Validity of the Personality Assessment Inventory Aggression scales and Violence Potential index in veterans with PTSD

In this study, we examined the validity of the Personality Assessment Inventory (PAI; Morey, 1991) Aggression (AGG) scales and Violence Potential index (VPI) in 399 male combat veterans presenting for formal evaluation of posttraumatic stress disorder (PTSD). The AGG scales exhibited convergence with other measures of hostility and violence and demonstrated discriminant validity with alternative constructs. When we examined reports of interpersonal violence in the past year, the AGG composite scale displayed substantial incremental validity over the effects of PTSD severity, demographics, a simple dichotomous question regarding violence in the past 30 days, and MMPI-2 (Butcher, Dahlstrom, Graham, Tellegen, & Kaemmer, 1989) scales measuring aggression. The VPI, however, added no unique explanatory power over the AGG composite scale.     

Validity of the Personality Assessment Inventory Aggression Scales and Violence Potential Index in Veterans With PTSD

Examined humor appreciation of cartoons as a function of sex of subject and type of humor. Four broad types of humor were presented: sexual-exploitative, sexual-nonexploitative, nonsexual-hostile, and nonsexual-nonhostile. Sexual-nonexploitative humor was rated as funnier than the other three types but nonsexual-nonhostile humor was given a more positive overall rating than the other types. Relative to males, females gave greater ratings of hostility to the cartoons and rated them less positively. Correlational analyses further suggested that females were not as affected as males by variations in sexuality, exploitation, and hostility. For males, greater ratings of sexuality were associated with greater funniness ratings while the reverse was true for greater ratings of hostility. Possible interpretations of these data were discussed.     

Construct Measurement Quality Improves Predictive Accuracy in Violence Risk Assessment: an Illustration Using the Personality Assessment Inventory

Much of the risk assessment literature has focused on the predictive validity of risk assessment tools. However, these tools often comprise a list of risk factors that are themselves complex constructs, and focusing on the quality of measurement of individual risk factors may improve the predictive validity of the tools. The present study illustrates this concern using the Antisocial Features and Aggression scales of the Personality Assessment Inventory (Morey, 1991). In a sample of 1,545 prison inmates and offenders undergoing treatment for substance abuse (85% male), we evaluated (a) the factorial validity of the ANT and AGG scales, (b) the utility of original ANT and AGG scales and newly derived ANT and AGG scales for predicting antisocial outcomes (recidivism and institutional infractions), and (c) whether items with a stronger relationship to the underlying constructs (higher factor loadings) were in turn more strongly related to antisocial outcomes. Confirmatory factor analyses (CFAs) indicated that ANT and AGG items were not structured optimally in these data in terms of correspondence to the subscale structure identified in the PAI manual. Exploratory factor analyses were conducted on a random split‐half of the sample to derive optimized alternative factor structures, and cross‐validated in the second split‐half using CFA. Four‐factor models emerged for both the ANT and AGG scales, and, as predicted, the size of item factor loadings was associated with the strength with which items were associated with institutional infractions and community recidivism. This suggests that the quality by which a construct is measured is associated with its predictive strength. Implications for risk assessment are discussed. Copyright © 2013 John Wiley & Sons, Ltd.     

Predicting the Completion of an Integrative and Intensive Outpatient Chronic Pain Treatment With the Personality Assessment Inventory

The X-zero distinction has been used as the operational definition of MMPI item subtlety in previous research. A consistent finding has been that the X items, which are obvious in terms of pathological content, can be faked whereas the more subtle zero items cannot be faked. The present study examined the relationship between instructional sets and endorsement patterns, using a more refined, comprehensive measure of item subtlety. Sixty (30 male, 30 female) subjects completed two MMPI protocols, one under a standard instructional set and the other under either a fake-good or fake-bad response set. Order of administration and sex were counterbalanced. In general, the findings for the subtle-obvious dimension paralleled the previous findings with the X-zero distinction. Endorsement of obvious items was a direct function of instructional set, whereas endorsement of subtle items was inversely related to instructional set. Because subtle items did not appear to measure the constructs for which they had been originally intended, other uses for subtle items were discussed.     

