MMPI factor analytic findings for adolescents: item- and scale-level factor structures

Although numerous studies have examined the factor structures of the Minnesota Multiphasic Personality Inventory (MMPI) in investigations of adults, very little attention has been directed to this issue in adolescent samples. In this study, we investigated the item-level and scale-level factor structures using a sample of 1,762 adolescents receiving psychiatric services at the time of their MMPI assessment. Results identified 17 factors related to item responses and 5 factors based on scale-level data. Findings are discussed in relation to results obtained in adult populations and the potential utility of factor analytically derived content scales for adolescent MMPI interpretation.     

Item-Level and Scale-Level Factor Structures of the MMPI-A

The Minnesota Multiphasic Personality Inventory-Adolescent (MMPI-A) is a 478-item test that represents a substantial revision of the original form of the MMPI. This investigation sought to identify the item-level factor structure of the MMPI-A and also examined the scale-level factor structure of the 69 scales and subscales of this instrument. The study utilized the 1,620 normal adolescents (805 boys and 815 girls) of the normative sample for the MMPI-A. These adolescents ranged in age from 14 to 18 inclusive, with a mean age of 15.54 for boys and 15.60 for girls. A principal factor analysis of item-level responses resulted in extraction of 14 factors that were subjected to promax (oblique) rotation procedures. These 14 factors incorporated 81% of the total MMPI-A item pool and accounted for 44% of the total item-level response variance. For the scale-level analysis, 8 factors were selected for extraction and submitted to promax rotation procedures. These eight factors accounted for a total of 93.5% of the total variance in MMPI-A scale and subscale raw scores, Item-level results were discussed in terms of areas of congruence and dissimilarities from previously reported MMPI factor analyses in adolescent and adult samples, and scale-level factor results were presented in terms of clinical implications for the interpretation of MMPI-A scales and subscales.     

Correlations of MMPI Factor Scales With Measures of the Five Factor Model of Personality

Two recent item factor analyses of the Minnesota Multiphasic Personality Inventory (MMPI) classified the resulting factors according to a conceptual scheme offered by Norman's (1963) five factor model. The present article empirically evaluates those classifications by correlating MMPI factor scales with self-report and peer rating measures of the five factor model in a sample of 153 adult men and women. Both sets of predictions were generally supported, although MMPI factors derived in a normal sample showed closer correspondences with the five normal personality dimensions. MMPI factor scales were also correlated with 18 scales measuring specific traits within the broader domains of Neuroticism, Extraversion, and Openness. The nine Costa, Zonderman, McCrae, and Williams (1985) MMPI factor scales appear to give useful global assessments of four of the five factors; other instruments are needed to provide detailed information on more specific aspects of normal personality. The use of the five factor model in routine clinical assessment is discussed.     

Changes in adolescent response patterns on the MMPI/MMPI--a across four decades

The purpose of this study was to explore changes in adolescent self-presentation on the Minnesota Multiphasic Personality Inventory (MMPI; Hathaway & McKinley, 1940) and MMPI-A (Butcher et al., 1992) over a 40-year period. The primary samples used for comparison in this study include 1,235 adolescents, age 14 through 16, derived from the MMPI-A normative sample (Butcher et al., 1992) collected in 1989 and 10,514 adolescents, age 14 through 16, collected in 1948 and 1954 from Hathaway and Monachesi's (1963) study of adolescent personality and behavior. MMPI basic scale and item-level data were also included for 817 adolescents, age 14 through 16, collected by Colligan and Offord (1992) in 1985 as a further comparison. Between-sample analyses at the profile level revealed that adolescents from the MMPI-A normative sample scored significantly higher across basic clinical scales and lower on validity scales L and K than adolescents from the Hathaway and Monachesi (1963) sample, with mean data from the Colligan and Offord (1992) sample typically falling at a midpoint value. Analyses of Harris-Lingoes (Harris & Lingoes, 1955) subscale and item-level data were conducted to provide refined definitions of the contents of scale-level changes. Results were interpreted as reflecting moderate to large changes in response frequencies between eras of data collection, and emphasis was placed on the relatively high frequency of item endorsements by contemporary adolescents in the clinical direction in the MMPI-A normative sample. A series of cautions and limitations are also offered in interpreting these patterns.     

The Unity and Diversity of Inattention and Hyperactivity/Impulsivity in ADHD: Evidence for a General Factor with Separable Dimensions

To examine the unity and diversity of inattention and hyperactivity/impulsivity symptom domains of Attention-Deficit/Hyperactivity Disorder (ADHD) in a clinical sample of adolescents with ADHD. Parents and adolescents were administered a semi-structured diagnostic interview, the Schedule for Affective Disorders and Schizophrenia for School-Age Children — Present and Lifetime Version (K-SADS-PL), to assess adolescent ADHD. Data from 201 parent interviews and 189 adolescent interviews were examined. Four potential factor structures for the 18 ADHD symptoms were tested using confirmatory factor analysis: two models with correlated factors and two bifactor models. A bifactor model with two specific factors best accounted for adolescent symptoms, according to both parent and adolescents’ reports. Replication of these findings from behavioral rating scales completed for this sample by parents and teachers indicates that the findings are not method– or informant-specific. The results suggest that there is an important unitary component to ADHD symptoms and separable dimensional traits of Inattention and Hyperactivity/Impulsivity.     

