Demir Başaran, Uluğ Berna, Batur Senar, Mercan Sibel
Hacettepe U Tip Fak, Psikiyatri AD, Ankara.
Turk Psikiyatri Derg. 2002 Winter;13(4):265-72.
The aim of the study was to investigate criterion-related validity, internal-consistency and diagnostic efficiency statistics of the three MMPI-2 addiction related supplementary scales i.e., MacAndrew Alcoholism Scale (MAC-R), Addiction Potential Scale (APS) and Addiction Acknowledgment Scale (AAS).
Sixty-nine male chronic alcoholic patients and 51 male healthy control subjects were recruited for the study. All patients satisfied the diagnostic criteria of ICD-10 for alcohol dependence. Alcohol and drug modules of Schedules for Clinical Assessment in Neuropsychiatry (SCAN) were administered to each patient in order to give the diagnosis of alcohol dependency. The lifetime severity of drinking problems was assessed by the Michigan Alcoholism Screening Test (MAST).
The comparison of the MMPI-2 results of the study groups revealed that chronic alcoholic patients had higher scores on MAC-R, APS and AAS. The investigation of the diagnostic efficiency statistics showed that MAC-R and AAS had satisfactory sensitivity and specificity for alcoholic patients. As a measure of internal-consistency, Kuder-Richardson coefficients were found to be satisfactorily high for each scale.
The results of this study indicates that MMPI-2 based MAC-R and AAS scales are effective at differentiating between chronic alcoholic and control subjects. However, low specificity values of APS seemed to be damaging its diagnostic efficiency. Uniformly high Kuder-Richardson coefficients suggest that the items that comprise the MAC-R, APS and AAS are satisfactorily homogenous.
本研究旨在调查明尼苏达多项人格调查表第二版(MMPI-2)的三个成瘾相关补充量表,即麦克安德鲁酒精中毒量表(MAC-R)、成瘾潜力量表(APS)和成承认瘾量表(AAS)的效标关联效度、内部一致性及诊断效能统计数据。
本研究招募了69名男性慢性酒精中毒患者和51名男性健康对照者。所有患者均符合国际疾病分类第10版(ICD-10)酒精依赖的诊断标准。对每位患者进行神经精神病临床评定日程表(SCAN)中的酒精和药物模块检查,以诊断酒精依赖。采用密歇根酒精中毒筛选测试(MAST)评估饮酒问题的终生严重程度。
研究组MMPI-2结果比较显示,慢性酒精中毒患者在MAC-R、APS和AAS上得分更高。诊断效能统计数据调查显示,MAC-R和AAS对酒精中毒患者具有令人满意的敏感性和特异性。作为内部一致性的衡量指标,发现每个量表的库德-理查森系数都高得令人满意。
本研究结果表明,基于MMPI-2的MAC-R和AAS量表在区分慢性酒精中毒患者和对照者方面有效。然而,APS的低特异性值似乎损害了其诊断效能。一致较高的库德-理查森系数表明,构成MAC-R、APS和AAS的项目具有令人满意的同质性。