Pedrero Pérez Eduardo J, López Durán Ana, Fernández del Río Elena
Instituto de Adicciones, Madrid Salud, Ayuntamiento de Madrid, 28027 Madrid, Spain.
Psicothema. 2012 Nov;24(4):661-7.
The Millon Clinical Multiaxial Inventory II is a widely used questionnaire for the assessment of personality in clinical settings, especially in addictive behaviors. The aim of this study is to determine the underlying factorial structure of the MCMI-II in a sample of 1,106 drug-dependents who seek treatment. All participants completed the MCMI-II and the TCI-R. Multivariate exploratory factor analysis was performed. The results show that, in the MCMI-II, there is a main part that assesses symptoms of recent onset associated with the Axis I disorders, a scale that explores autolytic ideation, two scales that explore issues related to the use of alcohol and other drugs, two scales that assess normal personality traits, and seven scales that explore dysfunctional personality traits. Although the objective of the MCMI-II is the assessment of personality, the results indicate that the largest part of the questionnaire assesses not necessarily stable conditions and which have appeared recently. The scales measuring dysfunctional personality traits are combined to account for disorders without a clear match to the theory of reference. We conclude that, when using the MCMI-II with diagnostic purposes, one should consider the presence of unstable conditions that could artifactually increase the prevalence rates and the coexistence of personality disorders and addictive behaviors.
米隆临床多轴问卷第二版（Millon Clinical Multiaxial Inventory II，MCMI-II）是临床环境中广泛用于评估人格的问卷，尤其适用于成瘾行为。本研究的目的是确定MCMI-II在1106名寻求治疗的药物依赖者样本中的潜在因子结构。所有参与者均完成了MCMI-II和三因素人格问卷修订版（TCI-R）。进行了多变量探索性因素分析。结果表明，在MCMI-II中，有一个主要部分评估与轴I障碍相关的近期发作症状，一个探索自毁观念的量表，两个探索与酒精和其他药物使用相关问题的量表，两个评估正常人格特质的量表，以及七个探索功能失调人格特质的量表。尽管MCMI-II的目标是评估人格，但结果表明，问卷的最大部分评估的不一定是稳定状况且这些状况是最近才出现的。测量功能失调人格特质的量表被组合起来以解释与参考理论没有明确匹配的障碍。我们得出结论，在将MCMI-II用于诊断目的时，应考虑可能人为增加患病率的不稳定状况的存在以及人格障碍与成瘾行为的共存。
