Assessment of at Risk Mental States (CAARMS). RESULTS: The results showed that the psychotic personality organization (PPO) was not associated to UHR status. The UHR group showed more severe symptoms, particularly higher scores on DSFM subscales negativism (negative affect) and somatization (vague somatic complaints) and severe psychopathology (psychotic symptoms and dissociation). CONCLUSION: The PPO profile is not associated to the risk of developing psychosis.


Assuntos
Experiências Adversas da Infância , Poder Familiar/psicologia , Transtornos da Personalidade/diagnóstico , Transtornos Psicóticos/diagnóstico , Adolescente , Adulto , Criança , Feminino , Humanos , MMPI/estatística & dados numéricos , Masculino , Pessoa de Meia-Idade , Transtornos da Personalidade/psicologia , Escalas de Graduação Psiquiátrica/estatística & dados numéricos , Psicometria , Psicopatologia , Transtornos Psicóticos/psicologia , Fatores de Risco , Adulto Jovem
13.
Int. j. psychol. psychol. ther. (Ed. impr.) ; 18(3): 331-343, oct. 2018. tab, graf
Artigo em Inglês | IBECS | ID: ibc-174409

RESUMO

Defensive functioning is considered one of the core aspects of personality functioning and its maturity level is regarded an important predictor of psychopathology and more specific personality pathology. The current investigation assesses the relation between overall defensive functioning, as measured by the Defense Style Questionnaire-42 (DSQ-42), and higher order models of psychopathology as measured by the Minnesota Multiphasic Personality Inventory-2-Restructured Form (MMPI-2-RF). The DSQ-42 and MMPI-2-RF was completed by 383 patients. We analysed the MMPI-2-RF personality and psychopathology as measured with the Restructured Clinical scales and the Personality Psychopathology Five-revised scales using Goldberg’s Bass Ackwards Method. Higher order dimensions of personality and psychopathology in the current investigation demonstrated structural similarity with previously reported higher order models. Next we examined the optimal level of differentiation of defensive functioning, as measured by the DSQ-42 Total and Overall Defensive Functioning scores, to personality and psychopathology at each succeeding level of the hierarchical factor structures. Results indicated that immature defense mechanisms exemplify strong correlations with internalizing pathology (i.e., Demoralisation and Introversion), but not with externalizing pathology and thought disorder. The differentiation of defensive functioning from higher order models of psychopathology and maladaptive personality traits seems to be limited, based on the current results. The DSQ-42 appeared to have a large overlap and correlations with internalizing pathology, which appeared to be due to its item content: mostly intrapsychic and immature defenses. Theoretical and clinical implications considering the use of the DSQ are discussed


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Assuntos
Humanos , Mecanismos de Defesa , Transtornos da Personalidade/psicologia , Testes Psicológicos/estatística & dados numéricos , Testes de Personalidade/estatística & dados numéricos , MMPI/estatística & dados numéricos , Determinação da Personalidade/estatística & dados numéricos , Inventário de Personalidade/estatística & dados numéricos , Autorrelato
14.
Psychol Assess ; 30(12): 1691-1702, 2018 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-29888947

RESUMO

Potential externalizing tendencies have long been a focus of research in police candidates. Early studies often reported positive correlations between Minnesota Multiphasic Personality Inventory (MMPI) externalizing scales and problem behaviors in law enforcement officers. However, more recent investigations reveal mixed findings, with some showing either no significant correlations between externalizing measures and police performance problems or negative associations. In the current study, we examined associations between MMPI-2 Restructured Form (MMPI-2-RF) externalizing scale scores and personal history information (biodata) in a large sample (n = 1,226) of police officer candidates and observed expected positive correlations between them. Next, we examined associations between MMPI-2-RF externalizing scale scores and biodata and posthire performance measures in a subset of officers who were judged to be psychologically qualified, were subsequently hired, and for whom posthire performance records were available. We hypothesized that recently observed negative correlations would be replicated, and that this could be attributed to overcontrolled behavior, as reflected in low externalizing scale scores. Our findings were consistent with expectations. Finally, we found that, by and large, MMPI-2-RF scores and biodata augmented one another in the prediction of poor performance outcomes due to overcontrolled behavior among hired police officer recruits. Implications for considering overcontrolled behavior as a potential risk factor when evaluating police officer candidates are discussed. (PsycINFO Database Record (c) 2018 APA, all rights reserved).


