Recent adolescent MMPI norms: T-score elevation comparisons to Marks and Briggs

Minnesota Multiphasic Personality Inventory (MMPI) norms developed by Marks and Briggs (1967/1972) have served as the standard adolescent norms used for over 10 years. Additional adolescent norms have recently been produced by Gottesman, Hanson, Kroeker, and Briggs (1987) and by Colligan and Offord (1989), thereby providing MMPI users with a potential choice of adolescent norms. Our study examines the effects of these adolescent norm sets on single-scale and profile elevations. In addition, we examine the ability of these norm sets to generate T-score values that would serve to discriminate accurately among adolescents in outpatient (n = 100), inpatient (n = 100), and normal (n = 100) settings. Results indicated that the choice of adolescent norms resulted in important differences in profile elevation. Findings from the discriminant function analyses, however, indicated that these normative sets were roughly equivalent in discriminating among adolescents in the three settings.     

The effectiveness of MMPI-A items in discriminating between normative and clinical samples.

The Minnesota Multiphasic Personality Inventory-Adolescent (MMPI-A; Butcher et al., 1992) was released in 1992 and has rapidly become the most widely used objective personality assessment instrument with adolescents. Although the MMPI-A reduced or eliminated several problems associated with the use of the original MMPI (Hathaway & McKinley, 1943) with adolescents, the MMPI-A does produce a high frequency of within normal limits basic scale profiles for individuals with substantial psychopathology including adolescents in inpatient psychiatric settings. To better understand the reasons for this phenomenon, we compared the item endorsement frequencies for the MMPI-A normative sample with results from two adolescent clinical samples, and these results were contrasted to the item endorsement frequencies for the MMPI-2 (Butcher, Dahlstrom, Graham, Tellegen, & Kaemmer, 1989) normative sample and a clinical sample of adult psychiatric inpatients. Results showed that the MMPI-A contains a substantial number of items that do not show a significant difference in item endorsement frequency between normative and clinical samples. Furthermore, MMPI-A basic and content scales generally show a much lower percentage of effective items than do the corresponding scales for the MMPI-2. We discuss the findings in relation to the frequent occurrence of low range MMPI-A profiles in clinical samples and the potential usefulness of these results in future efforts to develop viable short forms for the MMPI-A.     

MMPI-A performance of African and Mexican American adolescent first-time offenders

54 African and Mexican American adolescent first-time offenders were examined with the MMPI-A to evaluate ethnic differences. Multivariate analyses by ethnicity and MMPI-A scales (validity, clinical, content, and supplementary scales) were not significant; however, there was a significant univariate difference where African American adolescents scored significantly higher on the Repression scale than the Mexican American group. A greater percentage of within-normal-limits profiles were African American (50%) than Mexican American (25%). Research and clinical implications for using the MMPI-A with these groups are discussed.     

MMPI-A characteristics of male adolescents in juvenile justice and clinical treatment settings

The current study investigates the extent to which the Minnesota Multiphasic Personality Inventory-Adolescent (MMPI-A) profiles of 196 male adolescents evaluated in a South Carolina detention center could be successfully discriminated from the protocols of 200 male adolescent psychiatric inpatients in three states and 151 dually diagnosed male adolescents. Results showed significant differences in mean T-score values among these three groups of adolescents across a variety of MMPI-A scales and subscales. Results from discriminant function analyses indicate that treatment setting can be predicted effectively from MMPI-A profiles. Beyond the MMPI-A profile differences established for adolescents in these groups, the similarities of adolescents were also noted, particularly in terms of the frequent occurrence of Within-Normal-Limits profiles for adolescents in all groups. Potential directions for future research with the MMPI-A are presented.     

Comparative accuracy of the MMPI-2 and the MMPI-A in the diagnosis of psychopathology in 18-year-olds

Both the Minnesota Multiphasic Personality Inventory--2 (MMPI-2) and the Minnesota Multiphasic Personality Inventory--Adolescent (MMPI-A) may be administered to 18-year-olds. Each test was administered to 18-year-old participants classified as psychopathology present (PP) or psychopathology absent (PA) to assess (a) the degree of correspondence between the 2 test versions in yielding clinically elevated or nonclinically elevated profiles and (b) the relative accuracy of the 2 test versions in identifying the presence of psychopathology. The 2 tests produced profiles that were inconsistent in clinical elevation status in 70 of 152 participants (46%). All 70 participants with incongruent profiles had clinically elevated MMPI-2 scores and normal-range MMPI-A scores. Analyses of incongruent profiles obtained by PP and PA participants indicated that 18-year-olds were overpathologized by the MMPI-2 and underpathologized by the MMPI-A.     

