Pathological gambling and personality disorders: a pilot-study with the MCMI-II

In this paper, the most frequent personality disorders related to pathological gambling are described. A sample of 50 pathological gamblers, who were assessed with the MCMI-II before treatment, and of 50 normative subjects from general population with the same demographic features (age, sex and socioeconomic level) was selected. According to the results, the 40% of clinical sample (versus the 14% of normative sample) showed at least one personality disorder. The most prevalent one was the Narcissistic (32%), followed by the Antisocial and Passive-Aggressive (16% each one of them). Furthermore, the gamblers with personality disorders presented an average of 2.2 disorders and tended to be more impulsive. Likewise pathological gamblers abused of alcohol, showed a mild anxiety and were not so adapted to everyday life as much as the control group. Finally, implications of this study for clinical practice and future research in this field are commented upon.     

Factor analysis of MCMI-II and PACL basic personality scales in a college sample

This study examined factor dimensions common to the eight basic personality scales of the Millon Clinical Multiaxial Inventory-II (MCMI-II; Millon, 1987) and Personality Adjective Check List (PACL; Strack, 1987, 1990). Subjects were 140 college students (65 men and 75 women). MCMI-II weighted raw scores (WRS) and WRS corrected for number of items endorsed true by regression were employed for analysis along with PACL T-scores. Principal components analyses with varimax and direct oblimin rotations were carried out separately on the two sets of MCMI-II and PACL scores. MCMI-II and PACL scales measuring the same personalities were usually correlated most highly with each other, although some divergences were noted. WRS yielded three bipolar dimensions and a fourth unipolar method factor that loaded only the five MCMI-II scales that were strongly correlated with number of items endorsed true. Residual scores yielded a more meaningful set of three bipolar dimensions labeled Social Introversion-Extraversion, Emotionality-Restraint, and Social Dominance-Submissiveness, without the method factor, that were very similar to personality dimensions found separately in the two tests. More research is needed to clarify the response bias issue in the MCMI-II and to further explicate similarities and differences between the MCMI-II and the PACL.     

Diagnosing personality disorders: an examination of the MMPI-2 and MCMI-II

Personality disorders are highly prevalent in clinical populations and affect outcomes across all forms of intervention. This investigation examined the diagnostic efficiency of two widely used, self-report measures of personality disorder (MMPI-2; Butcher, Dahlstrom, Graham, Tellegen, & Kaemmer, 1989; MCMI-II; Millon, 1987), as compared to a structured interview (SCID-II; Spitzer et al., 1987) diagnosis. The measures were administered to 150 residential and outpatient volunteer subjects. Persons with primary organic or psychotic-spectrum disorders were excluded from participation. Results were variable across disorders measured, with low to moderate levels of diagnostic agreement observed. The MCMI-II appears to be a more sensitive measure, whereas the MMPI-2 is more specific. The two self-report measures demonstrated greater convergence with each other than with the interview measure. Both the MMPI-2 and MCMI-II were more accurate at identifying the absence of a given disorder. Although overall diagnostic powers exist at acceptable levels. the results suggest that diagnoses generated by self-report versus interview are not interchangeable.     

MCMI-II borderline personality disorder in anorexia and bulimia nervosa

The aim of the present study is to explore the MCMI-II personality style and MCMI-II possible disorder of borderline personality (BPD) in various groups of women. 93 patients-31 anorexia nervosa restricting subtype (ANr), 31 anorexia nervosa binge-eating/purging subtype (ANp), and 31 bulimia nervosa purging subtype (BNp); 31 women at high risk for eating disorder or symptomatic control group (S-CG) and 31 without known pathology or not symptomatic control group (NS-CG)-completed the Spanish version of the MCMI-II. The results revealed: (1) clinically significant borderline personality traits [74>Base Rate (BR) <85]: 16.1% ANr, 12.9% ANp, and 45.2% BNp versus 3.2% of the S-CG and none of the NS-CG; (2) possible disorder (BR>84): 29% ANr, 41.9% ANp and 29% BNp. According to the MCM-II, women with BNp displayed more BPD traits than possible disorder (though these were more severe). However, the probability of a possible disorder was higher in ANp (more disorders than traits).     

