Conversion equations for modified scoring of the MMPI-168

For a sample of 300 patients who had been administered the Minnesota Multiphasic Personality Inventory (MMPI), the MMPI-168 was extracted from the full MMPI and scored to incorporate those items normally excluded by Form R keys. MMPI-168 correlations with the full MMPI ranged from .80 to .97 with a mean of .90, indicating satisfactory statistical validity, and modified scoring was shown to improve predictability for Pa and Sc. Using these data, substitution equations for transforming MMPI-168 raw scores to estimates of full-scale scores were calculated. These transformations did not differ greatly from those reported in previous research except on Pa and Sc, where additional items increase scale length substantially.     

Current status of MMPI-2 research: a methodologic overview

MMPI-2 research since 1990 has been reviewed to assess whether Butcher and Tellegen's (1978) concerns and suggestions about MMPI research were being followed. Guidelines are provided for when the MMPI-2 is appropriate to administer, how to describe the sample used, assessing validity of the profile, what scores to analyze, and how to report the results. Suggestions also are presented for research within several current areas of debate in the MMPI-2: codetype comparability between the MMPI and MMPI-2, incremental validity of new or existing scales, obvious and subtle subscales, emphasis on item content, development of new scales, and correcting profiles for specific medical and physical conditions.     

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.     

Comparative Validity Of MMPI-168 Factors And Clinical Scales

This study further explores the relative merits of MMPI factor scores versus clinical scale scores, using the MMPI results of a large unselected sample of public mental health patients and using mental status examination findings and clinical, diagnosis as criterion variables. Correlation of MMPI-168 factor scores, MMPI-168 estimated clinical scale scores and MMPI full scale clinical scores with mental status factor scores failed to evidence any clear advantage for any of the three MMPI variables. Similar findings were obtained for discriminant analysis "hit" rates, using clinical diagnosis as the prediction criterion.     

The MMPI-2: A Contemporary Normative Study of Midwestern Family Medicine Outpatients

For more than 60 years it has been known that profiles from the Minnesota Multiphasic Personality Inventory (MMPI), obtained from medical patients, are elevated when scores are plotted using general population norms. These elevations have been most apparent on the neurotic triad (NTd), the first 3 clinical scales on the MMPI profile. More than 45 years have passed since a nonreferred, normative sample of MMPIs was established from 50,000 consecutive medical outpatients. We present comparable but contemporary normative data for the revised MMPI (MMPI-2) based on a nonreferred sample of 1,243 family medicine outpatients (590 women; 653 men). As true for the original MMPI, contemporary medical outpatients have profiles that are significantly different, clinically and statistically, from the general population norms for the MMPI-2. This is particularly evident in elevations on the NTd. New normative tables of uniform medical T (UMT) scores were developed following the procedures used to create the uniform T scores for the MMPI-2. Measures of internal consistency are reported; test-retest reliability was established over a mean of 3.7 weeks, and results characterizing the stability of the validity and clinical scales are presented.     

Similarities and differences between MMPI and MMPI-2 applications to the assessment of posttraumatic stress disorder

The purpose of this study was to address the question: Is the Minnesota Multiphasic Personality Inventory-2 (MMPI-2) comparable to the original MMPI in its applicability to the assessment of posttraumatic stress disorder (PTSD) among Vietnam combat veterans? The question was addressed by administering both the original MMPI and MMPI-2 to 29 subjects classified as meeting Diagnostic and Statistical Manual of Mental Disorders (3rd ed., rev.; DSM-III-R) criteria for PTSD and comparing MMPI and MMPI-2 scores in terms of: degree of association, code-type congruence, diagnostic hit rates (when compared to two other clinical samples, and one normal sample), and congruence of the Keane PTSD Scale (PK). Results reveal highly significant correlations between MMPI and MMPI-2 basic scales for the PTSD sample as well as congruence in 2-point codes comparable to previous studies. The MMPI-2 was found to identify effectively PTSD subjects from the other groups. Results also showed a high degree of association between the MMPI and MMPI-2 in regard to PK scores, although minor differences were found in PK raw scores between the two tests. Overall, the findings suggest a high degree of comparability between the MMPI and MMPI-2 in the assessment of PTSD.     

Comparability of MMPI-2 scales and profiles over time

This study investigated Minnesota Multiphasic Personality Inventory-2 (MMPI-2; Butcher, Dahlstrom, Graham, Tellegen, & Kaemmer, 1989) scale and profile comparablilty for MMPI-2 profiles completed on 2 separate occasions by mental health patients receiving treatment at a Veterans Affairs Medical Center (n = 114). Patients were predominantly men (96.5%), with an average age of 44.08 and an average of 12.39 years of education at the time of initial testing. MMPI-2 tests were completed on 2 separate occasions as a routine part of treatment with a mean interval between test administrations of 688 days. Findings were analyzed for the complete sample and for 3 subsamples with different test-retest intervals. MMPI-2 scale test-retest correlation coefficients for the entire sample ranged from .48 to .69 for the Basic scales, .49 to .80 for the Supplementary scales, and .56 to .78 for the Content scales with scale high-point agreement = 38.60%, high 2-point agreement = 16.67%, and high 3-point agreement = 19.30%. High-point agreement for subsets of participants with well-defined high points, 2-points and 3-points was 41.07%, 27.50%, and 25.93% respectively. Pearson r correlation coefficients for T scores across the Basic scales for pairs of profiles averaged .78, suggesting similarity of profile shape across testing occasions. MMPI-2 profiles were also examined in relation to Skinner and Jackson's 3 modal MMPI profile types.     

