Differentiating between schizophrenic and manic inpatients by means of the MMPI

Forty-five psychiatric inpatients with DSM-III diagnoses of schizophrenia and 31 inpatients with DSM-III diagnoses of bipolar disorder (and currently manic) were compared on the MMPI. Results indicated that although the schizophrenic patients achieved significantly higher scores on several of the MMPI scales (F, Pt, Sc, Si), these findings were of questionable clinical significance. On the other hand, the schizophrenic group did produce a significantly greater percentage of MMPI high-point pairs containing Scale 8(Sc): that is, 64.4% versus 35.5%.     

Construction and cross-validation of an MMPI Black-White scale

A robust set of MMPI items, sensitive to the effect of race (Blacks versus Whites), was constructed by compiling the results of six prior studies. Thirty-two items comprised the MMPI B-W scale. The scale was cross-validated on psychiatric patients and police cadets. Statistically significant mean differences were found between races in both groups, with 83% and 60% correct racial classification, respectively. These findings suggested that when used as a clinical instrument, the MMPI might pick up nonpathology-related racial variance contributing to scale devotion biased against the black respondent, but the degree of nonpathology-related racial scale score covariance has yet to be determined. For future research, the B-W scale was proposed as a set of standard queries in studies assessing connotative meaning for Black-White contrast groups, and to index "functional" as opposed to "objective" race membership.     

Identifying schizophrenia by means of scale 8 Sc of the MMPI

A sample of 38 schizophrenic inpatients was found to achieve significantly higher mean scores on Scale 8 of the MMPI relative to 38 schizophrenia-spectrum and 38 control patients regardless of whether K- or non-K-corrected scores were used. However, when patients were individually classified by means of a cutting score (greater than or equal to 70), only K-corrected scores accurately discriminated between schizophrenic and control patients at a statistically significant level.     

MMPI differences among Mexican-American male and female psychiatric inpatients

The purpose of this study was to examine to what extent Mexican-American male and female psychiatric patients, who share similar DSM-III--R diagnoses, differ on the MMPI. Differences were found on the Infrequency, Masculinity-Femininity, and Paranoia scales, with the 39 men obtaining significantly higher scores than the 21 women. These results, while suggesting possible differences in the phenomenology of depression, also suggest that MMPI differences between Mexican-American men and women may be reflective of culturally-defined sex roles. These results, when taken within the context of Mexican-American MMPI literature, indicate that researchers should always attempt to account for "gender" when conducting cross-ethnic MMPI comparisons. The practice of grouping the MMPIs of Mexican-American men and women for comparison with other ethnic groups should be discontinued in favor of comparisons that consider the effects of gender and ethnicity.     

Assessing dissimulation and denial on the MMPI in a sample of maximum security, male inmates

Comparisons were made between three groups of maximum security inmates thought to possess varying degrees of motivation to either exaggerate or suppress psychiatric symptomatology in their Minnesota Multiphasic Personality Inventory (MMPI) self-report. A group of individuals requesting single-cell placement (the group hypothesized to be motivated to exaggerate symptomatology) were found to score significantly higher on Scale F, the F-K Index, and a number of special MMPI scales (i.e., D-O, Hy-O, Pd-O, Pa-O, Ma-O, Dissimulation Scale, total number of Obvious Items, O:S Ratio) and significantly lower on scales K, Hy-S, Ma-S, and the total number of Subtle items relative to inmates undergoing parole evaluations (denial condition) or entering group therapy (neutral condition). Differences between the parole and group therapy conditions were relatively small, with only D-O, Hy-O, and the Dissimulation Scale producing statistically significant results. These findings tend to support use of the MMPI in assessing a respondent's test-taking attitude, particularly in cases where the subject is attempting to exaggerate psychiatric symptomatology.     

Assessing Dissimulation and Denial on the MMPI in a Sample of Maximum Security,Male Inmates

Comparisons were made between three groups of maximum security inmates thought to possess varying degrees of motivation to either exaggerate or suppress psychiatric symptomatology in their Minnesota Multiphasic Personality Inventory (MMPI) self-report. A group of individuals requesting single-cell placement (the group hypothesized to be motivated to exaggerate symptomatology) were found to score significantly higher on Scale F, the F-K Index, and a number of special MMPI scales (i.e., D-O, Hy-O, Pd-O, Pa-O, Ma-O, Dissimulation Scale, total number of Obvious Items, O:S Ratio) and significantly lower on scales K, Hy-S, Ma-S, and the total number of Subtle items relative to inmates undergoing parole evaluations (denial condition) or entering group therapy (neutral condition). Differences between the parole and group therapy conditions were relatively small, with only D-O, Hy-O, and the Dissimulation Scale producing statistically significant results. These findings tend to support use of the MMPI in assessing a respondent's test-taking attitude, particularly in cases where the subject is attempting to exaggerate psychiatric symptomatology.     

