Piersma H L
Pine Rest Christian Hospital, Grand Rapids, Michigan 49508-6999.
J Clin Psychol. 1987 Sep;43(5):478-83. doi: 10.1002/1097-4679(198709)43:5<478::aid-jclp2270430508>3.0.co;2-z.
This study compared MCMI and clinician Axis II diagnoses for DSM-III diagnostic categories. Subjects were 151 consecutively admitted inpatients at a private psychiatric hospital. The MCMI was administered to all subjects shortly after admission and shortly before discharge. MCMI diagnostic impressions for both admission and discharge then were compared to clinician diagnoses. Results indicated that the MCMI diagnosed Axis II disorders much more frequently than did clinicians. Agreement rates between the MCMI and clinicians were uniformly low across all categories except dependent personality. In addition, there was a relatively low degree of correspondence between MCMI admission diagnoses and MCMI discharge diagnoses. Implications of these results are discussed.
本研究比较了针对《精神疾病诊断与统计手册》第三版（DSM - III）诊断类别的米隆临床多轴问卷（MCMI）诊断结果与临床医生对轴II障碍的诊断结果。研究对象为一家私立精神病医院连续收治的151名住院患者。所有患者在入院后不久和出院前不久均接受了MCMI测试。然后将入院和出院时MCMI的诊断印象与临床医生的诊断结果进行比较。结果表明，MCMI诊断轴II障碍的频率远高于临床医生。除了依赖型人格外，MCMI与临床医生在所有类别上的一致率均普遍较低。此外，MCMI入院诊断与MCMI出院诊断之间的对应程度相对较低。本文讨论了这些结果的意义。
