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明尼苏达多相人格调查表青少年版(MMPI-A)与13岁的住院患者:多小算太小?

The MMPI-A and 13-year-old inpatients: how young is too young?

作者信息

Janus M D, de Groot C, Toepfer S M

机构信息

The Ohio State University College of Medicine, USA.

出版信息

Assessment. 1998 Dec;5(4):321-32. doi: 10.1177/107319119800500402.

DOI:10.1177/107319119800500402
PMID:9835656
Abstract

This study examined two questions in the use of the MMPI-A with 13-year-old inpatients: (a) are the profiles of 13-year-old inpatients markedly different from those produced by 14-year-old inpatients, and (b) what is the effect of scoring with standard MMPI-A norms versus Archer MMPI-A norms for 13-year-olds. Protocols from 56 13-year-old and 85 14-year-old psychiatric inpatients were analyzed. No significant differences were found for age in mean T scores, and no clear pattern of differences was found in percentage of elevations into the clinical range (T 65) for validity, clinical, content, or supplemental scales. A strong multivariate effect was found with the use of Archer MMPI-A norms resulting in lower T-score values than when standard MMPI-A norms are used. However, univariate differences based on norms were not routinely found with statistically significant differences in only 2 of the 38 scales for males and 7 of the 38 scales for females. The two major exceptions to this finding were that the use of Archer norms versus standard MMPI-A norms resulting in significantly higher mean T scores and a significantly higher percentage of cases falling within the clinical range for Scale 1 and the depression content scale.

摘要

本研究探讨了在对13岁住院患者使用明尼苏达多相人格问卷青少年版(MMPI-A)时的两个问题:(a)13岁住院患者的剖面图与14岁住院患者的剖面图是否有显著差异,以及(b)使用标准MMPI-A常模与阿彻MMPI-A常模对13岁患者进行评分会有什么影响。分析了56名13岁和85名14岁精神科住院患者的测试协议。在平均T分数上未发现年龄的显著差异,在效度、临床、内容或补充量表进入临床范围(T≥65)的升高百分比方面也未发现明显的差异模式。使用阿彻MMPI-A常模时发现了一个很强的多变量效应,导致T分数值低于使用标准MMPI-A常模时。然而,基于常模的单变量差异并非经常出现,在38个量表中,男性只有2个量表、女性只有7个量表存在统计学上的显著差异。这一发现的两个主要例外情况是,使用阿彻常模与标准MMPI-A常模相比,在量表1和抑郁内容量表上,平均T分数显著更高,且落入临床范围的病例百分比显著更高。

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