MMPI response-set characteristics among adolescents

This study examined the Minnesota Multiphasic Personality Inventory (MPPI) profile characteristics for five different response sets in adolescent populations employing adolescent MMPI norms. In general, findings for "all-true" and "all-false" adolescent profiles were highly similar in shape and elevation to those reported in the adult literature (Graham, 1977; Lachar, 1974), whereas random profiles on adolescent norms differed substantially from adult-norm random profiles in shape but not elevation. The characteristics of "fake good" or "fake bad" response sets were investigated by the use of adolescent subjects in two settings. Ninety-four public high-school students were administered the MMPI with standard and "fake bad" instructions, and 24 adolescents in inpatient psychiatric treatment were administered the MMPI under standard and "fake good" instructions. The MMPI profiles generated by special instructional sets were analyzed in relation to the subject's age, sex, race, and actual MMPI profile features. Findings indicated that although sex and race effects were evident in normal adolescents' attempts to simulate psychopathology on the MMPI, teenagers generally produce profiles containing grossly exaggerated symptom patterns that are relatively easy to detect as invalid. In contrast, it was found that a substantial number of psychiatrically disturbed adolescents may effectively simulate normal profiles and that effectiveness in these attempts was related to greater age and lower actual MMPI T-score values on the Hs and Hy scales.     

MMPI Response-Set Characteristics Among Adolescents

This study examined the Minnesota Multiphasic Personality Inventory (MPPI) profile characteristics for five different response sets in adolescent populations employing adolescent MMPI norms. In general, findings for "all-true" and "all-false" adolescent profiles were highly similar in shape and elevation to those reported in the adult literature (Graham, 1977; Lachar, 1974), whereas random profiles on adolescent norms differed substantially from adult-norm random profiles in shape but not elevation. The characteristics of "fake good" or "fake bad" response sets were investigated by the use of adolescent subjects in two settings. Ninety-four public high-school students were administered the MMPI with standard and "fake bad" instructions, and 24 adolescents in inpatient psychiatric treatment were administered the MMPI under standard and "fake good" instructions. The MMPI profiles generated by special instructional sets were analyzed in relation to the subject's age, sex, race, and actual MMPI profile features. Findings indicated that although sex and race effects were evident in normal adolescents' attempts to simulate psychopathology on the MMPI, teenagers generally produce profiles containing grossly exaggerated symptom patterns that are relatively easy to detect as invalid. In contrast, it was found that a substantial number of psychiatrically disturbed adolescents may effectively simulate normal profiles and that effectiveness in these attempts was related to greater age and lower actual MMPI T-score values on the Hs and Hy scales.     

MMPI Adolescent Norms: Patterns and Trends Across 4 Decades

This article examines central issues involving the accuracy of Minnesota Multiphasic Personality Inventory (MMPI) adolescent norms through examination of findings from eight investigations (n = 17,286), reporting MMPI mean values for samples of normal adolescents conducted between 1949 and 1964, and four studies (n = 1,758), based on adolescent samples collected since 1975. issues related to sex and racial differences in adolescent samples are also examined. In addition, MMPI data from 1,315 normal adolescents, collected at the Mayo Foundation, and from 217 normal adolescents, collected in Norfolk, Virginia, are evaluated in relation to adult normative values on the Harris-Lingoes (Harris & Lingoes, 1955) content subscales to identify unique characteristics of adolescents' response patterns. Results support the adequacy of the adolescent norms, developed by Marks, Seeman, and Hailer (1974), for evaluation of samples of normal adolescents collected between 1947 and 1965. MMPI patterns, produced by contemporary samples of adolescents collected since 1975, are elevated above the Marks et al. norms on most clinical scales. This latter finding indicated the need for the development of new adolescent norms that more precisely reflect current adolescent response frequencies and patterns. Finally, results from Harris-Lingoes subscales are reviewed to highlight unique aspects of adolescent developmental experience and to underscore the necessity of development of age appropriate adolescent norms for MMPI special scales.     

