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酒精成瘾者和精神科住院患者中MMPI-2成瘾潜力量表的内部结构

Internal structure of the MMPI-2 Addiction Potential Scale in alcoholic and psychiatric inpatients.

作者信息

Sawrie S M, Kabat M H, Dietz C B, Greene R L, Arredondo R, Mann A W

机构信息

Pacific Graduate School of Psychology, Palo Alto, CA 94303, USA.

出版信息

J Pers Assess. 1996 Feb;66(1):177-93. doi: 10.1207/s15327752jpa6601_14.

Abstract

Recently, Weed, Butcher, McKenna, and Ben-Porath (1992) introduced two new scales for assessing alcohol and drug abuse with the Minnesota Multiphasic Personality Inventory-2 (MMPI-2; Butcher, Dahlstrom, Graham, Tellegen, & Kaemmer, 1989): the Addiction Potential Scale (APS), an empirically derived measure similar to the MacAndrew Alcoholism Scale (MAC; MacAndrew, 1965), and the Addiction Acknowledgement Scale. Like the MAC, the APS was designed to identify the personality dimensions associated with substance abuse. Although there has been evidence to support the discriminative validity of the APS among samples of abusers, nonabusers, and psychiatric inpatients (Greene, Weed, Butcher, Arrendondo, & Davis, 1992; Weed et al., 1992), there has been no attempt to determine the personality dimensions tapped by the APS. Thus our study investigated the internal complexities of the APS. Using MMPI-2 protocols from a sample of alcoholic and psychiatric inpatients, we subjected the APS to a principal components analysis with subsequent varimax rotation. Both qualitative and quantitative methods were used to name the components that were identified. Five components consistently emerged across settings: Satisfaction/Dissatisfaction with Self, Powerlessness/Lack of Self-Efficacy, Antisocial Acting-Out, Surgency, and Risk-Taking/Recklessness, Clinical advantage gained from a knowledge of the internal structure of the APS was illustrated using 6 patients from the alcoholic sample. A rational approach to validating the empirical structure of the APS was discussed as a potential avenue for future research.

摘要

最近,威德、布彻、麦肯纳和本-波拉特(1992年)推出了两种新的量表,用于通过明尼苏达多相人格问卷第二版(MMPI-2;布彻、达尔斯特伦、格雷厄姆、泰勒根和凯默,1989年)评估酒精和药物滥用情况:成瘾潜力量表(APS),一种基于实证得出的测量方法,类似于麦克安德鲁酒精中毒量表(MAC;麦克安德鲁,1965年),以及成瘾承认量表。与MAC一样,APS旨在识别与药物滥用相关的人格维度。尽管有证据支持APS在滥用者、非滥用者和精神科住院患者样本中的区分效度(格林、威德、布彻、阿雷东多和戴维斯,1992年;威德等人,1992年),但尚未有人尝试确定APS所涉及的人格维度。因此,我们的研究调查了APS的内部复杂性。我们使用了酒精成瘾者和精神科住院患者样本的MMPI-2协议,对APS进行了主成分分析,并随后进行了方差最大化旋转。我们使用定性和定量方法对识别出的成分进行命名。在不同环境中始终出现了五个成分:对自我的满意/不满意、无力感/缺乏自我效能感、反社会行为、活力以及冒险/鲁莽。通过了解APS的内部结构从临床上获得的优势,我们使用酒精成瘾样本中的6名患者进行了说明。我们讨论了一种验证APS实证结构的合理方法,将其作为未来研究的潜在途径。

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