Chick D, Sheaffer C I, Goggin W C, Sison G F
University of Southern Mississippi.
J Pers Assess. 1993 Oct;61(2):264-76. doi: 10.1207/s15327752jpa6102_8.
This study examined the relationship between elevations on the personality scales of the Millon Clinical Multiaxial Inventory (MCMI) and clinician-generated Diagnostic and Statistical Manual of Mental Disorders (3rd ed., rev. [DSM-III-R]; American Psychiatric Association, 1987) diagnoses for 101 psychiatric patients at a VA medical center/psychiatric hospital in the Southeastern United States. Personality disorder diagnoses were made by employing a personality symptom checklist that consisted of all the verbatim criteria for personality disorders contained in the DSM-III-R. Clinicians who completed the checklists were required to have had at least 5 hr of direct contact with the patients who completed the MCMI. The results indicated that only the Schiozotypal scale of the MCMI was related to its respective DSM-III-R personality disorder in the simple correlation. An examination of the diagnostic efficiency statistics for each of the MCMI personality disorder scales revealed overall low sensitivity, poor specificity, poor positive predictive power, and low diagnostic power, which suggests that the MCMI may have only limited utility in identifying personality disorders.
本研究调查了美国东南部一家退伍军人医疗中心/精神病医院的101名精神科患者在米隆临床多轴问卷（MCMI）人格量表上的得分与临床医生根据《精神疾病诊断与统计手册》第三版修订本（DSM-III-R；美国精神病学协会，1987年）做出的诊断之间的关系。人格障碍诊断采用一份人格症状清单，该清单包含DSM-III-R中人格障碍的所有逐字标准。完成清单的临床医生必须与完成MCMI的患者有至少5小时的直接接触。结果表明，在简单相关性分析中，MCMI中只有分裂型量表与其相应的DSM-III-R人格障碍相关。对MCMI各人格障碍量表的诊断效率统计数据进行检查后发现，总体敏感性较低、特异性较差、阳性预测能力较差且诊断能力较低，这表明MCMI在识别人格障碍方面可能只有有限的效用。