Homelessness and Response Styles on the Personality Assessment Inventory in a Compensation-Seeking Sample

The relationship between validity measures of the Personality Assessment Inventory (PAI; Morey, 1991) and homelessness was investigated in this archival study. Two groups (N = 50) of compensation-seeking adults were included: homeless and domiciled. The purpose of the study was to determine if differences existed between these 2 groups on the validity measures of the PAI to inform the clinical evaluations of the compensation-seeking homeless. Results of independent sample t tests indicated no significant differences between the homeless and domiciled groups on the 4 validity scales and 2 additional indexes of exaggerated responding (Malingering Index [Morey, 1996] and Rogers Discriminant Function [Rogers, Sewell, Morey, & Ustad, 1996]). Results suggested the compensation-seeking homeless have similar elevations on the PAI validity indexes as domiciled groups seeking compensation.     

The Validity of the Rorschach and the Minnesota Multiphasic Personality Inventory: Results from Meta-Analyses

Results from meta-analyses have been widely cited to defend the validity of the Rorschach. However, the meta-analyses have been flawed. For example, one meta-analysis included results that were obtained by calculating correlations but not results that were obtained by conducting t tests or analyses of variance. When we reanalyzed the data from the most widely cited meta-analysis (Parker, Hanson, & Hunsley, 1988), we found that for confirmatory studies (also called convergent-validity studies), the Minnesota Multiphasic Personality Inventory (MMPI) explained 23% to 30% of the variance, whereas the Rorschach explained only 8% to 13% of the variance. These results indicate that the Rorschach is not as valid as the MMPI.     

Extratest Validity of Selected Personality Assessment Inventory Scales and Indicators in an Inpatient Substance Abuse Setting

Sixty college students were selected on the basis of their performance on an unstructured personality measure, Rokeach's Interrelations Task. Interrelatedness of ideas was significantly related to resistance to the influence of peer norms and to performance on a comprehensive, college-level examination. These findings extend the construct validity of interrelatedness and join other studies to demonstrate the importance and scope of this personality variable. A test construction strategy is discussed which would change the assessment of interrelatedness from a dichotomous classification to a continuum.     

The German Adaptation and Standardization of the Personality Assessment Inventory (PAI)

We developed the German Adaptation of the Personality Assessment Inventory (PAI; Morey, 1991) under careful consideration of current adaptation literature and guidelines. The adaptation process included the translation of the 344 items into German, a back translation into English as well as the testing of the language equivalence using a bilingual sample. We then standardized the final German version of the PAI for the German population. We compared the American and German norm and reliability data. The observed differences in PAI scale means did not exceed 5 T scores. Internal consistency reliability showed a similar pattern in both language versions, although the German alpha coefficients were on average slightly lower than the American ones. Factor structure was similar in both versions. We discuss expectations about the German PAI and possible problems for its practical usefulness for the German-speaking population.     

The German Adaptation and Standardization of the Personality Assessment Inventory (PAI)

An attempt was made to evaluate the relationship between left-handedness and oppositional tendencies through the use of the White Space (S) response on the Rorschach. Right and left-handed males were administered the Rorschach, and it was found that the left-handed subjects gave significantly more S responses than did the right-handed males. It was felt that the results of this study indicated the existence of a relationship between hand-preference and oppositional tendency. Caution was raised concerning the assumption that oppositional tendencies foster left-handedness. It was pointed out that opposition could also be produced by being left-handed.     

