Marlowe D B, Wetzler S
Division of Addiction Research & Treatment, Hahnemann University.
J Pers Assess. 1994 Apr;62(2):320-31. doi: 10.1207/s15327752jpa6202_12.
We used discriminant function analyses of the Minnesota Multiphasic Personality Inventory (MMPI; Hathaway & McKinley, 1983), Millon Clinical Multiaxial Inventory (MCMI; Millon, 1983), MCMI-II (Millon, 1987), and Symptom Checklist Ninety-Revised (SCL-90-R; Derogatis, 1983) profiles from a heterogenous group of 272 psychiatric inpatients to classify patients as depressed, manic, and/or psychotic. Most functions generated from these tests significantly discriminated depressed, manic (not MCMI-II), and psychotic (not MCMI) subjects from psychiatric controls. However, there was little improvement in diagnostic efficiency over the use of single scale elevations at specified cut scores. Functions derived from the MCMI for mania and the MCMI-II for psychosis show the most promise but require replication. The difficulty of using group profile differences for the diagnosis of individual psychiatric patients is discussed.
我们对272名异质性精神科住院患者的明尼苏达多相人格调查表(MMPI;哈撒韦与麦金利,1983年)、米隆临床多轴调查表(MCMI;米隆,1983年)、MCMI-II(米隆,1987年)以及症状自评量表90修订版(SCL-90-R;德罗加蒂斯,1983年)的剖析图进行判别函数分析,以将患者分类为抑郁、躁狂和/或精神病性。这些测试生成的大多数函数显著区分了抑郁、躁狂(MCMI-II未涉及)和精神病性(MCMI未涉及)患者与精神科对照者。然而,与使用指定临界分数的单量表升高相比,诊断效率几乎没有提高。米隆临床多轴调查表针对躁狂症以及MCMI-II针对精神病性所导出的函数显示出最大的前景,但需要重复验证。文中讨论了利用群体剖析图差异诊断个体精神科患者的困难。