Burke J M, Smith S A, Imhoff C L
New Medico South Bay Community Re-entry Service, Hyannis, MA 02601.
Brain Inj. 1989 Jan-Mar;3(1):35-40. doi: 10.3109/02699058909008071.
A retrospective descriptive study (n = 44) was conducted on the response styles of post-acute traumatic brain-injured patients on the MMPI. The sample profiles were examined on indices of consistency, random responding, and bias to look good or bad. The results showed that about 20% of the profiles were markedly inconsistent, including two profiles which met the criteria for random responding. Depending on the cut-off score used, between 0 and 9% were identified as biased to look bad, while between 18 and 30% were identified as biased to look good. A mean profile on the primary clinical and research scales was developed and a frequency count of the high two-point codes was conducted. This profile approached clinically significant levels on the Psychopathic deviant, Schizophrenia, Depression, and Mania scales, respectively. The three most frequently occurring two-point codes (2-4, 4-8, and 4-9) have been classified as characterological in nature. The primary implication of these results for clinicians was the need for careful scrutiny of indices of consistency, random responding and bias to look good when interpreting self-report measures such as the MMPI with the TBI population.
对44名急性创伤性脑损伤患者在明尼苏达多相人格调查表（MMPI）上的反应方式进行了一项回顾性描述性研究。对样本概况进行了一致性、随机反应以及呈现好坏倾向指标的检查。结果显示，约20%的概况明显不一致，其中两份概况符合随机反应的标准。根据所使用的临界分数，0%至9%被判定为有呈现负面倾向，而18%至30%被判定为有呈现正面倾向。制定了主要临床和研究量表的平均概况，并对高分两点编码进行了频数统计。该概况在精神病态偏差、精神分裂症、抑郁和躁狂量表上分别接近临床显著水平。三个最常出现的两点编码（2-4、4-8和4-9）本质上已被归类为性格特征。这些结果对临床医生的主要启示是，在对创伤性脑损伤人群解释诸如MMPI这类自我报告测量时，需要仔细审查一致性、随机反应和呈现正面倾向的指标。
