Division of Psychology, Mayo Clinic Arizona, Scottsdale, AZ 85259, USA.
Epilepsy Behav. 2010 Feb;17(2):252-8. doi: 10.1016/j.yebeh.2009.12.004. Epub 2010 Jan 12.
The Minnesota Multiphasic Personality Inventory-2-Restructured Form (MMPI-2-RF) is a restructuring of the MMPI-2 that has improved the psychometric characteristics of the test. The primary aim of this study was to provide diagnostic utility data on the MMPI-2-RF in an epilepsy monitoring unit population (N=429). Mean comparisons revealed group differences on Validity Scales Fs and FBS-r; Restructured Clinical Scales RC1 and RC3; and Somatic Scales MLS, GIC, HPC, and NUC. Diagnostic utility data are provided for those scales with the largest effect sizes: RC1, FBS-r, and NUC. On RC1, sensitivity was 76% and specificity was 60%, similar to values found when applying published decision rules to the MMPI-2. RC1 explains unique variance in diagnosis beyond that explained by demographic or medical history risk factors. We provide likelihood ratios for scores on RC1, FBS-r, and NUC that can be used by the clinician to calculate posttest odds and probability of nonepileptic seizures using the base rate of nonepileptic seizures in his/her population.
明尼苏达多相人格测验-2 修订版（MMPI-2-RF）是对 MMPI-2 的重构，提高了该测试的心理测量学特性。本研究的主要目的是在癫痫监测单元人群（N=429）中提供 MMPI-2-RF 的诊断效用数据。均值比较显示，在效度量表 Fs 和 FBS-r、重构临床量表 RC1 和 RC3 以及躯体量表 MLS、GIC、HPC 和 NUC 上存在组间差异。为那些具有最大效应量的量表提供了诊断效用数据：RC1、FBS-r 和 NUC。在 RC1 上，灵敏度为 76%，特异性为 60%，与应用发表的决策规则到 MMPI-2 时发现的值相似。RC1 解释了诊断中除人口统计学或病史危险因素解释之外的独特差异。我们提供了 RC1、FBS-r 和 NUC 分数的似然比，临床医生可以使用这些比值来计算后验几率和他/她人群中无癫痫发作的概率，使用无癫痫发作的基础发生率。
