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使用明尼苏达多相人格调查表第二版(MMPI-2)对越南退伍军人中的共病和创伤后应激障碍进行检查。

Examining comorbidity and posttraumatic stress disorder in a Vietnam veteran population using the MMPI-2.

作者信息

Weyermann A G, Norris F H, Hyer L A

机构信息

Augusta College, Georgia, USA.

出版信息

J Trauma Stress. 1996 Apr;9(2):353-60. doi: 10.1007/BF02110667.

Abstract

Examined the discriminant validity of the MMPI-2 in assessing comorbidity in a posttraumatic stress disorder (PTSD) Vietnam veteran population. The Structured Clinical Interview for the DSM-III-R (SCID) was used to diagnose veterans and to classify them into four groups: PTSD Only, PTSD with mood disorders, PTSD with other anxiety disorders, and PTSD with mood and anxiety disorders. All groups had clinical elevations on scales F, 1, 2, 3, 4, 6, 7, 8, 0, PK, and PS, with peak elevations on scales 8, 7, and 2. The PTSD Only group's MMPI-2 scores were not significantly lower than other groups' scores. The PTSD+Mood/Anxiety group was significantly more elevated on scales 2 and 7 than the PTSD Only and PTSD+Anxiety group but did not otherwise show significantly higher scale elevations than others groups. No significant differences existed between groups on scales F, L, K, PK, and PS. Implications of these results for PTSD and the current diagnostic system are explored.

摘要

研究了明尼苏达多项人格调查表第二版(MMPI - 2)在评估越战退伍军人创伤后应激障碍(PTSD)共病情况时的区分效度。使用《精神疾病诊断与统计手册第三版修订本》(DSM - III - R)结构化临床访谈(SCID)对退伍军人进行诊断,并将他们分为四组:仅患有PTSD组、患有PTSD伴情绪障碍组、患有PTSD伴其他焦虑障碍组以及患有PTSD伴情绪和焦虑障碍组。所有组在量表F、1、2、3、4、6、7、8、0、PK和PS上的临床得分均升高,其中量表8、7和2上的得分升高最为明显。仅患有PTSD组的MMPI - 2得分并不显著低于其他组的得分。患有PTSD + 情绪/焦虑组在量表2和7上的得分显著高于仅患有PTSD组和患有PTSD + 焦虑组,但在其他方面并未显示出比其他组有显著更高的量表得分。在量表F、L、K、PK和PS上,各组之间没有显著差异。探讨了这些结果对PTSD和当前诊断系统的意义。

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