Miller H R, Streiner D L
Department of Psychology, Hamilton Psychiatric Hospital, Ontario, Canada.
J Pers Assess. 1990 Summer;54(3-4):736-46. doi: 10.1080/00223891.1990.9674034.
The ability of the MacAndrew Alcoholism Scale (MAC) and Scale B of the Millon Clinical Multiaxial Inventory (MCMI) to discriminate independently defined alcoholics with psychiatric diagnoses from other psychiatric patients was examined for males and all alcoholics, using three different criteria of alcoholism. The MAC identified from 80% to 87% of male alcoholics and 76% to 82% of all alcoholics, and from 25% to 52% of male nonalcoholics and 55% to 75% of all nonalcoholics, resulting in a large number of false positives. Scale B identified from 31% to 60% of male alcoholics and 33% to 43% of all alcoholics, and from 73% to 85% of male nonalcoholics and 85% to 94% of all nonalcoholics. The operating characteristics of Scale B showed that it was not as efficient in identifying alcoholics as previous work had indicated. We suggest that Scale B should not be used and the MAC should be used cautiously to discriminate alcoholics with psychiatric disorders from patients without alcoholism.
使用三种不同的酒精中毒标准，对男性和所有酒精中毒者进行研究，以检验麦克安德鲁酒精中毒量表（MAC）和米隆临床多轴问卷（MCMI）的B量表能否独立区分患有精神疾病诊断的酒精中毒者与其他精神疾病患者。MAC识别出80%至87%的男性酒精中毒者和76%至82%的所有酒精中毒者，以及25%至52%的男性非酒精中毒者和55%至75%的所有非酒精中毒者，导致大量假阳性。B量表识别出31%至60%的男性酒精中毒者和33%至43%的所有酒精中毒者，以及73%至85%的男性非酒精中毒者和85%至94%的所有非酒精中毒者。B量表的操作特征表明，它在识别酒精中毒者方面不如先前的研究表明的那样有效。我们建议不应使用B量表，而应谨慎使用MAC量表来区分患有精神疾病的酒精中毒者与没有酒精中毒的患者。