MMPI adolescent norms: patterns and trends across 4 decades

This article examines central issues involving the accuracy of Minnesota Multiphasic Personality Inventory (MMPI) adolescent norms through examination of findings from eight investigations (n = 17,286), reporting MMPI mean values for samples of normal adolescents conducted between 1949 and 1964, and four studies (n = 1,758), based on adolescent samples collected since 1975. Issues related to sex and racial differences in adolescent samples are also examined. In addition, MMPI data from 1,315 normal adolescents, collected at the Mayo Foundation, and from 217 normal adolescents, collected in Norfolk, Virginia, are evaluated in relation to adult normative values on the Harris-Lingoes (Harris & Lingoes, 1955) content subscales to identify unique characteristics of adolescents' response patterns. Results support the adequacy of the adolescent norms, developed by Marks, Seeman, and Haller (1974), for evaluation of samples of normal adolescents collected between 1947 and 1965. MMPI patterns, produced by contemporary samples of adolescents collected since 1975, are elevated above the Marks et al. norms on most clinical scales. This latter finding indicated the need for the development of new adolescent norms that more precisely reflect current adolescent response frequencies and patterns. Finally, results from Harris-Lingoes subscales are reviewed to highlight unique aspects of adolescent developmental experience and to underscore the necessity of development of age appropriate adolescent norms for MMPI special scales.     

Social desirability and Wiggin's MMPI content scales.

Using the Minnesota Multiphasic Personality Inventory (MMPI) item pool, Wiggins (1966) developed 13 scales, each with a homogeneous content. The 13 scales, along with marker scales for the 1st 3 MMPI factors, Edward's social desirability (SD), Welsh's repression (R), and Wiggins's social desirability (Sd) respectively were scored in the MMPI. The same scales were scored in an Experimental Multiphasic Personality Inventory (EMPI). A principal-components analysis of the 16 scales when scored in the MMPI resulted in 4 factors. A principal-components analysis of these same scales when scored in the MMPI and when scored in the EMPI were found to be highly congruent. The SD, R, and Sd scales proved to be excellent markers for the 1st 3 factors of the MMPI and also for the 1st 3 factors of the EMPI. Results provide further evidence that the 1st MMPI factor is a social desirability factor rather than a content factor.     

Psychometric Evaluation of the MMPI–2 Restructured Clinical Scales in Two Dutch Samples

In this article, we evaluate internal validity, internal consistency, and test–retest reliability of the MMPI–2 Restructured Clinical (RC) scales in the Dutch MMPI–2 normative sample (N = 1,244) and a Dutch outpatient psychiatric sample (N = 1,066). We pay special attention to a critique regarding construct drift of RC3 and the redundancy of the RC scales with existing MMPI–2 scales. The results indicate that the RC scales in both samples show comparable or better internal consistencies than the Clinical scales. Also, in both samples, the RC scales demonstrate lower scale-level intercorrelations than the Clinical scales. As to the structural characteristics, principal component analysis of the RC scales provided a clearer pattern than an analysis of the Clinical scales. Furthermore, mean raw scores on the RC scales for men in the Dutch normative sample corresponded highly with those in the U.S. normative sample except for RC2 and RC4. Less correspondence was found for women. Overall, we conclude that the RC scales show satisfactory reliability and promising internal validity in our Dutch samples. We suggest that U.S. validation studies on the RC scales may be generalized to the Dutch-language version of the MMPI–2 RC scales.     

Factor comparison of two Minnesota Multiphasic Personality Inventory short forms

A sample of 315 valid Minnesota Multiphasic Personality Inventory (MMPI) protocols were selected from inpatient files and scored for both the MMPI-168 and Faschingbauer Abbreviated MMPI short forms. Each short form was then factor-analyzed by a principal axis strategy with varimax rotation. The six factors extracted from each short form were then compared as to their similarity by use of the s index. This procedure showed five of the six factors in each short form as having a significant relationship of the pattern of salient variables they had in common with the complimentary factors of the other form. These data suggest that both short forms, though based on different construction methodologies, share the same underlying personality attributes. Future research is suggested to replicate these results and extend them to the full MMPI.     

The Influence of Elevated F Scales on the Validity of Adolescent MMPI Profiles

The Minnesota Multiphasic Personality Inventories (MMPI) of adolescent outpatients were examined to determine whether characteristically elevated F scales indicated an exaggeration of psychopathology. A treatment condition designed to reduce the motivation to exaggerate psychopathology did not lower scores of the F and F-K indices when subjects were administered a second MMPI. Similarly, actuarial interpretations for the second protocols were not more frequently selected by therapists as more valid, regardless of treatment condition and elevation of the F and F-K indices on the first MMPI profile. Elevations of Scales F, Pd4, and Sc8 characterized the adolescent MMPI profiles.     

The influence of elevated F scales on the validity of adolescent MMPI profiles

The Minnesota Multiphasic Personality Inventories (MMPI) of adolescent outpatients were examined to determine whether characteristically elevated F scales indicated an exaggeration of psychopathology. A treatment condition designed to reduce the motivation to exaggerate psychopathology did not lower scores of the F and F-K indices when subjects were administered a second MMPI. Similarly, actuarial interpretations for the second protocols were not more frequently selected by therapists as more valid, regardless of treatment condition and elevation of the F and F-K indices on the first MMPI profile. Elevations of Scales F, Pd/4, and Sc/8 characterized the adolescent MMPI profiles.     