The classification accuracy of the Minnesota Multiphasic Personality Inventory-Adolescent: effects of modifying the normative sample

Numerous studies have reported that the Minnesota Multiphasic Personality Inventory-Adolescent (MMPI-A) produces a high frequency of within-normal-limits basic scale profiles for adolescents with significant clinical pathology (e.g., Archer, 2005). The current study builds on the observation that the MMPI-A normative sample included participants who reported a recent history of referral for counseling or therapy services. The 193 adolescents who reported referral for counseling were removed from the normative sample and uniform T-score values were recalculated for basic clinical scale raw scores. The frequency of within-normal-limits profiles was only marginally reduced by using the revised MMPI-A norms. Furthermore, the overall hit rate, positive predictive power, and sensitivity were only slightly improved by removing normative participants referred for counseling and basing norms on the remaining 1,427 adolescents.     

The effects of service activities on adolescent alienation

This research evaluated the effects of involvement of adolescents in community service activities on levels of alienation. It was proposed that alienation could be reduced through the implementation of a model which utilized community service activities to facilitate adolescent access to adult society, development of responsibility, collaborative and cooperative work, and control over planning and outcomes. It is suggested that adolescent involvement in service activities can produce positive benefits, among which are reduced levels of alienation, improved school behavior, improved grade point average, and acceptance by the adult community. These findings also suggest that females respond more positively to school when allowed to problem-solve collectively and collaboratively.     

The effects of domain knowledge on metacomprehension accuracy

In the present research, we examined the relationship between readers’ domain knowledge and their ability to judge their comprehension of novel domain-related material. Participants with varying degrees of baseball knowledge read five texts on baseball-related topics and five texts on non-baseball-related topics, predicted their performance, and completed tests for each text. Baseball knowledge was positively related to absolute accuracy within the baseball domain but was unrelated to relative accuracy within the baseball domain. Also, the readers showed a general underconfidence bias, but the bias was less extreme for higher knowledge readers. The results challenge common assumptions that experts’ metacognitive judgments are less accurate than novices’. Results involving topic familiarity ratings and a no-reading control group suggest that higher knowledge readers are not more likely to ignore text-specific cues in favor of a domain familiarity heuristic, but they do appear to make more effective use of domain familiarity in predicting absolute performance levels.     

The Millon adolescent clinical inventory and psychopathy

We investigated the ability of the Millon Adolescent Clinical Inventory (MACI; Millon, 1993) to assess psychopathy as measured by the Psychopathy Checklist--Revised (PCL-R; Hare, 1991). Participants were 90 adolescents in an inpatient psychiatric unit. The MACI Substance Abuse Proneness (r = .47), Unruly (r = .43), and Submissive (r = -.42) scales correlated most strongly with the PCL-R. Using a discriminant function analysis, the Substance Abuse Proneness scale correctly distinguished between high- and low-psychopathy groups in 79% of cases. Using a rational approach, we developed a psychopathy content scale using 20 MACI items. This content scale correlated with the PCL-R (r = .60) and distinguished high- and low-psychopathy groups in 83% (kappa = .66) of cases (sensitivity = 85%, specificity = 81%).     

The effects of family disruption on adolescent males and females

Given the rapidly increasing rate of marital dissolution, a staggering number of children are experiencing family disruption. The purpose of this study was to ascertain the possible effects of separation and divorce on the formation of adolescents' self-image. Additionally, this study sought to determine if adolescents from disrupted homes differed from those from intact homes with regard to anxiety levels, locus of control, and perception of their family. A total of 217 subjects participated in the study by completing a battery of questionnaires. Results indicated that males from disrupted homes had better self-concepts and better perceptions of their family environment than those from intact homes. The opposite results were found among females, emphasizing the difference between the sexes in adjusting to family disruption.     

