使用明尼苏达多项人格测验第二版（MMPI-2）进行鉴别诊断：重新审视戈德堡指数

Differential diagnosis using the MMPI-2: Goldberg's index revisited.

作者信息

Egger Jos I M, Delsing Peter A M, De Mey Hubert R A

机构信息

Department of Clinical Psychology and Personality, University of Nijmegen, P.O. Box 9104, 6500 HE Nijmegen, The Netherlands.

出版信息

Eur Psychiatry. 2003 Dec;18(8):409-11. doi: 10.1016/j.eurpsy.2003.06.008.

DOI:10.1016/j.eurpsy.2003.06.008

PMID:14680717

Abstract

BACKGROUND

The Minnesota Multiphasic Personality Inventory (MMPI-2) often supports clinical decision-making in complex diagnostic problems like differentiating neurosis from psychosis and psychosis from bipolar disorder. The MMPI Goldberg index, an arithmetical combination of five clinical scales, has been considered to provide a good estimate for discriminating between neurotic and psychotic profiles. Similarly, the MMPI-2 Personality Psychopathology Five (PSY-5) scales have been found to be useful in differentiating diagnostic categories.

METHOD

This study evaluates these findings in a sample of psychiatric patients diagnosed with depressive, psychotic, or bipolar disorder using ANOVA and discriminant analysis.

RESULTS

Results corroborate the validity of Goldberg's index and find MMPI-2 PSY-5 scale Disconstraint to significantly differentiate between psychotic and bipolar-I disorder.

CONCLUSION

The MMPI-2 Goldberg index and PSY-5 scales can offer a useful contribution to the differential diagnosis of depressive, psychotic and bipolar disorder.

摘要

背景

明尼苏达多相人格问卷（MMPI - 2）常用于支持复杂诊断问题中的临床决策，比如区分神经症与精神病以及精神病与双相情感障碍。MMPI戈德堡指数是五个临床量表的算术组合，被认为能很好地估计神经症和精神病性剖面图之间的差异。同样，MMPI - 2人格心理病理学五因素（PSY - 5）量表在区分诊断类别方面也很有用。