Personality assessment screener in a primary care sample of low-income urban women

The diagnostic efficiency of the Personality Assessment Screener (PAS; Morey, 1997) total score was evaluated using selected scales from the Patient Health Questionnaire (Spitzer, Kroenke, & Williams, 1999), the fourth edition of the Personality Diagnostic Questionnaire (Hyler, 1994), and the Alcohol Use Disorders Identification Test (Saunders, Aasland, Babor, DeLaFuente, & Grant, 1993) as reference standards. Complete data were collected from 110 women seeking treatment at an urban family medicine training clinic. Total PAS scores were effective in identifying patients with mood disorders, cluster B personality disorders, and alcohol use disorders, but the optimum cut scores were higher than the cut score of 19 recommended by Morey (1997). The 10 PAS element scores showed good convergent and discriminant correlations with the reference measures. These findings support the utility of the PAS to screen for major forms of psychopathology in an urban primary care setting.     

The Validity and Clinical Utility of the Personality Inventory for DSM–5 Response Inconsistency Scale

The Personality Inventory for DSM–5 (PID–5; Krueger, Derringer, Markon, Watson, & Skodol, 2012) is a self-report instrument designed to assess the personality traits of the alternative model of personality disorders (AMPD) in Section III of the DSM–5. Despite its relatively recent introduction to the field, the instrument is frequently and widely used. One criticism of this instrument is that it does not include validity scales to detect potentially invalidating response style, including noncredible over- and underreporting and inconsistent (random) responding. Keeley, Webb, Peterson, Roussin, and Flanagan (2016) constructed an inconsistency scale (the PID–5–INC) to assess random responding on PID–5 and proposed a number of potential cut scores that could be applied. In this study, we attempted to cross-validate the PID–5–INC, including whether the scale could detect randomly generated protocols and distinguish them from nonrandom protocols produced by two student and two clinical samples. The PID–5–INC successfully distinguished random from nonrandom protocols and the best cut scores were similar to those reported by Keeley et al. (2016). We also found that a relatively low amount of random responding compromised the psychometric validity of the PID–5 trait scales, which extended previous work on this instrument.     

Detection of feigned mental disorders: a meta-analysis of the MMPI-2 and malingering

The validity of test data from multiscale inventories is dependent on self-reports that may be easily distorted by malingering. In examining the Minnesota Multiphasic Personality Inventory-2's (MMPI-2) role in the assessment of feigning, this review provides a conceptual analysis of the detection strategies underlying the MMPI-2 validity scales. The conceptual analysis is augmented by comprehensive meta-analysis of 65 MMPI-2 feigning studies plus 11 MMPI-2 diagnostic studies. For the rare-symptoms strategy, Fp (Cohen's d = 2.02) appears especially effective across diagnostic groups; its cut scores evidence greater consistency than most validity indicators. The data supported the F as an effective scale but questioned the routine use of Fb. Among the specialized scales, Ds appeared especially useful because of its sophisticated strategy, consistent cut score, and minimalfalse-positives. General guidelines are offeredfor specific MMPI-2 validity scales in the assessment of malingering with specific diagnoses.     

Individual differences in creativity: personality,story writing,and hobbies

This study investigated the relationship between creativity and personality among college students from a variety of major fields of study. Indicators of creativity were ratings of written stories, lists of personal hobbies, and scores on the Creative Personality Scale (CPS; Gough, 1979 ). Personality was assessed broadly using the NEO‐Five Factor Inventory (Costa and McCrae, 1985 ) as well as measures of depersonalization, intolerance of ambiguity, faith in intuition, and problem‐solving styles. The results showed a positive relationship between openness to experience and all creativity measures. Moreover, high scores on intuition and extraversion were the best predictors for creativity as measured by the CPS. Story creativity was predicted by low scores on conscientiousness. Depersonalization was not significantly related to creativity. The results of this investigation confirm and extend previous research in demonstrating a close association between creativity and specific personality traits. Future research should clarify the nature of the creative personality across individuals of differing levels and domains of expertise. Copyright © 2001 John Wiley & Sons, Ltd.     