Parent and child MMPI responses: Characteristics among families with adolescents in inpatient and outpatient settings

The relationship of parent personality to child psychopathology has been investigated in numerous MMPI studies over the past three decades. Very few of these studies, however, have directly analyzed MMPI response patterns of both parents and offspring. The current study included the MMPI responses of 199 families with adolescents entering inpatient and outpatient psychiatric setting (N = 542). Inpatient parents and adolescents had significantly higher mean scores across a variety of MMPI scales than did their outpatient counterparts. The linear combination of adolescent and maternal MMPI scale data, in a stepwise discriminative function analysis, resulted in accurate classification of 75% of all children in inpatient treatment and 74% of all children assigned to outpatient treatment. Findings were discussed in terms of salient MMPI differences between inpatient and outpatient families and shared psychopathological characteristics among family members with offspring in psychiatric treatment settings.     

Validity and clinical scale comparisons between the MMPI and MMPI-2 with psychiatric inpatients.

This study was designed to investigate the comparability of the original MMPI (1950) and the MMPI-2 (1989) with a psychiatric patient population. 34 male and 3 female patients, shortly after admission to one of two acute psychiatry units, completed the old and revised versions of the MMPI. Paired t tests indicated but scant differences for raw scores, while many more differences were found among T scores for validity, clinical, and supplemental scales. Analyses, however, showed all scales on the two forms to be highly correlated. Analysis of the high-point and two-point codes across the two administrations also showed relative stability, although the proportion of Scales 2 (Depression) and 8 (Schizophrenia) decreased, while those for Scales 6 (Paranoia) and 7 (Psychasthenia) increased markedly in the MMPI-2 protocols. Examination of each version's discriminability among mood- and thought-disordered subsamples suggested that the MMPI provides slightly better delineation between diagnostic classes. Discriminant function analyses showed that there were essentially no differences between the two forms in the accurate classification of clinical and nonclinical groups. The findings reported here provide support for the MMPI-2; despite modification, the newer form retains the advantages of the original MMPI. Differences found here may be unique to psychiatric patients and their patterns of MMPI/MMPI-2 equivalence and may not generalize to other special populations.     

MMPI correlates of performance on a behavior therapy ward.

In a behavioral treatment program for acute psychiatric patients, points were earned for adaptive behavior (e.g. self-care, attending ward activities) and lost for maladaptive behavior (e.g. assaults, verbal abuse). Points earned could be spent for a variety of goods and services (e.g. passes, extra staff time). Statistically significant correlations were found between MMPI scale scores and point-earning behavior. High scores on the F, 5, 6 and 8 scales were associated with low point gain for adaptive behavior, high point loss for maladaptive behavior, a high proportion of points spent to points earned, and a low overall net point earnings. Low score on F scale in combination with high score on 2 scale best predicted point-gain behavior, whereas high score on 8 scale in combination with low score on 1 scale best predicted point-loss behavior. Overall net points were best predicted by low score on F scale in combination with high scores on 0 and 9 scales. When subjects were grouped into common psychiatric profile types, differences were found in point-gain behaviors for items related to personal care and attending ward activities. At least some of these differences could be attributed to two factors: high scores on the 2, 3 and 7 scales were associated with higher than average point earnings, while high scores on the 8 scale were associated with lower than average point earnings.     

Characteristics of the frequent nightmare sufferer.

Previous research has found that persons who experience frequent nightmares score highly on scales that measure psychotic symptomatology. Neurotic symptoms have also been implicated as correlates of nightmare frequency. In this study, 30 adult lifelong nightmare sufferers were compared with 30 control subjects, matched for age, sex, and socioeconomic status. Subjects were asked to record all dreams for 1 month and to complete the Minnesota Multiphasic Personality Inventory (MMPI) and the Eysenck Personality Questionnaire (EPQ). Nightmare subjects scored significantly higher on the EPQ Neuroticism scale and on 8 MMPI clinical scales than did the control group. These scales also best discriminated between the groups in a direct discriminant analysis. The results are interpreted as a reflection of global maladjustment rather than of specific psychotic symptomatology.     