The effects of ethnicity and acculturation on early adolescent delinquency

We examined the influence of ethnicity and acculturation status on the relationship between parental monitoring, susceptibility to antisocial peer pressure, and delinquency. The sample consisted primarily of Caucasian (63%) and Mexican-American (24%) early adolescents. Self-report data were collected from 1021 sixth and seventh graders, equally divided by gender (mean age =12.7 years). The Mexican-American adolescents were categorized into one of three acculturation groups: (a) acculturated; (b) unacculturated by choice; and (c) recent immigrants. Acculturated Mexican-American early adolescents reported significantly more delinquent behaviors than the Caucasian, unacculturated by choice, and recent immigrant youth. Recent immigrant early adolescents reported more parental monitoring than the acculturated Mexican-American early adolescents. Level of perceived susceptibility to antisocial peer pressure did not differ between ethnic or acculturation groups. Regression analyses revealed that the relationship between parental monitoring and delinquency was mediated by susceptibility to antisocial peer pressure for all the groups regardless of ethnicity or level of acculturation. Findings emphasize the importance of: (a) examining level of acculturation when sampling ethnically diverse populations; and (b) comparing global mean level differences and specific relationships among independent variables.     

A computer program for testing and analyzing random generation behavior in normal and clinical samples: The Mittenecker Pointing Test

Random sequence generation tests have proved to be a useful diagnostic tool for the identification of clinically relevant impairments of executive functions and for the study of cognitive functioning in healthy individuals. The most prevalent variety, random number generation, involves several limitations, however. In the original Mittenecker Pointing Test (MPT; Mittenecker, 1958), subjects were instructed to point successively and as randomly as possible at nine unlabeled circles irregularly arranged on a cardboard. With the computer program presented here, Mittenecker’s classical test has been transferred to a contemporary format. The MPT can be applied using a standard PC keyboard and computes a series of sophisticated measures of deviations from randomness on the basis of information theory analysis. Because of its easy and well-controlled administration and reduced demands on memory and attention, the automatized MPT offers a wide range of application possibilities in normal but also in severely impaired clinical samples.     

The initial standardization of the adolescent behavioral classification project instrument

An instrument has been developed through the Adolescent Behavioral Classification Project for assessing an adolescent's problems and for establishing a taxonomy of behaviors and of persons. Standardization has initially consisted of collecting from many sources 482 statements of problem behaviors and 30 positive behaviors, which can be observed by nonprofessional as well as professional persons; administering these behavior statements to 156 institutional and 94 noninstitutional mental health center adolescents and 376 of their parents; carrying out principal components analyses on the behavioral items and 3 demographic items, followed by Varimax and Promax rotations. Twentyfive factors scored on 410 items resulted from these procedures. Internal consistency coefficients for the factors range from .47 to .86. Test-retest reliabilities on a sample of 10 youths ranged from .24 to .94, with an average r_tt of .71. Factor scores for different classes of respondents were fairly well correlated from one set to another. The different classes of respondents did not differ significantly from one another on caution items. Similarities are noted, by inspection, between these factors and those derived from the Children's Behavioral Classification Project and between those other authorities have set forth and the ABCPAcknowledgements are gratefully extended to the ABCP team: Dr. Robert P. Baker, Greg Bennett, Dr. Millard J. Bienvenu, Sr., Dr. Ronald F. Boudreaux, Robert L. Compton, MSW, Dr. Thomas E. Deiker, Dr. M. K. Distefano, Dr. James R. Gay, Charles Granger, Dr. Wayne A. Greenleaf, Allison Hulse, Cathy Knighton, James Moss, Dr. Ronald S. Pryer, Dr. Felicia Pryor, Dr. Edith Schulhofer, Mrs. Annie A. Smart, Dr. T. T. Stigall. Special thanks go to Doctors Boudreaux, Greenleaf, and Pryer for permission to employ their patients from the Adolescent Unit of Central Louisiana State Hospital, and to Dr. Deiker for his provision of the listing of abnormal subjective perceptual experiences. Above all, many thanks are given to the necessarily unnamed adolescents and their parents who took part in the project at considerable inconvenience to themselves, and to the numerous personnel in the mental health centers who cooperated in the project.     