Comparing the temporal stability of self-report and interview assessed personality disorder

Findings from several large-scale, longitudinal studies over the last decade have challenged the long-held assumption that personality disorders (PDs) are stable and enduring. However, the findings, including those from the Collaborative Longitudinal Personality Disorders Study (CLPS; Gunderson et al., 2000), rely primarily on results from semistructured interviews. As a result, less is known about the stability of PD scores from self-report questionnaires, which differ from interviews in important ways (e.g., source of the ratings, item development, and instrument length) that might increase temporal stability. The current study directly compared the stability of the Diagnostic and Statistical Manual of Mental Disorders (4th ed.; DSM-IV) PD constructs assessed via the Schedule for Nonadaptive and Adaptive Personality (SNAP-2; Clark, Simms, Wu, & Casillas, in press) with those from the Diagnostic Interview for DSM-IV Personality Disorders (Zanarini, Frankenburg, Sickel, & Yong, 1996) over 2 years in a sample of 529 CLPS participants. Specifically, we compared dimensional and categorical representations from both measures in terms of rank-order and mean-level stability. Results indicated that the dimensional scores from the self-report questionnaire had significantly greater rank-order (mean r=.69 vs. .59) and mean-level (mean d=0.21 vs. 0.30) stability. In contrast, categorical diagnoses from the two measures evinced comparable rank-order (mean κ=.38 vs. .37) and mean-level stability (median prevalence rate decrease of 3.5% vs. 5.6%). These findings suggest the stability of PD constructs depends at least partially on the method of assessment and are discussed in the context of previous research and future conceptualizations of personality pathology.     

Self-defeating personality and memories of parents' child-rearing behavior: a replication

A recent study of correlations of self-defeating personality and memories of parents' child-rearing behaviour has been replicated on a larger sample. Non-clinical volunteers (145 women and 114 men) were administered Schill's Self-defeating Personality Scale and a short version of the EMBU-Egna Minnen Betr?ffande Uppfostran (own memories of parental education) scale. Replicating previous findings, memories of rejecting or nonsupportive parents were significantly correlated with scores for the Self-defeating Personality Scale for both women (rejecting mother, r = 24; supportive mother, r = -.29; rejecting father, r = .23; supportive father, r = -.36) and men (rejecting mother, r = 40; rejecting father, r = .41; supportive father, r = -.28). Memories of an overinvolved parent were significantly correlated with self-defeating personality scores only among men (mother: r = .41; father: r = .36) as in the original study.     

Religiosity, psychoticism, and schizotypal traits

In the present study we investigated the relationship between scores on the Francis Scale of Attitudes towards Christianity [FSAC (Francis & Stubbs, Personality and Individual Differences, 8, 741–743, 1987)], Eysenck's Personality Questionnaire [EPQ (Eysenck & Eysenck, Manual of the Eysenck Personality Questionnaire, 1975)], Eckblad and Chapman's Magical Ideation Scale [MgI (Eckblad & Chapman, Journal of Consulting and Clinical Psychology, 51, 215–225, 1983)], and Claridge's STQ (Claridge & Broks, Personality and Individual Differences, 5, 633–648, 1984). A first Principal Components Analysis with the FSAC and the EPQ confirmed previous work which has shown a negative association between religiosity and psychoticism. A second Principal Components Analysis with all scales yielded a four factor solution:

1. (1) aberrant perceptions and beliefs;

2. (2) social anxiety and suspiciousness;

3. (3) asociality and low religiosity; and

4. (4) social desirability.

Some evidence is also presented for an association between higher religiosity and higher scores on unusual perceptual experiences in men although not in women. Implications for the assessment of religiosity in future research are discussed.     

Between facets and domains: 10 aspects of the Big Five

Factor analyses of 75 facet scales from 2 major Big Five inventories, in the Eugene-Springfield community sample (N=481), produced a 2-factor solution for the 15 facets in each domain. These findings indicate the existence of 2 distinct (but correlated) aspects within each of the Big Five, representing an intermediate level of personality structure between facets and domains. The authors characterized these factors in detail at the item level by correlating factor scores with the International Personality Item Pool (L. R. Goldberg, 1999). These correlations allowed the construction of a 100-item measure of the 10 factors (the Big Five Aspect Scales [BFAS]), which was validated in a 2nd sample (N=480). Finally, the authors examined the correlations of the 10 factors with scores derived from 10 genetic factors that a previous study identified underlying the shared variance among the Revised NEO Personality Inventory facets (K. L. Jang et al., 2002). The correspondence was strong enough to suggest that the 10 aspects of the Big Five may have distinct biological substrates.     