A multitrait-multimethod analysis of the MCMI-II clinical syndrome scales

Multitrait-multimethod procedures and factor analyses were utilized to assess convergent/discriminant validity of the revised version of the Millon Clinical Multiaxial Inventory (MCMI-II) clinical syndrome scales and effects of item overlap on scale performance. Except for the Delusional Disorder Scale (PP), convergent validity was supported, but poor discriminant validity was found for the Alcohol Dependence (B) scale, Drug Dependence (T) scale, and Scale PP. Item overlap did not influence performance for many scales. In fact, results indicate that some scales, such as Bipolar:Manic (N), may perform better in overlapping form, whereas others, such as Somatoform (H) and Scales B and T, are most affected by item overlap. Factor structure was generally stable, regardless of whether overlapping or nonoverlapping scales were utilized. However, substance abuse/dependence emerged as an independent factor when common item artifact was removed. Findings are discussed in terms of their implications for clinical practice and further research.     

MCMI-II diagnosis of borderline personality disorder: base rates versus prototypic items.

The Millon Clinical Multiaxial Inventory-II (MCMI-II) profiles of 26 psychiatric inpatients diagnosed as having borderline personality disorders were compared with profiles of 42 patients with no personality disorders. The borderline group scored significantly higher on the following scales: Disclosure (X), Debasement (Z), Passive-Aggressive (8A), Self-Defeating (8B), Borderline (C), and Major Depression (CC). Differences approaching significance were also found on substance abuse measures: the Alcohol Dependence (B) scale and Drug Dependence (T) scale. These findings are consistent with criteria established in the Diagnostic and Statistical Manual of Mental Disorders (3rd ed., rev. [DSM-III-R]; American Psychiatric Association, 1987) and the results of other studies utilizing the MCMI-II. In addition, diagnostic efficiency of Scale C was assessed at various cutoff points defined by either base rate (BR) scores or the number of prototypic items endorsed. The greatest efficiency was found when a cutoff of seven or more prototypic items was utilized, with nearly 80% of the patients correctly classified. Results are discussed in terms of their relevance for further research.     

Sex and gender bias in self-report personality disorder inventories: item analysis of the MCMI-II, MMPI, and PDQ-R

There has been considerable controversy and research regarding sex bias in the diagnosis of personality disorders, but little has involved self-report inventories. Thus this study investigated items from the Millon Clinical Multiaxial Inventory-II (Millon, 1987), the Minnesota Multiphasic Personality Inventory (Morey, Waugh, & Blashfield, 1985), and the Personality Diagnostic Questionnaire-Revised (Hyler & Rieder, 1987). Subjects (N = 189) completed the Histrionic, Dependent, Antisocial, and Narcissistic scales from these inventories, along with the Bem Sex Role Inventory (Bem, 1974) and the Symptom Checklist-90-Revised (Derogatis, 1977). Items were considered to evidence sex or gender bias if they (a) failed to correlate with dysfunction and (b) exhibited sex or gender role differences. At least 13 items evidenced sex bias (76 items using a more liberal threshold). The majority were from Narcissistic scales; few Histrionic items evidenced sex or gender bias. Implications with respect to sex-bias assessment and item construction are discussed.     

The heterogeneous structure of schizotypal personality disorder: item-level factors of the Schizotypal Personality Questionnaire and their associations with obsessive-compulsive disorder symptoms, dissociative tendencies, and normal personality

A. Raine et al.'s (1994) 3-factor scheme is currently the most widely accepted model of schizotypal personality disorder (SPD). Factor analytic studies of the Schizotypal Personality Questionnaire (SPQ; A. Raine, 1991) subscales, which represent the 9 Diagnostic and Statistical Manual of Mental Disorders (DSM) criteria for SPD, have provided the model's primary support. The use of only 9 modeled variables, however, limits the number of factors that can be extracted. To explicate this structure more fully, the authors conducted item-level factor analyses of the SPQ in a large student sample that completed the instrument twice within a 2-week interval. The authors' analyses failed to support either the 3-factor model of SPD or the 9 existing DSM-based subscales of the SPQ. Instead, 5 replicable dimensions emerged that capture recurrent symptom pairings found in the broader SPD literature: Social Anhedonia, Unusual Beliefs and Experiences, Social Anxiety, Mistrust, and Eccentricity/Oddity. These factors are only weakly correlated with each other and show differential correlational patterns with the Big Five personality traits, dissociative tendencies, and symptoms of obsessive-compulsive disorder. Moreover, they are congruent with dimensional models of personality psychopathology. Implications for SPD in DSM-V are discussed.     