重参数化的多分属性诊断分类模型及其判准率影响因素

多分属性比传统的二分属性提供更多更详细的诊断反馈信息, 符合对知识技能的多水平要求, 具有较好的应用前景。本文首先介绍了多分属性和多分Q矩阵的概念; 之后重参数化了3个分别满足连接、分离和补偿缩合规则的多分属性诊断分类模型并研究了其判准率影响因素, 结果发现它们的判准率(1)均随多分属性数量的增加而降低, 建议实际使用中不宜高于5个; (2)均随多分属性的最高水平数增加而降低, 建议实际使用中不宜高于4水平; (3)均随多分属性间统计相关性增加而增加, 但影响不大; (4)受多分属性层级结构的影响较大; (4)受被试量影响不大; (5)均随题目数量增加而增加且影响较大。最后, 针对“多分属性与多级评分的关系”和“多分属性与二分属性之间的关系”这两个问题进行了讨论。以期为实证研究者提供相关的理论支持和使用建议。     

Structure of personality pathology in normal and clinical samples: Spanish validation of the DAPP-BQ

Given that the DSM taxonomy of personality disorders is flawed by severe classificatory problems, the development of alternative classificatory systems, such as the Dimensional Assessment of Personality Pathology-Basic Questionnaire (DAPP-BQ), has now become a priority. This study examined the internal consistency, second-order factor structure, and criterion validity of a Spanish translation of the DAPP-BQ in two samples: subjects with personality disorder (n = 155) and subjects from the general population (n = 300). Alpha coefficients ranged satisfactorily from .75 to .93. Four second-order factors of Emotional Dysregulation, Dissocial Behavior, Inhibitedness, and Compulsivity were obtained, which were replicable between samples and identical to those reported in the literature. Finally, disordered subjects scored significantly higher than normal subjects on 17 of the 18 DAPP-BQ traits. Some pending issues in the construction of an alternative taxonomy of personality disorders are discussed.     

The development of the items-easy (Ie) and items-difficult (Id) subscales for the MMPI-A

This research involves the development, validation, and cross-validation of the Items-Easy (Ie) and Items-Difficult (Id) subscales for the Minnesota Multiphasic Personality Inventory-Adolescent (MMPI-A; Butcher et al., 1992). These subscales were designed to assess the degree to which reading comprehension deficits may be responsible for significant elevations of validity Scale F and the standard clinical scales on adolescents' MMPI-A profiles. A difference score, bared on the two 13-item subscales, was created in order to compare subjects' responses to subsets of the more comprehensible (Ie) and less comprehensible (Id) items within the test. Hit rate, sensitivity, specificity, positive predictive power, and negative predictive power were calculated on the basis of simple (Id - Ie) and weighted (3Id - 1Ie) difference scores for the validation (N = 495) and cross-validation (N = 264) samples, and for specific high-F profile subsamples. Although some of the indices reflected classification accuracy as high as 95%, none of the indices yielded consistently high results across the various samples and subsamples. It has been concluded that the Ie and Id subscales should be used only for research purposes at this time.     

Procedures for performing meta-analyses of the accuracy of tools for binary classification

The assessment of accuracy in binary classification tools must take into account two non-independent rates: true positives and false positives. A variety of indices have been proposed. They have been estimated for tests employed for early detection or screening purposes. We summarize and review the main methods proposed for performing a meta-analysis that assesses the accuracy of this type of tools. They are applied to the results from 14 studies that report estimates of the accuracy of the AUDIT. The method of direct aggregation does not allow the use of meta-analytic procedures; the separate estimation of sensitivity and specificity does not acknowledge that they are not independent; the SROC method treats accuracy and threshold as fixed effects and has limitations to deal with the potential role of covariates. The Normal Bivariate (NB) model and the Hierarchical Summary ROC (HSROC) model are statistically rigorous and can deal with the covariates properly. They allowed analyzing the association between the gender composition of the sample and the way the test AUDIT behaves in the example.     

Validation of the reasons for living inventory in general and delinquent adolescent samples

Two studies are reported that discuss the validation of an adult suicide prediction questionnaire for use with adolescents. The Reasons for Living Inventory (RFL; Linehan, Goodstein, Nielsen, & Chiles, 1983) was slightly modified and administered to two samples of adolescents: one from a general high school population and one from a population of juvenile delinquents receiving psychological treatment in a correctional facility. As with adults, adolescents who reported more reasons for staying alive were less apt to report past or recent suicidal thoughts or behaviors. Evidence of convergent validity emerged via correlations of RFL subscales with depression, hopelessness, and other suicide inventories. Evidence of discriminant validity emerged in that correlations with social desirability were not large. Evidence of construct validity emerged in that the RFL subscales related to suicidal thoughts and behaviors over and above depression and hopelessness. Differences between general and delinquent adolescents' reasons for living are discussed.Special gratitude is due to the Indiana Department of Corrections and the Penn-Harris-Madison Public School System for their cooperation and assistance in data collection for this project.