The clinical utility of the MMPI-2 Antisocial Practices Content Scale

This study explored the ability of the MMPI-2 Antisocial Practices Content Scale (ASP) to correctly classify DSM-IV Antisocial Personality Disorder (APD). ASP scores and scores on the MMPI-2 Psychopathic Deviate (Pd) scale were compared in an APD group (n = 10), a Borderline Personality Disorder group (n = 16), a Narcissistic Personality Disorder group (n = 9), an Other Personality Disorder group (representing personality disorders from Clusters A and C; n = 14), and a nonclinical population (NC; n = 67). The ASP exhibited an ability to differentiate APD from other personality disorders and was significantly correlated to DSM-IV diagnostic criteria for APD while the Pd was not. Diagnostic efficiency statistics (sensitivity, specificity, positive predictive power, negative predictive power, overall correct classification rate, and kappa) were calculated under four different conditions in a clinically relevant manner (Kessel & Zimmerman, 1993. Psychological Assessment, 53, 395-399). The results of this study illustrate the usefulness of the ASP as a tool for the assessment of antisocial attitudes, beliefs, and behaviors in individuals suspected of having APD. This information may be valuable to clinicians who are planning treatment or assessing treatment outcome for clients with APD.     

Detection of overreported psychopathology with the MMPI-2-RF [corrected] validity scales

We examined the utility of the validity scales on the recently released Minnesota Multiphasic Personality Inventory-2 Restructured Form (MMPI-2 RF; Ben-Porath & Tellegen, 2008) to detect overreported psychopathology. This set of validity scales includes a newly developed scale and revised versions of the original MMPI-2 validity scales. We used an analogue, experimental simulation in which MMPI-2 RF responses (derived from archived MMPI-2 protocols) of undergraduate students instructed to overreport psychopathology (in either a coached or noncoached condition) were compared with those of psychiatric inpatients who completed the MMPI-2 under standardized instructions. The MMPI-2 RF validity scale Infrequent Psychopathology Responses best differentiated the simulation groups from the sample of patients, regardless of experimental condition. No other validity scale added consistent incremental predictive utility to Infrequent Psychopathology Responses in distinguishing the simulation groups from the sample of patients. Classification accuracy statistics confirmed the recommended cut scores in the MMPI-2 RF manual (Ben-Porath & Tellegen, 2008).     

Screening for malingering in a criminal-forensic sample with the personality assessment inventory

In this study, the authors examined how overreporting of psychopathology indices on the Personality Assessment Inventory (PAI; L. C. Morey, 1991) performed as screening measures for malingering in a sample of 166 defendants undergoing pretrial court-ordered evaluations in the federal criminal justice system. Using results from the Structured Interview of Reported Symptoms (SIRS; R. Rogers, R. M. Bagby, & S. E. Dickens, 1992) as the criterion measure of malingering, the authors found that the Negative Impression scale (NIM) was the most effective PAI screening measure (cut score > or = 81 T). NIM performed as well as an established comparison measure from the Minnesota Multiphasic Personality Inventory--2 (J. N. Butcher, W. G. Dahlstrom, J. R. Graham, A. Tellegen, & B. Kaemmer, 1989; Infrequency [F] cut score > or = 95 T), supporting the use of either of these indices as reasonable screening measures to identify potential malingerers for subsequent evaluation.     

Egos inflating over time: a cross-temporal meta-analysis of the Narcissistic Personality Inventory

ABSTRACT A cross-temporal meta-analysis found that narcissism levels have risen over the generations in 85 samples of American college students who completed the 40-item forced-choice Narcissistic Personality Inventory (NPI) between 1979 and 2006 (total n =16,475). Mean narcissism scores were significantly correlated with year of data collection when weighted by sample size (β=.53, p <.001). Since 1982, NPI scores have increased 0.33 standard deviation. Thus, almost two-thirds of recent college students are above the mean 1979–1985 narcissism score, a 30% increase. The results complement previous studies finding increases in other individualistic traits such as assertiveness, agency, self-esteem, and extraversion.     

Detection of deception on the Schedule for Nonadaptive and Adaptive Personality: validation of the validity scales

This study used a simulation design to investigate the validity scales of the Schedule for Nonadaptive and Adaptive Personality (SNAP). Undergraduates (N=192) were randomly assigned to two positive distortion (PD) groups, two negative distortion (ND) groups, and a control group. Controls responded normally, whereas the deception groups responded according to assigned characters. Preliminary analyses indicated no significant differences within distortion valence; thus, the groups were collapsed into single PD (n=76), ND (n=79), and control groups (n=37). Mean-level analyses revealed that, consistent with previous studies, ND profiles are easier to detect than PD profiles. Cutoff scores were suggested, and the classification accuracy of these scores converged with the results of several discriminant function analyses to indicate that Rare Virtues and Deviance predict group membership at least as well as MMPI-2 validity scales. Structural analyses revealed that two moderately correlated factors-positive distortion and negative distortion-underlie scores on these validity scales.     