An MCMI-II Item-Level Component Analysis: Personality and Clinical Factors

The Milton Clinical Multiaxial Inventory, Version 2 (MCMI-II) was released to replace the MCMI-I. Research into the factor structure Of the items of the MCMI-I showed components consistent with the underlying construction theory. No such work has been done with the new MCMI-II. For this study, we analyzed the personality disorder and clinical syndrome items across two subject samples. For 579 Veterans Administration patients and 492 normal college students, six personality factors were identified. The samples shared Hostility, Histrionic/ Schizoid, Dependent, Compulsive, and a Sadistic variant. For the clinical syndrome items, eight factors were isolated for veterans and seven for normals. Depression, Alcohol Abuse, Drug Abuses Crying, and Mania were shared factors. Most of the factors were found to be highly consistent with MCMI-II scale keyings.     

Women and vulnerability to depression: some personality and clinical factors

The purpose of this study is to explore the role of sex differences and personality in vulnerability to depression. Sex differences in personality and some clinical variables are described. We also assess the value of the variables that revealed significant sex differences as predictors of vulnerability to depression. In a group of adult participants (N = 112), 50% males and 50% females (mean age = 41.30; SD = 15.09; range 17-67), we studied sex differences in the three-factor personality model, using the Eysenck Personality Questionnaire, Form A (EPQ-A; Eysenck & Eysenck, 1975), and in the Five-Factor Personality Model, with the NEO Personality Inventory (NEO-PI; Costa & McCrae, 1985). The following clinical scales were used: the Beck Depression Inventory (BDI; Beck, Rush, Shaw, & Emery, 1979), the Schizotypy Questionnaire (STQ; Claridge & Broks, 1984; Spanish version, Carrillo & Rojo, 1999), the THARL Scales (Dua, 1989, 1990; Spanish version, Dua & Carrillo, 1994) and the Adjustment Inventory (Bell, 1937; Spanish version, Cerdá, 1980). Subsequently, simple linear regression analysis, with BDI scores as criterion, were performed to estimate the value of the variables as predictors of vulnerability to depression. The results indicate that a series of personality variables cause women to be more vulnerable to depression than men and that these variables could be explained by a negative emotion main factor. Results are discussed within the framework of the psychological behaviorism theory of depression.     

Bias and Millon clinical multiaxial inventory (MCMI-II) diagnosis

In the current study, the degree of bias is calculated for each of the personality disorder and clinical syndrome scales of the MCMI-II. In general, most of the MCMI-II scales are prone to only mild or moderate biases. However, the paranoid personality disorder, somatoform, bipolar: manic, thought disorder, and delusional disorder scales are prone to severe biases. When the MCMI-II is utilized to make diagnostic decisions, bipolar and schizophrenic disorders are apt to be grossly underestimated. The implications of bias in diagnostic prevalence rates are discussed and an equation is offered which provides for adjustments to be made when the percentage of positive MCMI-II test results are used to determine prevalence rates for clinical or research populations. The observation is made that imperfect sensitivity and specificity for the MCMI-II scales will result in inaccurate estimates of personality disorders and clinical syndromes when the MCMI-II is used to survey various populations.     

The comparative validity of MCMI-II and MMPI-2 personality disorder scales with forensic examinees.

This study demonstrated the convergent and discriminant validity of the MMPI-2 and MCMI-II personality disorder scales with forensic examinees. Based on averaged correlational data, the scales performed comparably with previous findings in psychiatric samples. Furthermore, the scales demonstrated increased convergent correlations. Improved convergence was obtained for the Antisocial, Sadistic, Borderline, Schizotypal and Paranoid scales. Decreased convergence on the Dependent and Avoidant scales was also obtained.     

An item-level analysis of the Posttraumatic Growth Inventory: Relationships with an examination of core beliefs and deliberate rumination

Posttraumatic growth (PTG), positive change that may occur as a result of psychological struggle with a traumatic event, has been widely reported across cultures. However, there is some disagreement on how the self-reported PTG, measured by the PTG Inventory (PTGI), reflects the construct that is described in PTG theory. The current study was designed to conduct an item-level analysis of the PTGI to identify the type of growth that is explained by an examination of one's core beliefs and deliberate rumination — two major precursors for PTG, according to a PTG theoretical model. A multivariate multiple regression analysis predicting each of the PTGI items was conducted with young adults who experienced the Great East Japan Earthquake (N = 316). Results indicated that five out of 21 items were explained by both core beliefs' examination and deliberate rumination and 13 were explained by only core beliefs' examination. Three items were not accounted for by either core beliefs' examination or deliberate rumination. These findings indicate that most types of PTG assessed by the PTGI are likely to occur when core beliefs are challenged; however, some types of PTG may occur without cognitive effort. Future research should consider the variation within the PTGI.     