Assuntos
MMPI/estatística & dados numéricos , Transtornos da Personalidade/diagnóstico , Transtornos da Personalidade/psicologia , Seleção de Pessoal/métodos , Polícia/psicologia , Comportamento Problema/psicologia , Adulto , Feminino , Humanos , Masculino , Polícia/estatística & dados numéricos , Risco
15.
Arch Clin Neuropsychol ; 34(3): 366-380, 2018 May 01.
Artigo em Inglês | MEDLINE | ID: mdl-29850866

RESUMO

OBJECTIVE: This study examined the Minnesota Multiphasic Personality Inventory-Second Edition-Restructured Form (MMPI-2-RF) to better understand symptom presentation in a sample of treatment-seeking Operation Enduring Freedom/Operation Iraqi Freedom (OEF/OIF) Veterans with self-reported history of mild traumatic brain injury (mTBI). METHOD: Participants underwent a comprehensive clinical neuropsychological battery including performance and symptom validity measures and self-report measures of depressive, posttraumatic, and post-concussive symptomatology. Those with possible symptom exaggeration (SE+) on the MMPI-2-RF were compared with those without (SE-) with regard to injury, psychiatric, validity, and cognitive variables. RESULTS: Between 50% and 87% of participants demonstrated possible symptom exaggeration on one or more MMPI-2-RF validity scales, and a large majority were elevated on content scales related to cognitive, somatic, and emotional complaints. The SE+ group reported higher depressive, posttraumatic, and post-concussive symptomatology, had higher scores on symptom validity measures, and performed more poorly on neuropsychological measures compared with the SE- group. There were no group differences with regard to injury variables or performance validity measures. Participants were more likely to exhibit possible symptom exaggeration on cognitive/somatic compared with traditional psychopathological validity scales. CONCLUSIONS: A sizable portion of treatment-seeking OEF/OIF Veterans demonstrated possible symptom exaggeration on MMPI-2-RF validity scales, which was associated with elevated scores on self-report measures and poorer cognitive performance, but not higher rates of performance validity failure, suggesting symptom and performance validity are distinct concepts. These findings have implications for the interpretation of clinical data in the context of possible symptom exaggeration and treatment in Veterans with persistent post-concussive symptoms.


Assuntos
Concussão Encefálica/psicologia , Depressão/diagnóstico , MMPI/estatística & dados numéricos , Síndrome Pós-Concussão/diagnóstico , Veteranos/psicologia , Adulto , Campanha Afegã de 2001- , Concussão Encefálica/complicações , Depressão/complicações , Feminino , Humanos , Guerra do Iraque 2003-2011 , Masculino , Testes Neuropsicológicos , Síndrome Pós-Concussão/complicações , Autorrelato , Transtornos de Estresse Pós-Traumáticos/complicações , Transtornos de Estresse Pós-Traumáticos/diagnóstico , Adulto Jovem
16.
J Clin Psychol Med Settings ; 25(1): 66-79, 2018 03.
Artigo em Inglês | MEDLINE | ID: mdl-29450796

RESUMO

The purpose of the current study was to examine the relative utility of the most updated MMPI adult instrument, the Minnesota Multiphasic Personality Inventory-2-Restructured Form (MMPI-2-RF), which was designed to address psychometric limitations of the MMPI-2. To this end, we compared mean scores and correlates of emotional distress treatment outcomes using the Depression Anxiety Stress Scales in a sample of 230 patients (73 males, 157 females) who had completed an interdisciplinary chronic pain rehabilitation program. Structural equation modeling analyses indicated that higher scale scores from all the MMPI-2-RF substantive domains were meaningfully associated with worse emotional distress outcomes, whereas the MMPI-2 Clinical Scales generally did not have any meaningful associations. Similar results were found in additional analyses using a clinically significant change framework with more direct clinical implications. The results of this study provide preliminary support for the use of the MMPI-2-RF among patients with chronic low back pain.


