Svanum S, McGrew J, Ehrmann L
Indiana University-Purdue University at Indianapolis.
J Pers Assess. 1994 Jun;62(3):427-39. doi: 10.1207/s15327752jpa6203_4.
This study assessed the validity of three Minnesota Multiphasic Personality Inventory-2-based (MMPI-2; Butcher, Dahlstrom, Graham, Tellegen, & Kaemmer, 1989) substance abuse scales. The scales were the MacAndrew Alcoholism Scale-Revised (MAC-R; Butcher et al., 1989) and the recently developed Addiction Acknowledgment Scale and Addiction Potential Scale (AAS & APS; Weed, Butcher, McKenna, & Ben-Porath, 1992). Study participants were 308 male and female college students who completed the MMPI-2 and the substance use disorder modules of the Diagnostic Interview Schedule. The MAC-R and the APS had a nonsignificant-to-weak relationship with substance dependence as defined by the Diagnostic and Statistical Manual of Mental Disorders (3rd ed., rev. [DSM-III-R]; American Psychiatric Association, 1980). The AAS had a moderate ability to identify the 33 study participants who met DSM-III-R criteria for a substance use disorder, primarily alcoholism. Broadening the definition of substance abuse to a continuum of alcohol/drug problems did not alter the character of findings. These results highlight the relative superiority of direct (AAS) versus subtle (APS, MAC-R) scales to detect substance dependence and support studies that question the overall utility of traditional MMPI scales to identify substance abuse.
本研究评估了基于明尼苏达多相人格调查表第二版（MMPI - 2；布彻、达尔斯特伦、格雷厄姆、泰勒根和凯默，1989年）的三种物质滥用量表的有效性。这些量表分别是修订后的麦安德鲁酒精中毒量表（MAC - R；布彻等人，1989年）以及最近编制的成瘾承认量表和成瘾潜力量表（AAS和APS；威德、布彻、麦肯纳和本 - 波拉特，1992年）。研究参与者为308名男女大学生，他们完成了MMPI - 2以及诊断访谈表中的物质使用障碍模块。根据《精神障碍诊断与统计手册》第三版修订本（DSM - III - R；美国精神病学协会，1980年）所定义的，MAC - R和APS与物质依赖之间的关系不显著至较弱。AAS具有中等能力识别出符合DSM - III - R物质使用障碍标准的33名研究参与者，主要是酒精中毒患者。将物质滥用的定义扩展为酒精/药物问题的连续体并没有改变研究结果的性质。这些结果凸显了直接量表（AAS）相对于微妙量表（APS、MAC - R）在检测物质依赖方面的相对优势，并支持了对传统MMPI量表识别物质滥用的整体效用提出质疑的研究。
