Bonato D P, Cyr J J, Kalpin R A, Prendergast P, Sanhueza P
Psychology Department, Whitby Psychiatric Hospital, Ontario, Canada.
J Clin Psychol. 1988 Nov;44(6):867-75. doi: 10.1002/1097-4679(198811)44:6<867::aid-jclp2270440606>3.0.co;2-p.
The present study examined the utility of the MCMI as a provider of DSM-III Axis I diagnostic hypotheses with a heterogeneous psychiatric inpatient population. Participants represented 31 consecutive referrals made to the psychology department for a clinical and/or diagnostic assessment from a psychiatric rehabilitation unit. Three independent diagnoses derived from the MCMI, a structured interview (DIS), and an unstructured psychiatric interview were obtained for each participant. The percentage agreement between the two criterion diagnoses was 54.8%. Agreement between the MCMI and criterion diagnoses was, at best, 15% for those cases that had an Axis I diagnosis. These findings are in keeping with past research and support the contention that the MCMI is not a useful tool in generating clinically correct or meaningful DSM-III Axis I diagnostic hypotheses.
本研究检验了明尼苏达多项人格问卷（MCMI）作为为患有多种精神疾病的住院患者提供《精神疾病诊断与统计手册》第三版（DSM-III）轴I诊断假设工具的效用。参与者为连续31名从精神康复科转介至心理科进行临床和/或诊断评估的患者。为每位参与者分别从MCMI、结构化访谈（DIS）和非结构化精神科访谈中得出三种独立诊断。两种标准诊断之间的一致率为54.8%。对于有轴I诊断的病例，MCMI与标准诊断之间的一致率最高为15%。这些发现与过去的研究一致，并支持这样的观点，即MCMI并非生成临床正确或有意义的DSM-III轴I诊断假设的有用工具。