Extending the Validity of the Personality Assessment Inventory's (PAI) Level of Care Index (LOCI) in Multiple Psychiatric Settings

The purpose of this study was to extend the validity and clinical application of the Level of Care Index (LOCI) from the Personality Assessment Inventory (PAI) in 2 independent psychiatric samples. In Study 1 (N = 201), the LOCI effectively differentiated level of care (inpatients from outpatients), and was also meaningfully associated with risk factors for psychiatric admission (e.g., suicidal ideation, self-harming behavior, previous psychiatric admission, etc.), even after controlling for other demographic variables (range of Cohen's ds = 0.57–1.00). Likewise, the LOCI also incremented other risk indicators (suicide and violence history) and relevant PAI indexes (i.e., Mean Clinical Elevation, and Suicide and Violence Potential) in predicting level of care, and explained an additional 6% to 12% of variance in the target variable. Diagnostic efficiency analyses indicated LOCI scores in the range of 15 to 18 optimize positive and negative predictive power, and classification rate. In Study 2 (N = 96), the LOCI was found to be significantly higher in those with a recent psychiatric admission within the past 6 months (d = 0.64), as compared to those without an admission. Similarly, those who were admitted for suicide risk had significantly higher mean LOCI scores as compared to those who did not (d = 0.70). The clinical implications of these findings and potential application of the LOCI are discussed.     

Relationship Between the Holden Psychological Screening Inventory (HPSI) and the Basic Personality Inventory (BPI) in a Community Sample

Using a sample of 144 mature students, aged 18–53 years, attending a high school upgrading program, the screening properties of the Holden Psychological Screening Inventory (HPSI) and the correspondence of the HPSI to the Basic Personality Inventory (BPI) were evaluated. Correlations between the HPSI and the BPI scales and joint factor analysis of these two inventories demonstrated the validity of HPSI scales and their sampling adequacy from the major components of psychopathology measured by the BPI. Using the BPI as the Gold Standard, the HPSI has almost perfect specificity but the sensitivity of the HPSI is only about 50% at a T-score of 60, whereas at T = 55, the sensitivity is 70%, with a specificity of almost 80%. Overall, results indicated that the three HPSI scales distinctly measure the three major factors of the BPI, and the HPSI has considerable utility as a screening tool.     

Borderline pathology and the Personality Assessment Inventory (PAI): an evaluation of criterion and concurrent validity

In this study, we examined how patients diagnosed with borderline pathology (BP) would respond on the Personality Assessment Inventory (PAI; Morey, 1991) Borderline (BOR) scales in relation to patients without BP pathology. In addition, we examined whether the PAI BOR scales would be related to variables on the Social Cognition and Object Relations Scale (SCORS; Hilsenroth, Stein, & Pinsker, 2004; Westen, 1995) derived from early memory narratives. Results indicate that outpatients with a Diagnostic and Statistical Manual of Mental Disorders (4th ed. [DSM-IV]; American Psychiatric Association, 1994) diagnosis of BP scored significantly higher on the PAI BOR Total (BOR-Total) score, Identity Problems, and Self- Harm scales in comparison to a Non-BP clinical sample. The overall correct classification rate for the presence or absence of BP using the BOR Total scale (T >or= 70) was 73%. In addition, there were several significant relationships between dimensional PAI BOR scales and the presence versus absence of DSM-IV BP. Moreover, both the BOR-Total and Affect Instability scales were significantly related to the SCORS variable Complexity of Representations. We provide clinical examples to illustrate these research findings in an applied manner.     

Assessment of Personality Organization in Couple Relationships: Factorial Structure of the Inventory of Personality Organization and Incremental Validity Over Neuroticism

Summary: Creative thinking was explored from several approaches to further understanding of the interrelationship of perception, personality, and cognition. College students (N = 45) were administered the Group Embedded Figures Test (GEFT), the Remote Associates Test (RAT), a questionnaire concerning RAT strategy, and two self-report scales. Field independent subjects were found to be significantly (p < .001) more creative than field dependents. Correlations between the RAT and GEFT and the self-report measures of conformity and creativity, while largely nonsignificant, were in the predicted directions. Results demonstrated that advanced strategy levels and insightful responses were significantly related to high performance on the RAT. Theoretical links between cognitive style and Piagetian concepts were discussed in regard to creative thought. Overall, these findings support the contention that the creative processes should be studied, not as isolated structures, but with relational and multifaceted emphasis.     

