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抑郁症与人格障碍:使用明尼苏达多相人格测验的鉴别诊断

Depression and personality disorder: differential diagnosis with the MMPI.

作者信息

Brems C

机构信息

University of Alaska, Anchorage.

出版信息

J Clin Psychol. 1991 Sep;47(5):669-75. doi: 10.1002/1097-4679(199109)47:5<669::aid-jclp2270470507>3.0.co;2-9.

DOI:10.1002/1097-4679(199109)47:5<669::aid-jclp2270470507>3.0.co;2-9
PMID:1939713
Abstract

This study assessed the effectiveness of the MMPI in differentiating four clinically relevant types of depression. MMPI profiles of 53 subjects with major depression and personality disorder, 44 subjects with other depression and personality disorder, 27 subjects with major depression without personality disorder, and 20 subjects with other depression without personality disorder were compared via MANOVA, high-point pair analysis, and discriminant analysis. The instrument was found somewhat effective in differentiating the groups at a statistically significant level, but the differences were too subtle to be considered clinically useful. Thus, while the MMPI has some usefulness in the differential diagnosis of depression, it is best used in conjunction with other test data and relevant historical data.

摘要

本研究评估了明尼苏达多相人格调查表(MMPI)在区分四种临床相关抑郁症类型方面的有效性。通过多变量方差分析、高分对分析和判别分析,比较了53名患有重度抑郁症和人格障碍的受试者、44名患有其他抑郁症和人格障碍的受试者、27名患有重度抑郁症但无人格障碍的受试者以及20名患有其他抑郁症但无人格障碍的受试者的MMPI剖面图。结果发现,该工具在统计学显著水平上对区分这些组有一定效果,但差异过于细微,不具有临床实用性。因此,虽然MMPI在抑郁症的鉴别诊断中有一定作用,但最好与其他测试数据和相关病史数据结合使用。

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引用本文的文献

1
A study of remitted and treatment-resistant depression using MMPI and including pessimism and optimism scales.一项使用明尼苏达多相人格调查表(MMPI)并纳入悲观和乐观量表对缓解期及难治性抑郁症的研究。
PLoS One. 2014 Oct 3;9(10):e109137. doi: 10.1371/journal.pone.0109137. eCollection 2014.