Assuntos
Dor Crônica/psicologia , Dor Crônica/terapia , Dor Lombar/psicologia , Dor Lombar/terapia , MMPI/estatística & dados numéricos , Adulto , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Estudos Prospectivos , Psicometria , Resultado do Tratamento
17.
Psychol Assess ; 30(7): 857-869, 2018 07.
Artigo em Inglês | MEDLINE | ID: mdl-29072481

RESUMO

The symptom reports of individuals with chronic pain are multidimensional (e.g., emotional, cognitive, and somatic) and significantly contribute to increased morbidity and lost work productivity. When pain occurs in the context of a legally compensable event, reliable assessment of a patient's multifactorial symptom experience during psychological or neuropsychological evaluations is a necessity. The Validity Scales of the Minnesota Multiphasic Personality Inventory-2 (MMPI-2) have been shown useful in identifying symptom overreporting and feigning within chronic pain samples and a number of studies have emerged supporting the use of the MMPI-2-Restructured Form (MMPI-2-RF) in the detection of simulated or feigned impairment in a variety of populations. To date, only 1 other study exists examining the ability of the MMPI-2-RF to detect exaggerated complaints using a strict operationalization of malingering exclusive to chronic pain samples. The purpose of this study was to examine the classification accuracy of MMPI-2-RF Validity Scales in a group of patients with chronic pain using a criterion-groups design. The final sample consisted of 501 clinical chronic pain patients assigned to groups based on the Bianchini, Greve, and Glynn (2005) criteria for Malingered Pain-Related Disability (MPRD). Results showed that all MMPI-2-RF Validity Scales differentiated malingerers from nonmalingerers with a high degree of accuracy. At cut-offs associated with ≥95% Specificity, Sensitivities ranged from 15% (Fs) to 60% (Response Bias Scale; RBS). This study demonstrates that the MMPI-2-RF Validity Scales are capable of differentiating intentional symptom exaggeration from genuine complaints in a sample of incentivized chronic pain patients. (PsycINFO Database Record


Assuntos
Dor Crônica/psicologia , Avaliação da Deficiência , MMPI/estatística & dados numéricos , Simulação de Doença/diagnóstico , Simulação de Doença/psicologia , Adulto , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Testes Neuropsicológicos , Reprodutibilidade dos Testes , Sensibilidade e Especificidade
18.
J Clin Psychol ; 74(3): 398-406, 2018 03.
Artigo em Inglês | MEDLINE | ID: mdl-28685823

RESUMO

OBJECTIVE: Training in broad-based objective and projective personality assessments has been a mainstay of applied psychology. Stedman (2007) and Piotrowski (2015) have documented a decline in projective training during internship. This study investigated internship directors' current expectations regarding graduate school training with objective and projective instruments, their ratings of the importance of that training, and current training patterns with objective and projective instruments during internship. METHOD: Participants were 355 psychology internship programs, representing 46.1% of the Association of Psychology Postdoctoral and Internship Centers. RESULTS: Results indicated the following current internship training patterns: Minnesota Multiphasic Personality Inventory (68% to 51%), Personality Assessment Inventory (59% to 25%), Millon Clinical Multiaxial Inventory (51% to 34%), Rorschach (35 to 26%), story telling (41% to 19%), sentence completion (41% to 18%), and drawings (36% to 9%). Adult program directors reported higher percentages for objective tests; child program directors reported higher percentages for projective tests. CONCLUSION: A decreased valuation of projective techniques is now typical of current internship training programs.


Assuntos
Educação de Pós-Graduação/estatística & dados numéricos , Internato e Residência/estatística & dados numéricos , Determinação da Personalidade/estatística & dados numéricos , Inventário de Personalidade/estatística & dados numéricos , Técnicas Projetivas/estatística & dados numéricos , Psicologia Aplicada/educação , Psicologia Aplicada/estatística & dados numéricos , Adulto , Humanos , MMPI/estatística & dados numéricos , Inventário Clínico Multiaxial de Millon/estatística & dados numéricos , Teste de Rorschach/estatística & dados numéricos
19.
Psychol Assess ; 29(12): 1458-1465, 2017 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-29227127