Item grouping and item randomization in personality measurement

This paper describes a study examining the impact of item order in personality measurement on reliability, measurement equivalence and scale-level correlations. A large sample of university students completed one of three forms of the International Personality Item Pool version of the Big Five personality inventory: items sorted at random, items sorted by factor, and items cycled through factors. Results showed that the underlying measurement model and the internal consistency of the IPIP-Big Five scale was unaffected by differences in item order. Also, most of the scale-level correlations among factors were not significantly different across forms. Implications for the administration of tests and interpretation of test scores are discussed, and future research directions are offered.     

A factor structure for the MMPI-A: replication with male delinquents

The Minnesota Multiphasic Personality Inventory-Adolescent (MMPI-A) Structural Summary was developed as a means of simplifying the interpretation of the 69 scales and subscales of this test instrument by organizing findings around eight primary factor dimensions. The current study examined the scale-level factor structure of the MMPI-A in a large sample of 1,610 male juvenile delinquents to assess the potential usefulness of this factor structure in a delinquency population. In this attempt to replicate the MMPI-A scale-level factor structure identified by Archer, Belevich, and Elkins in the MMPI-A normative sample and by Archer and Krishnamurthy in a clinical sample, a correlation matrix of all MMPI-A scale raw scores was created for a principal factor analysis. Results from the factor analysis produced a seven-factor solution that was largely consistent with the dimensions of the MMPI-A Structural Summary. Results were also reported in terms of the frequency of elevations on Structural Summary dimensions, with particular evidence of the importance of the Immaturity factor in describing this male juvenile delinquent sample.     

An Examination of the Factor Structure and Convergent and Discriminant Validity of the SCL-90R in an Outpatient Clinic Population

This study investigated the factor structure of the SCL-90R using an outpatient psychology clinic population. Six relatively homogeneous and stable factors were identified: Depression, Somatization, Anger-Hostility, Paranoid-Psychoticism, Phobic Anxiety, and Obsessive-Compulsive. However, a principal component analysis revealed that the first factor accounted for a large percentage of the variance, suggesting that this instrument measures a general dimension of psychopathology. In addition, significant correlations between the SCL-90R symptom dimensions and both the BDI and several MMPI scales were found. The results of the study lead to questions regarding the utility of the SCL-90R.     

MMPI and Rorschach indices of schizophrenic and depressive diagnoses among adolescent inpatients

Although adolescent norms have been developed for the MMPI (e.g., Marks, Seeman, & Haller, 1974) and Rorschach (e.g., Exner, 1986a), little is known regarding the discriminate diagnostic validity of these measures with adolescents. This study investigated the usefulness of these measures in the detection of depression and schizophrenia among adolescent inpatients. Subjects (mean age = 15.3) consisted of 134 adolescents who received Rorschach and MMPI administrations at hospital admission. Clinical diagnoses resulted in the following groupings for this sample: schizophrenia = 15, dysthymic disorder = 41, major depression = 26, conduct disorder = 28, personality disorder = 18. MMPI scale Sc elevation was found to be the most effective single predictor of schizophrenic diagnoses, with a hit rate of .76, sensitivity of .62, and specificity of .78. Neither MMPI scale D scores nor Rorschach DEPI scores were found to be significantly related to patients' diagnoses. Results were interpreted in terms of prior findings in adult psychiatric populations and in relation to implications for the clinical assessment of adolescents.     

MMPI and Rorschach Indices of Schizophrenic and Depressive Diagnoses Among Adolescent Inpatients

Although adolescent norms have been developed for the MMPI (e.g., Marks, Seeman, & Haller, 1974) and Rorschach (e.g., Exner, 1986a), little is known regarding the discriminate diagnostic validity of these measures with adolescents. This study investigated the usefulness of these measures in the detection of depression and schizophrenia among adolescent inpatients. Subjects (mean age = 15.3) consisted of 134 adolescents who received Rorschach and MMPI administrations at hospital admission. Clinical diagnoses resulted in the following groupings for this sample: schizophrenia = 15, dysthymic disorder = 41, major depression = 26, conduct disorder = 28, personality disorder = 18. MMPI scale Sc elevation was found to be the most effective single predictor of schizophrenic diagnoses, with a hit rate of .76, sensitivity of .62, and specificity of .78. Neither MMPI scale D scores nor Rorschach DEPI scores were found to be significantly related to patients' diagnoses. Results were interpreted in terms of prior findings in adult psychiatric populations and in relation to implications for the clinical assessment of adolescents.