Loss of Discriminative “Power” of the MMPI with Older Psychiatric Patients

MMPIs were obtained from four groups of 20 hospitalized male patients which differed in age (18–28 years vs 45–59 years) and psychiatric diagnosis (schizophrenic vs nonschizophrenic). The MMPI discriminated between young schizophrenic and nonschizophrenic patients but did not discriminate between older schizophrenic and nonschizophrenic patients. The apparent loss of discriminative “power” of the MMPI with older patients was interpreted as supporting the importance of the often overlooked nonpathological characteristics of the psychological test subject.     

Diagnostic validity of the MMPI and two short forms

The ability of the Faschingbauer Abbreviated MMPI (FAM) and the MMPI-168 to substitute for the full Minnesota Multiphasic Personality Inventory (MMPI) in broad psychiatric diagnosis was examined in a sample of 514 psychiatric inpatients. Each sex was randomly divided and multiple discriminant functions derived using long form scales as predictors. The discriminant functions were cross-validated on the other same-sex group using long and short form scales as predictors. All three forms achieved a 46% "hit" rate overall. No significant differences among the three forms were found.     

The diagnosis of brain-damage by the MMPI: a comprehensive evaluation.

A number of research studies have proposed various methods for using the MMPI to identify brain dysfunction. This previous research has taken one of three major approaches. The present study compared the major approaches in a population consisting of 30 schizophrenic, 30 brain-damaged and 30 hospitalized normal patients. The results indicated that the most effective diagnosis device was the use of the Sc scale alone or in conjunction with the remaining clinical scales and the F scale. None of the organic scales or keys were able to match the performance of the Sc scale alone. The poor results obtained bring into question the use of these scales in any other setting without an extensive research validation. An alternate method that might be used to employ the MMPI in the diagnosis of brain dysfunction was suggested.     

Screening for psychopathology in groups of black and white prison inmates by means of the MMPI

Of 225 male offenders who were administered both the MMPI and a structured diagnostic interview, the Psychiatric Diagnostic Interview (PDI), 51 (25 blacks, 26 whites) earned highly elevated MMPI profiles (at least one clinical scale greater than or equal to T score of 90) and 46 (26 blacks, 20 whites) achieved profiles that were essentially within normal limits (all clinical scales less than T score of 70). It was noted that the concordance between the MMPI and the total number of PDI syndromes reported by inmates was significantly greater in the white group (classification accuracy = 96%) relative to the black group (classification accuracy = 71%). However, both the black and white hit rates were found to significantly improved upon chance.     

The relationship between Holland's SDS differentiation scale and psychological adjustment

The study examined the relationship between Holland's SDS differentiation scales and indices of psychological adjustment on the MMPI. The independent variables were: degree of differentiation as calculated with an Iachan Index, and level of differentiation derived from averaging the six SDS summary profile scores. Two indices of the dependent variable, psychological adjustment, were used: the ego-strength score and the average elevation of eight clinical scales on the MMPI. Fifty-one subjects were recruited. Two multiple regression. analyses revealed a nonsignificant R² of 0.01. The results indicated that the SDS career interest differentiation scales were not related to the MMPI indices, and do not appear useful in predicting degree of psychological adjustment. This finding challenges Holland's theoretical contention that individuals who are undifferentiated may be in need of personal counseling. A second finding was the successful use of the SDS with residential psychiatric patients.     

Screening for Psychopathology in Groups of Black and White Prison Inmates by Means of the MMPI

Of 225 male offenders who were administered both the MMPI and a structured diagnostic interview, the Psychiatric Diagnostic Interview (PDI), 51 (25 blacks, 26 whites) earned highly elevated MMPI profiles (at least one clinical scale<T score of 90) and 46 (26 blacks, 20 whites) achieved profiles that were essentially within normal limits (all clinical scales < T score of 70). It was noted that the concordance between the MMPI and the total number of PDI syndromes reported by inmates was significantly greater in the white group (classification accuracy = 96%) relative to the black group (classification accuracy = 71%). However, both the black and white hit rates were found to significantly improved upon chance.     