RESUMO

Little is known about attention-deficit/hyperactivity disorder (ADHD) in veterans. Practice standards recommend the use of both symptom and performance validity measures in any assessment, and there are salient external incentives associated with ADHD evaluation (stimulant medication access and academic accommodations). The purpose of this study was to evaluate symptom and performance validity measures in a clinical sample of veterans presenting for specialty ADHD evaluation. Patients without a history of a neurocognitive disorder and for whom data were available on all measures (n = 114) completed a clinical interview structured on DSM-5 ADHD symptoms, the Minnesota Multiphasic Personality Inventory-2-Restructured Form (MMPI-2-RF), and the Test of Memory Malingering Trial 1 (TOMM1) as part of a standardized ADHD diagnostic evaluation. Veterans meeting criteria for ADHD were not more likely to overreport symptoms on the MMPI-2-RF nor to fail TOMM1 (score ≤ 41) compared with those who did not meet criteria. Those who overreported symptoms did not endorse significantly more ADHD symptoms; however, those who failed TOMM1 did report significantly more ADHD symptoms (g = 0.90). In the total sample, 19.3% failed TOMM1, 44.7% overreported on the MMPI-2-RF, and 8.8% produced both an overreported MMPI-2-RF and invalid TOMM1. F-r had the highest correlation to TOMM1 scores (r = -.30). These results underscore the importance of assessing both symptom and performance validity in a clinical ADHD evaluation with veterans. In contrast to certain other conditions (e.g., mild traumatic brain injury), ADHD as a diagnosis is not related to higher rates of invalid report/performance in veterans. (PsycINFO Database Record


Assuntos
Transtorno do Deficit de Atenção com Hiperatividade/diagnóstico , Transtorno do Deficit de Atenção com Hiperatividade/psicologia , MMPI/estatística & dados numéricos , Simulação de Doença/diagnóstico , Simulação de Doença/psicologia , Psicometria/estatística & dados numéricos , Adulto , Concussão Encefálica , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Reprodutibilidade dos Testes , Veteranos/psicologia
20.
Artigo em Inglês | IBECS | ID: ibc-163671

RESUMO

Though it has been the most extensively used instrument for forensic evaluation, the MMPI-2 is being gradually replaced by the MMPI-2-RF version, requiring evidence research to support it. A malingering design was implemented to assess the efficacy of the overreporting validity scales in discriminating between a group of malingerers and the general and clinical populations in a forensic context. Of a total of 878 subjects, 309 were from the general population, 308 from the clinical population, and 261 were instructed to malinger a psychological injury. The results showed that malingerers scored significantly higher than the clinical and general population on the F-r, Fp-r, FBS-r, Fs and RBS scales. As for the classification of cases, the F-r, Fp-r, FBS-r, Fs, and RBS scales classified correctly and significantly between malingerers and honest respondents from the general population, and the F-r and Fp-r scales between malingerers and clinical population. Additionally, the results showed F-r incremental validity over Fp-r, and vice versa. Thus, F-r and Fp-r scales are independent and may be accumulated to detect malingering. Forensic practical implications from the results were derived and discussed (AU)


Aunque el MMPI-2 ha sido el instrumento psicométrico más usado en la evaluación forense, está siendo reemplazado gradualmente por la versión reestructurada, el MMPI-2-RF precisándose de más evidencia científica para ello. Se utilizó un dise˜no de investigación de simulación para evaluar la eficacia de las escalas de validez de evaluación de la simulación en la discriminación entre simuladores y las poblaciones general y clínica en el contexto forense. Participaron en el estudio 878 sujetos, 309 de la población general, 308 casos clínicos y 261 instruidos para simular da˜no psicológico. Los resultados mostraron que los simuladores puntuaban significativamente más alto que los sujetos de las poblaciones general y clínica en las escalas F-r, Fp-r, FBS-r, Fs y RBS. En la clasificación de casos, las escalas F-r, Fp-r, FBS-r, Fs y RBS clasificaban correcta y significativamente entre simuladores y respuestas honestas de la población general, y las escalas F-r and Fp-r entre simuladores y población clínica. Además, los resultados evidenciaron validez incrementada de F-r sobre Fp-r y viceversa. Se discuten las implicaciones para la práctica forense de los resultados (AU)


Assuntos
Humanos , Masculino , Feminino , Adulto , MMPI/normas , Escalas de Graduação Psiquiátrica/normas , 28574/métodos , Psicometria/instrumentação , Psicometria/métodos , Psiquiatria Legal/classificação , Psiquiatria Legal/legislação & jurisprudência , MMPI/estatística & dados numéricos , Psicometria/normas , Psicometria/tendências , Psiquiatria Legal/instrumentação , Reprodutibilidade dos Testes/normas , Escala Fujita-Pearson , Análise de Dados/métodos , Análise de Variância
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