The detection of feigned disabilities: the effectiveness of the Personality Assessment Inventory in a traumatized inpatient sample

Research on feigned mental disorders indicates that severe psychopathology coupled with significant trauma histories often complicate feigning determinations, resulting in inaccuracies on otherwise effective measures. As part of malingering assessments, the Personality Assessment Inventory (PAI) is often used because of its excellent validation and the availability of three feigning indicators (Negative Impression, Malingering Index, and Rogers Discriminant Function), which have evidenced large effect sizes and clinically useful cut scores. The current study examined the effectiveness of the PAI in a traumatized inpatient sample using a between-subjects simulation design. Although Negative Impression appeared affected by trauma--especially in conjunction with dissociative symptoms--very positive results were found for Malingering Index and Rogers Discriminant Function. They remained relatively unelevated under honest conditions, despite posttraumatic stress disorder and extensive comorbidity. Using single-point cut scores provided moderately good classification of feigned and genuine PAI profiles. For purposes of classification, the authors operationally defined small indeterminate groups that were considered too close to classify (i.e., ±5T of the cut scores). With indeterminate cases removed, the overall classification rates improved modestly. However, the more important finding involved the error rates for the indeterminate group, which exceeded 50%. Directions for further research are discussed.     

Religiosity and social desirability: impression management and self-deceptive positivity

The first aim of the present study was to replicate previous research, which has investigated the association between scores on the Francis Scale of Attitudes towards Christianity (FSAC) (Francis & Stubbs, 1987) and scores on Eysenck's Personality Questionnaire (EPQ-R Short Scale) (Eysenck & Eysenck, 1991). Further evidence is presented that higher religiosity is associated with lower scores on the psychoticism scale. The main aim of the present study, however, was to investigate the association between social desirability and religiosity. Although no association was found between religiosity and Lie scale scores in the present study, there is debate over what the Lie scale is actually measuring and so we also included, among other measures, the Balanced Inventory of Desirable Responding (BIDR: Paulhus, 1988), which consists of two subscales, self deceptive positivity and impression management. It was found that although religiosity was not associated with self-deception it was associated with impression management.     

The Effectiveness of the MMPI-2-RF in Detecting Feigned Mental Disorders and Cognitive Deficits: a Meta-Analysis

A cornerstone of forensic assessments involves the assessment of response styles, including feigning and malingering. As a forensic relevant instrument (FRI), the Minnesota Multiphasic Personality Inventory-2-Restructured Form (MMPI-2-RF) contains embedded overreporting scales that cover the three major domains: feigned mental disorders (i.e., F-r and Fp-r), feigned cognitive impairment (RBS and FBS-r), and feigned medical complaints (Fs). This meta-analytic review of 30 studies examined the effectiveness of various detection strategies and cut scores for the MMPI-2-RF. As an important clinical concern, several feigning scales (F-r, FBS-r, and RBS) exhibited marked elevations (Ms > 80 T) for genuine responders diagnosed with major depressive or somatoform disorders. However, the Fp-r—a true rare-symptoms detection strategy—proved highly effective for discriminating feigned from genuine psychopathology (ds > .90). For feigned cognitive impairment, the FBS-r produced very large effect sizes with feigned TBI (M d = 1.41); however, its cut scores were more indicative of general feigning than feigned cognitive impairment. Finally, Fs yielded a large effect size (d = 1.23) for feigned medical complaints, but its cut scores were more likely to identify examinees feigning mental disorders (M sensitivity = .74) than medical complaints (M sensitivity = .43). These findings are discussed within the context of clinical forensic evaluations.     

Taxometric analysis of the Levenson Self-Report Psychopathy scale

Levenson's Self-Report Psychopathy scale (Levenson, Kiehl, & Fitzpatrick, 1995) was administered to 1,972 male and female federal prison inmates, the results of which were subjected to taxometric analysis. We employed 4 taxometric procedures in this study: mean above minus below a cut (Meehl & Yonce, 1994), maximum slope (Grove & Meehl, 1993), maximum eigenvalue (Waller & Meehl, 1998), and latent-mode factor analysis (Waller & Meehl, 1998). The results showed consistent support for a dimensional interpretation of the latent structure of psychopathy, corroborating previous research conducted on the Psychopathy Checklist (e.g., Psychopathy Checklist-Revised; Hare, 2003) and Psychopathic Personality Inventory (Lilienfeld & Andrews, 1996) and denoting that psychopathy is a dimensional construct (degree of psychopathic characteristics) rather than a qualitatively distinct category of behavior (psychopath).     

