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使用明尼苏达多相人格调查表青少年版评估被监禁男性青少年的创伤后应激障碍:一项探索性分析。

Evaluating PTSD in incarcerated male juveniles with the MMPI-A: an exploratory analysis.

作者信息

Cashel M L, Ovaert L, Holliman N G

机构信息

Department of Psychology, Southern Illinois University at Carbondale, 62901-6502, USA.

出版信息

J Clin Psychol. 2000 Dec;56(12):1535-49. doi: 10.1002/1097-4679(200012)56:12<1535::AID-5>3.0.CO;2-8.

Abstract

This is a preliminary study examining the utility of the Minnesota Multiphasic Personality Inventory-Adolescent form (MMPI-A; Butcher, Williams, Graham, Archer, Tellegan, Ben-Porath, & Kaemmer, 1992) for identifying PTSD in incarcerated adolescents. Scores from the MMPI-A were compared with scores and diagnostic criteria from the Post-Traumatic Stress Disorder Reaction Index (PTSD-RI; Frederick, 1985) for a sample of 60 male juvenile delinquents. Results from a MANOVA indicated significant differences in mean scores for MMPI-A Scales 4, 6, and 8 for both PTSD and Non-PTSD groups. The MMPI Supplementary PK scale (Keane, Malloy & Fairbank, 1984), developed for identifying PTSD, was adapted and evaluated for applications with the MMPI-A. Finally, a discriminant function analysis successfully classified juveniles with and without PTSD symptomatology. In summary, the PK scale was moderately successful at identifying post-traumatic stress reactions. Our results suggest that the MMPI-A may serve as a useful screening measure, indicating the need for further evaluation of traumatic experiences in juveniles.

摘要

这是一项初步研究,旨在检验明尼苏达多相人格调查表青少年版(MMPI-A;布彻、威廉姆斯、格雷厄姆、阿彻、泰勒根、本-波拉特和凯默,1992年)在识别被监禁青少年创伤后应激障碍(PTSD)方面的效用。将MMPI-A的得分与创伤后应激障碍反应指数(PTSD-RI;弗雷德里克,1985年)的得分及诊断标准进行比较,研究对象为60名男性少年犯。多变量方差分析的结果表明,PTSD组和非PTSD组在MMPI-A量表4、6和8的平均得分上存在显著差异。为识别PTSD而编制的MMPI补充PK量表(基恩、马洛伊和费尔班克,1984年)被改编并评估其在MMPI-A中的应用。最后,判别函数分析成功地对有和没有PTSD症状的青少年进行了分类。总之,PK量表在识别创伤后应激反应方面取得了一定成功。我们的结果表明,MMPI-A可能是一种有用的筛查工具,这表明有必要对青少年的创伤经历进行进一步评估。

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