Center for Alcohol and Drug Research, University of Aarhus, Denmark.
Br J Clin Psychol. 2012 Jun;51(2):172-84. doi: 10.1111/j.2044-8260.2011.02019.x. Epub 2011 Jun 1.
This study tested the convergent validity of the Millon Clinical Multiaxial Inventory-III (MCMI-III) clinical syndrome scales.
Cross-sectional survey.
Using a sample of 186 substance abusers from one single town referred for assessment, convergent and discriminant validity of the MCMI-III and Mini International Neuropsychiatric Interview (MINI) diagnoses was conducted. Additional measures included the Montgomery-Åsberg Depression Rating Scale and the Beck Anxiety Inventory.
A single Axis I factor based on the raw scores correlated adequately with the factor based on the other scales (r= .85), whereas the correlation between the factor based on the MCMI-III baserate scores was somewhat lower (r= .74), but still indicated substantial convergent validity. For individual disorders, area under the curve (AUC) analyses suggested that the convergent validity of the MCMI-III and the MINI was adequate. The raw score scales were superior to the baserate adjusted scores in all but one case. Discriminant validity was good for alcohol and drug dependence, moderate for major depression and delusion, and poor for thought disorder and anxiety.
The MCMI-III clinical syndrome scales generally measure the constructs they were intended for. The data did not support that the adjustments used in calculating the baserate scores improved validity.
本研究测试了密尔敦临床多轴人格量表第三版（MCMI-III）临床综合征量表的聚合效度。
横断面调查。
使用来自一个城镇的 186 名药物滥用者的样本，进行 MCMI-III 和迷你国际神经精神访谈（MINI）诊断的聚合和判别效度的测试。附加的测量包括蒙哥马利-阿斯伯格抑郁评定量表和贝克焦虑量表。
基于原始分数的单一轴 I 因子与基于其他量表的因子之间的相关性足够好（r=.85），而基于 MCMI-III 基础分数的因子之间的相关性略低（r=.74），但仍显示出相当大的聚合效度。对于个别疾病，曲线下面积（AUC）分析表明，MCMI-III 和 MINI 的聚合效度是足够的。在除一种情况外，原始分数量表在所有情况下都优于基础分数调整后的量表。在酒精和药物依赖方面，判别效度较好，在重度抑郁和妄想方面，中度较好，在思维障碍和焦虑方面，较差。
MCMI-III 临床综合征量表通常测量它们旨在测量的结构。数据不支持用于计算基础分数的调整提高了效度。