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.     

Convergent validity of the Chinese Personality Assessment Inventory and the Minnesota Multiphasic Personality Inventory-2: preliminary findings with a normative sample

We examined the convergent validity of the Chinese Personality Assessment Inventory (CPAI; Cheung, Leung, et al., 1996), an indigenously constructed measure, by comparing its patterns of correlations with the MMPI-2 (Butcher et al., 2001). A valid sample of 147 Chinese students took both the CPAI and the MMPI-2. Results provide preliminary support for the convergence between most of the CPAI clinical scales and the relevant MMPI-2 scales. The CPAI personality scales further illustrated the patterns of personality features associated with the MMPI-2 scales in a Chinese cultural context. We discuss discrepancies in the correspondence between a number of CPAI and MMPI-2 clinical scales.     

MMPI-2 profiles of women with eating disorders in a Dutch day treatment sample

In this study, we examined the MMPI-2 (Butcher, Dahlstrom, Graham, Tellegen, & Kaemmer, 1989) profiles of 324 Dutch patients with eating disorders at an eating disorder day treatment program. We studied the MMPI-2 profiles in 5 diagnostic eating disorder groups. All diagnostic subgroups showed high mean elevations of the T scores on the same 6 or 7 scales. Remarkable similarities existed between the mean profile configurations. The MMPI-2 distinguished especially in that patients with restricting anorexia nervosa scored lower on one Validity scale (F), two Clinical scales (1 and 2) and several Supplementary and Content scales of the MMPI-2 compared to the other groups. Only on the validity Scale L did they score higher. The MMPI-2 also distinguished patients with the bulimia nervosa purging type who scored higher on Scale 9 and different on several Content and Supplementary scales. We discuss results with regard to other studies of MMPI (Hathaway & McKinley, 1983) and MMPI-2 profiles of women with anorexia nervosa, bulimia nervosa, and eating disorder not otherwise specified in inpatient and outpatient settings.     

Comparing the diagnostic validity of an abbreviated and standard MMPI

The diagnostic efficacy of the MMPI-168 and standard MMPI was compared with a sample of psychiatric inpatients. Using traditional psychiatric measures and projective testing as a basis for the criterion diagnoses, no significant differences were found between the two MMPI forms. Rationale for the methodology employed was discussed.     

General Newsletter

Low scores often have been ignored in validity research on the MMPI, yet these statistically significant deviations from the norm may be valuable sources of information and occur frequently enough to merit further investigation. The meaning of low scores on the MMPI-2 was examined for 822 male-female partner pairs in the MMPI-2 restandardization sample. Subjects were divided by MMPI-2 scale scores into high-, medium-, and low-score groups. Analyses of variance were performed with score level as the independent variable and partner ratings as dependent variables. Significant differences were found between the low- and medium-score groups with low scorers rated as better adjusted than medium scorers. More significant differences were found between the high-score and medium-score groups than between the low-score and medium-score groups; this suggested that high scores on MMPI-2 clinical scales are associated with poorer adjustment.     

The Minnesota Multiphasic Personality Inventory-2: A Review

The new version of the Minnesota Multiphasic Personality Inventory, the MMPI-2, is described and critiqued in this article. The MMPI-2 has many positive features such as updated items, new norms, additional validity scales, and additional clinical scales for diagnosing problems not addressed by the original MMPI. There are, however, also many negative features for this test such as problems with the compatibility of code types and the representativeness of the norm group. Much research needs to be done before accurate interpretations can be made for all MMPI-2 profiles and the full potential of the test is realized.     

The Rorschach Technique (Book)

Minnesota Multiphasic Personality Inventory-2 (MMPI-2) overlapping and nonoverlapping scales were demonstrated to perform comparably to their original MMPI forms. They were then evaluated for convergent and discriminant validity with the Millon Clinical Multiaxial Inventory-II (MCMI-II) personality disorder scales. The MMPI-2 and MCMI-II personality disorder scales demonstrated convergent and discriminant coefficients similar to their original forms. However, the MMPI-2 personality scales classified significantly more of the sample as Dramatic, whereas the MCMI-II diagnosed more of the sample as Anxious. Furthermore, single-scale and 2-point code type classification rates were quite low, indicating that at the level of the individual, the personality disorder scales are not measuring comparable constructs. Hence, each instrument is providing similar and unique information, justifying their continued use together for the purpose of diagnosing personality disorders.     