A Measure of Adolescent Potential for Suicide (MAPS): Development and Preliminary Findings

This paper describes an instrument designed to assess the suicide potential of youth 14–18 years of age who are at risk for suicidal behaviors. A comprehensive measurement theory provides the basis for three central constructs in the Measure of Adolescent Potential for Suicide (MAPS): direct suicide risk factors, related risk factors, and protective factors. The MAPS entails an introductory questionnaire followed by a computer-assisted, structured interview. Two samples were used to examine psychometric properties of the MAPS (n = 43; n = 123). Results revealed generally strong validity (content, criterion, construct) and reliability (internal consistency) for the MAPS. Further verification studies with large and diverse samples are warranted.     

The Abbreviated Character Strengths Test (ACST): A Preliminary Assessment of Test Validity

The 24-item Abbreviated Character Strengths Test (ACST) was developed to efficiently measure character strengths (Peterson, Park, &; Castro, 2011 Peterson, C., Park, N., &; Castro, C. A. (2011). Assessment for the US Army Comprehensive Soldier Fitness program: The Global Assessment Tool. American Psychologist, 66, 10–18.[Crossref], [PubMed], [Web of Science ®] , [Google Scholar]). However, its validity for this purpose has not yet been sufficiently established. Using confirmatory factor analysis to test a series of structural models, only a modified bifactor model showed reasonably acceptable fit. Further analyses of this model failed to demonstrate measurement invariance between male and female respondents. Relationships between ACST dimension and Big Five personality trait scores were generally weak-to-moderate, and support for hypotheses regarding each ACST virtue's expected correspondence with specific Big Five dimensions was mixed. Finally, scores on ACST dimensions accounted for a combined 12% of the variance in satisfaction with life scores, after controlling for socially desirability. Although an abbreviated measure of character strengths represents a practical need, considerable improvements to the ACST are needed for it to adequately meet this purpose.     

Validity rates of the Personality Assessment Inventory and the Minnesota Multiphasic Personality Inventory-2 in a VA Medical Center Setting

In this study, we compared protocol validity rates between the MMPI-2 (Butcher, Dahlstrom, Graham, Tellegen, & Kaemmer, 1989) and the Personality Assessment Inventory (PAI; Morey, 1991) in a veteran population. Veterans (N=472) were administered both instruments as part of routine psychological evaluations. Profile validity was based on previously published criteria. When applying primary validity indicators, inpatients produced significantly fewer invalid PAI profiles (37%) than MMPI-2 profiles (63%). We found similar results among outpatients for which we considered 47% of MMPI-2 profiles invalid compared to only 21% of PAI profiles. When applying both primary and supplementary validity indicators, both inpatients and outpatients continued to produce fewer invalid PAI profiles than MMPI-2 profiles. We discuss factors that may be related to the differences in validity rates.     

Psychometric Evaluation of the Rage Outbursts and Anger Rating Scale in an Outpatient Psychiatric Sample

The primary objective of this study was to examine the psychometric properties of a measure of anger/rage attacks—the Rage Outburst and Anger Rating Scale (ROARS)—in a sample of youth (n = 81, ages 7–17 years, 72.8 % male) receiving treatment at an outpatient pediatric psychiatric clinic. A trained rater completed the ROARS and Clinical Global Impression-Rage (CGI-Rage). Children completed the Spence Children’s Anxiety Scale for Children and Center for Epidemiological Studies Depression Scale. Parents completed the Spence Children’s Anxiety Scale for Parents. Internal consistency (α = .89), inter-rater reliability (κ = .94) and 1-week test–retest reliability (r = .72) were calculated for the ROARS. The ROARS was correlated with CGI-Rage (r = .68, ρ < .001), although not with parent- and child-rated anxiety symptoms or with child-rated depressive symptoms. Implications regarding clinical utility of the ROARS and directions for future research are discussed.