Comment on Anderson and Ones (2008)

The ‘erratum and addendum’ by Anderson and Ones ( 2008 ) does not state unambiguously that participants' Hogan Personality Inventory (HPI) scale scores were incorrectly matched with their scores on the other inventories' scales, nor does it mention the existence of other errors in the scoring of the Occupational Personality Questionnaire (OPQ) and Business Personality Indicator (BPI) scales. We demonstrate these errors and we recommend the retraction of the articles by Anderson and Ones ( 2003 ) and Ones and Anderson ( 2002 ). Copyright © 2007 John Wiley & Sons, Ltd.     

Psychopathy and APD in Non-forensic Patients: Improved Predictions or Disparities in Cut Scores?

Psychopathy has traditionally been viewed as a distinct syndrome that is superior to Antisocial Personality Disorder (APD) for the prediction of violent and aggressive behavior. However, direct comparisons of psychopathy and APD are infrequent and mostly occur in correctional populations. Moreover, any observed differences could simply reflect a disparity in cut scores. The constellation of Psychopathy Checklists (PCL-R, PCL:SV, and PCL:YV) set the minimum cut score at 75% (e.g., ≥30 of 40 for the PCL-R), which is far more stringent than what is required for the DSM-IV APD adult criteria (i.e., ≥ 3 of 7 or 42.9%). For use in a non-forensic setting, we re-examined the MacArthur Risk Assessment data set to evaluate the usefulness of the PCL:SV and APD for short-term predictions of violent and aggressive acts. Using the ≥75% cut score to predict violence produced low sensitivities for both the psychopathy (.18) and APD adult criteria (.14) but very high specificities (.94). Reducing the cut score to approximately 40% greatly improved sensitivity rates (.62 for psychopathy and .85 for Adult APD criteria) at the expense of specificity (.59 and .40 respectively). In making multiple comparisons, psychopathy did not appear superior to APD adult criteria in predicting violent or other aggressive behavior. Instead, both constructs had limited predictive power with patients in a non-forensic setting. On an item level, specific indicators of violent behavior were explored.     

Direct behavior rating as a school-based behavior universal screener: Replication across sites

The purpose of this study was to evaluate the utility of Direct Behavior Rating Single Item Scale (DBR–SIS) targets of disruptive, engaged, and respectful behavior within school-based universal screening. Participants included 31 first-, 25 fourth-, and 23 seventh-grade teachers and their 1108 students, sampled from 13 schools across three geographic locations (northeast, southeast, and midwest). Each teacher rated approximately 15 of their students across three measures, including DBR–SIS, the Behavioral and Emotional Screening System (Kamphaus & Reynolds, 2007), and the Student Risk Screening Scale (Drummond, 1994). Moderate to high bivariate correlations and area under the curve statistics supported concurrent validity and diagnostic accuracy of DBR–SIS. Receiver operating characteristic curve analyses indicated that although respectful behavior cut scores recommended for screening remained constant across grade levels, cut scores varied for disruptive behavior and academic engaged behavior. Specific cut scores for first grade included 2 or less for disruptive behavior, 7 or greater for academically engaged behavior, and 9 or greater for respectful behavior. In fourth and seventh grades, cut scores changed to 1 or less for disruptive behavior and 8 or greater for academically engaged behavior, and remained the same for respectful behavior. Findings indicated that disruptive behavior was particularly appropriate for use in screening at first grade, whereas academically engaged behavior was most appropriate at both fourth and seventh grades. Each set of cut scores was associated with acceptable sensitivity (.79–.87), specificity (.71–.82), and negative predictive power (.94–.96), but low positive predictive power (.43–.44). DBR–SIS multiple gating procedures, through which students were only considered at risk overall if they exceeded cut scores on 2 or more DBR–SIS targets, were also determined acceptable in first and seventh grades, as the use of both disruptive behavior and academically engaged behavior in defining risk yielded acceptable conditional probability indices. Overall, the current findings are consistent with previous research, yielding further support for the DBR–SIS as a universal screener. Limitations, implications for practice, and directions for future research are discussed.