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明尼苏达多相人格调查表第二版(MMPI-2)重构临床量表在创伤后应激障碍及共病评估中的应用

The MMPI-2 restructured clinical scales in the assessment of posttraumatic stress disorder and comorbid disorders.

作者信息

Wolf Erika J, Miller Mark W, Orazem Robert J, Weierich Mariann R, Castillo Diane T, Milford Jaime, Kaloupek Danny G, Keane Terence M

机构信息

National Center for PTSD, VA Boston Healthcare System, USA.

出版信息

Psychol Assess. 2008 Dec;20(4):327-40. doi: 10.1037/a0012948.

Abstract

This study examined the psychometric properties of the Minnesota Multiphasic Personality Inventory-2 (MMPI-2) Restructured Clinical Scales (RCSs) in individuals with posttraumatic stress disorder (PTSD) receiving clinical services at Department of Veterans Affairs medical centers. Study 1 included 1,098 men who completed the MMPI-2 and were assessed for a range of psychological disorders via structured clinical interview. Study 2 included 136 women who completed the MMPI-2 and were interviewed with the Clinician Administered Scale for PTSD. The utility of the RCSs was compared with that of the Clinical Scales (CSs) and the Keane PTSD (PK) scale. The RCSs demonstrated good psychometric properties and patterns of associations with other measures of psychopathology that corresponded to current theory regarding the structure of comorbidity. A notable advantage of the RCSs compared with the MMPI-2 CSs was their enhanced construct validity and clinical utility in the assessment of comorbid internalizing and externalizing psychopathology. The PK scale demonstrated incremental validity in the prediction of PTSD beyond that of the RCSs or CSs.

摘要

本研究在退伍军人事务部医疗中心接受临床服务的创伤后应激障碍(PTSD)患者中,检验了明尼苏达多相人格问卷第二版(MMPI - 2)重构临床量表(RCSs)的心理测量特性。研究1纳入了1098名男性,他们完成了MMPI - 2,并通过结构化临床访谈对一系列心理障碍进行了评估。研究2纳入了136名女性,她们完成了MMPI - 2,并接受了临床医生施测的PTSD量表访谈。将RCSs的效用与临床量表(CSs)和基恩PTSD(PK)量表的效用进行了比较。RCSs显示出良好的心理测量特性,以及与其他精神病理学测量方法的关联模式,这与当前关于共病结构的理论相符。与MMPI - 2 CSs相比,RCSs的一个显著优势在于,它们在评估共病的内化和外化精神病理学方面具有更高的结构效度和临床效用。PK量表在预测PTSD方面显示出超越RCSs或CSs的增量效度。

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