Subtle-obvious scales of the MMPI: indicators of profile validity in a psychiatric population.

This study explored the usefulness of the Minnesota Multiphasic Personality Inventory (MMPI) Subtle-Obvious scales as profile validity indicators with a inpatient psychiatric population. Some 292 MMPI profiles were utilized and divided into overreporters, underreporters, and standard reporters, based on their Subtle-Obvious scale scores. Reporting style was shown to be unrelated to actual patient pathology because of the lack of relationship between reporting style and diagnostic categorization according to the Diagnostic and Statistical Manual of Mental Disorders (3rd ed., rev. [DSM-III-R]; American Psychiatric Association, 1987) Axis I and II. Comparisons of MMPI profiles of the three groups revealed that overreporters endorsed more pathology on the MMPI clinical scales than did either underreporters or standard reporters. The same pattern of response style was demonstrated by subjects on another objective measure, the Beck Depression Inventory, whereas on a projective measure, the Rorschach Inkblot Test, there were no differences between groups. These findings suggest that clinicians may want to utilize the Subtle-Obvious scales to gain information about MMPI profile validity. Specifically, profiles of patients identified as overreporters should be interpreted with caution so as to not overstate their level of pathology.     

Subtle-Obvious Scales of the MMPI: Indicators of Profile Validity in a Psychiatric Population

This study explored the usefulness of the Minnesota Multiphasic Personality Inventory (MMPI) Subtle-Obvious scales as profile validity indicators with a inpatient psychiatric population. Some 292 MMPI profiles were utilized and divided into overreporters, underreporters, and standard reporters, based on their Subtle-Obvious scale scores. Reporting style was shown to be unrelated to actual patient pathology because of the lack of relationship between reporting style and diagnostic categorization according to the Diagnostic and Statistical Manual of Mental Disorders (3rd ed., rev. [DSM-III-R]; American Psychiatric Association, I987) Axis I and II. Comparisons of MMPI profiles of the three groups revealed that overreporters endorsed more pathology on the MMPI clinical scales than did either underreporters or standard reporters. The same pattern of response style was demonstrated by subjects on another objective measure, the Beck Depression Inventory, whereas on a projective measure, the Rorschach Inkblot Test, there were no differences between groups. These findings suggest that clinicians may want to utilize the Subtle-Obvious scales to gain information about MMPI profile validity. Specifically, profiles of patients identified as overreporters should be interpreted with caution so as to not overstate their level of pathology.     

ABSTRACTS OF LITERATURE

To test the hypothesis that there would be significant differences in the families of schizophrenics, borderlines, neurotics, and non-neurotic psychiatric controls, a sample of six control families who had not had psychiatric treatment and fifty families who had had a child hospitalized for "emotional disturbance" were given the MMPI. Of the 50 patients, 23 were schizophrenic, one manic-depressive, 16 borderline, and 10 neurotic. None was hospitalized at the time of data collection. Using multivariant statistical profile similarities, there were no differences among either the fathers, mothers, or siblings of the offspring in the four diagnostic groups. It was concluded that these families could not be differentiated on the basis of self-reports of psychiatric symptoms.     

The MMPI‐2 in chronic psychiatric illness

While previous studies on the MMPI‐2 in patients with schizophrenia and depression have used mixed samples of both early stage and chronic psychiatric patients. Here, it is investigated whether chronicity itself might have a differential effect on the MMPI‐2 profiles of these patients and whether demoralization ‘associated with long‐term illness’ affects the scales of the MMPI‐2. Thirty long‐term patients with schizophrenia, 30 long‐term patients with depression, and 30 healthy participants completed the MMPI‐2. Groups were compared on Clinical Scales and on the Restructured Clinical (RC) Scales. Patients with schizophrenia differed from patients with depression on 14 MMPI‐2 scales and from healthy controls on 10 scales, generally showing mean UT‐scores < 65, indicating a subjective experience of (near) normal functioning. Patients with depression differed from healthy controls on 17 scales mostly with UT‐scores > 65, indicating impaired functioning. Demoralization was higher in patients with depression than in patients with schizophrenia and both psychiatric groups differed from the healthy control group. It is concluded that long‐term patients with depression show impaired functioning and high demoralization, while long‐term patients with schizophrenia surprisingly show near normal functioning and less demoralization.