MCMI-II personality traits and symptom traits in parents of children with selective mutism: a case-control study.

The etiology of selective mutism (SM) in children is unknown but is regarded as multifactorial. SM is frequently associated with social anxiety and language disorder or delay. The present study addresses SM and social anxiety as a familial phenomenon by comparing self-reported personality traits and symptom traits (Millon Clinical Multiaxial Inventory) in parents of 50 SM children with control parents. Personality and symptom traits reflecting social anxiety are also explored separately in the parents of SM children with and without a comorbid communication disorder. The results confirm SM and social anxiety as a familial phenomenon. Assessment and treatment planning should take this into account. The family data also suggest different family transmissions of SM and social anxiety in the SM group with and without a comorbid communication disorder.     

MCMI-II Scoring: Weighted and Unweighted Algorithms

This brief report examines the relationship between the scale scores derived through weighted and unweighted item scoring on the Millon Clinical Multiaxial Inventory-II (MCMI-II). The inventories of 356 subjects across three Samples were scored using weighted and unweighted algorithms. Correlations between the weighted and unweighted MCMI-II scales were found to approach unity. This casts doubt on whether the weighting system has substantial effect on the profiles that are generated or on reducing interscale correlations.     

MCMI-II scoring: weighted and unweighted algorithms

This brief report examines the relationship between the scale scores derived through weighted and unweighted item scoring on the Millon Clinical Multiaxial Inventory-II (MCMI-II). The inventories of 356 subjects across three samples were scored using weighted and unweighted algorithms. Correlations between the weighted and unweighted MCMI-II scales were found to approach unity. This casts doubt on whether the weighting system has substantial effect on the profiles that are generated or on reducing interscale correlations.     

Neuroticism,coping and change in MCMI-II clinical syndromes: test of a mediator model

The aim of the study was to examine prospectively whether coping mediated the relation between Neuroticism and change in different clinical mental syndromes. Assessments were conducted with 154 former psychiatric outpatients six and seven years after their initial contact with an outpatient clinic. Dispositional coping mediated the relation between Neuroticism and change in four of the nine clinical scales of the Millon Clinical Multiaxial Inventory (MCMI-II) (Millon, 1987). High Neuroticism led to coping strategies of disengagement and the venting of emotions and to a lack of problem-focused coping, which in turn translated into a relative increase on the MCMI-II scales. The mediator model of coping was found to apply to the MCMI-II scales "somatoform disorder’, ‘dysthymia’, ‘alcohol dependence’ and ‘thought disorder’. Results are discussed under the perspective of an integration of the positions of the transactional theory of stress and personality psychology. .     

Five personality factors and sex: preliminary findings

This study assessed the relationships between the Big Five personality domains, attitudes to sex, and three specific sexual behaviours. Respondents were 123 undergraduate students (51 males; 72 females). Men were found to score significantly higher than women on measures of sexual curiosity and sexual excitement, while women were higher on sexual satisfaction. Neuroticism (N) and Extraversion (E) appeared to be the most important predictors of attitudes to sex, although Conscientiousness (C) and Openness to experience (O) were also implicated. N, C, and Agreeableness (A) were implicated in sexual behaviours. Some suggestions for future research are made.     

Gender and personality differences in conceptions of love: An interpersonal theory analysis

Three studies tested predictions derived from interpersonal theory regarding the relations among gender, personality, and conceptions of love. It was predicted that women would conceptualize love in terms of its nurturant varieties, namely companionate kinds of love, whereas men would conceptualize love in terms of non‐nurturant varieties, namely passionate kinds of love. Only the latter prediction received consistent support. Both women and men held a companionate conception of love, with the exception that women assigned higher ratings to friendship love and sisterly love. Regarding personality, it was predicted that high‐nurturance traits (e.g., warm‐agreeable) would be associated with a companionate conception of love whereas low‐nurturance traits (e.g., cold‐hearted) would be associated with a passionate conception of love. Results supported predictions. It was concluded that women's and men's conceptions of love are more similar than has been assumed and that the two robust interpersonal dimensions of dominance and nurturance hold considerable promise for integrating the literature on personality and gender differences in love.