MMPI-2 profiles of women at risk for child abuse

This study addresses the utility of the MMPI-2 in assessing personality characteristics of women who have a high potential for abusing their children. A sample of 154 women was identified on the basis of demographic characteristics as high risk for child abuse and other care-taking problems. They were evaluated (with the MMPI-2-AX form) during their pregnancy and are being followed up as part of the evaluation of a prevention/intervention program. This preliminary study compares the MMPI-2 personality characteristics of 146 of these women with several control samples: 1,462 women from the MMPI restandardization sample, 466 low education women from the restandardization sample, 84 pregnant women from the restandardization sample, and 167 women military recruits who are about the same age as the experimental group. The results show that, on the MMPI-2 clinical scales, women from the high-risk sample closely resemble child-abusing parents described in the previous MMPI literature. Moreover, these women differed significantly from all of the comparison groups on a number of MMPI-2 clinical and content scales. The clinical implications of these differences are discussed.     

Comparative validity of the MMPI-2 Wiener-Harmon subtle-obvious scales in male prison inmates

The Wiener-Harmon subtle-obvious MMPI subscales (Wiener, 1948; Wiener & Harmon, 1946) have been the subject of considerable debate. In this study, we examined the intercorrelations among full clinical scale T scores and their subtle and obvious subscales in an offender population. Low subtle to full-scale correlations were observed, suggesting that these items contribute little to full-scale scores. Further, we explored the criterion validity of the MMPI-2 subtle-obvious scales in this forensic sample. The results demonstrated that the obvious scales of the MMPI-2 had greater criterion validity than the subtle scales when compared to crime history data. Scores on the subtle subscales were unrelated to crime history. The Ma-O subscale demonstrated the strongest association to crime history data. The findings from this study add to a mounting body of evidence indicating that when respondents are in a position to understand item content, and can therefore provide a direct self-appraisal, responses are most predictive of clinical criteria.     

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.     

Comparison of the MMPI and MMPI-2 Among Job Applicants

The primary objective was to compare the MMPI-2 profiles for professional job applicants with corresponding profiles on the original MMPI. Male and female MMPI-2 profiles were also compared, and correlational and factor analyses were used to examine: A) Interscale correlations vis-à-vis item overlap, and B) The impact of K-corrections. The subjects were 82 auditor applicants, plus 212 sales and management applicants from an earlier study. The original MMPI was found to overpathologize applicant profiles. Male and female MMPI-2 profiles differed only on Mf. Scales L, K, and Hy formed a favorable cluster for job applicants, while F, Hs, Pt, Sc formed one unfavorable cluster—and D, Si a second. K-corrections consistently moved clinical scales in the direction of the favorable cluster.     

MMPI short forms with adolescents: gender differences in accuracy

The influence of gender on accuracy for eight short forms of the Minnesota Multiphasic Personality Inventory (MMPI) was investigated using a sample of adolescents. MMPI responses from 318 male and 248 female psychiatric patients, aged 12 to 17, were scored for the standard MMPI, Mini-Mult (using two methods; Kincannon, 1968), Midi-Mult (Dean, 1972), two Maxi-Mults (McLachlan, 1974; Spera & Robertson, 1974), Hugo Short Form (Hugo, 1972), Faschingbauer Abbreviated MMPI (FAM; Faschingbauer, 1974), and MMPI-168 (Overall & Gomez-Mont, 1974). Discrepancy values were obtained for all short-form T-scores by subtracting each short-form T-score from its corresponding standard form T-score. These discrepancy values were analyzed using Gender x Short Form repeated measures multivariate analyses of variance (MANOVAs). Because the number of scales varied among the short forms, two separate analyses were performed, one containing all short forms but only the 11 scales that appeared on all short forms and the other containing all scales but only the three short forms that contained all scales. McLachlan's (1974) Maxi-Mult was excluded from the analysis because of its nearly identical statistical properties to Spera and Robertson's (1974) Maxi-Mult. The interaction was significant on most scales in both analyses. Simple-effects breakdowns of the interactions revealed that the accuracy of each short form differed according to gender on several scales, following no consistent pattern. The Midi-Mult and Maxi-Mult are guardedly recommended as the short forms with the lowest number of scales showing a gender difference; however, the reader is cautioned that this difference is still present in more than one third of the scales. Further research on short-form development is advocated.     

The Assessment of Individual Personality by Projective Tests: Current Problems

The Millon Clinical Multiaxial Inventory (MCMI) has been recently developed as an alternative to the Minnesota Multiphasic Personality Inventory (MMPI) and shares some of its psychometric advantages and disadvantages with the MMPI-168, a short form of the MMPI. The current study compared the structure and utility of the MCMI and MMPI-168 for a general hospital inpatient psychiatric population. Overall, the two instruments were highly correlated and found to have conceptually similar factor structures. Empirical comparison of the factor structures indicated that construct validity is greatest for neurotic traits. Both instruments demonstrated a similar utility in predicting discharge diagnosis.