Note on Meunier and Bodkins's (2005) "interpretation of MMPI-A Scale 5 with female patients"

Meunier and Bodkins discussed the unclear interpretation of Scale 5 of the MMPI-A, investigated use of the scale with adolescent girls in a court-ordered residential treatment program and suggested that subclinical elevations on the scale may predict disruptive behavior in special samples. This note comments on statistics reported by Meunier and Bodkins and recommends additional analyses, including estimation of effect sizes for scales on which comparisons are statistically nonsignificant.     

Psychometric properties of the Minnesota Multiphasic Personality Inventory-Adolescent (MMPI-A) Clinical, Content, and Supplementary scales in a forensic sample

In this study, we evaluated the internal psychometric properties and external correlates of scores on the Clinical, Content, and Supplementary scales in a forensic sample of 496 adolescents (315 boys and 181 girls) who were court-ordered to receive psychological evaluations. We examined Cronbach's alpha coefficients, scale intercorrelation matrices, and frequencies of scale elevations. Further, we found varying degrees of support for the convergent and discriminant validity of scores on the MMPI-A (Butcher et al., 1992 ) Clinical, Content, and Supplementary scales. This study adds to the body of literature establishing the utility of the MMPI-A in forensic evaluations.     

Interpretation of MMPI-A Scale 5 with female patients

The present report describes clinical data useful in interpreting the meaning of elevations of Scale 5 of the MMPI-A with adolescent girls. Previous commentaries on the clinical significance of such scores have been ambiguous. The present findings suggest that scores which are elevated but still below a T value of 65 on this scale will be associated with acting out in treatment settings.     

Scale 5 of the MMPI and MMPI-A: evidence of disparity

Scale 5 of the MMPI and MMPI-A was compared in a repeated measures design. Participants for the study were 43 adolescents classified as emotionally disturbed in a public school system and 17 inpatients at a residential treatment center. The MMPI Scale 5 mean score was substantially higher than that of the MMPI-A. The alternate-form reliability between Scale 5 of the two forms was surprisingly low, suggesting that the deletion of 16 items and rewording of 6 additional items changed the scale on the MMPI-A to an extent that may have significantly altered the underlying construct. The authors discuss factors that could be associated with the findings, including: (a) the diminished ability to express feminine interest on the MMPI-A, and (b) general changes in attitudes among adolescents over the 3 or more decades since the MMPI norms were developed.     

Reliability and validity of the Spanish version of the Minnesota Multiphasic Personality Inventory-Adolescent (MMPI-A)

The aim of this study was to determine the test-retest reliability and internal consistency of the scales of the Spanish version of the Minnesota Multiphasic Personality Inventory-Adolescent (MMPI-A; Butcher et al., 1992). Two samples of 939 and 109 Spanish adolescents ages 14 to 18 years were assessed with the MMPI-A in their school environment. The first sample responded to the inventory once, whereas the second sample responded to it on 2 occasions with a 2-week interval between sessions. Results showed no significant differences in means or variances between the first and the second test administration for most MMPI-A scales. Test-retest reliability ranged between .62 (Amorality, Ma(1)) and .92 (Immaturity, IMM); most correlations exceeded .70. Internal consistency values for the MMPI-A scales in the pretest and posttest were very similar overall. External validity of the MMPI-A was demonstrated through several significant correlations between its scales and YSR/11-18 syndromes and social interaction measures. The highest correlations were established between the Anxious/Depressed YSR/11-18 scale and other MMPI-A scales such as Schizophrenia (Sc), Welsh's Anxiety (A), Adolescent-Anxiety (A-anx) and Adolescent-Alienation (A-aln), and between the Social Avoidance and Distress Scale and the MMPI-A Adolescent-Social Discomfort (A-sod) scale.     

Ability of substance abusers to escape detection on the Minnesota Multiphasic Personality Inventory-Adolescent (MMPI-A) in a juvenile correctional facility

The ability of respondents to underreport successfully on substance abuse and validity scales of the Minnesota Multiphasic Personality Inventory-Adolescent (MMPI-A; Butcher et al., 1992) was evaluated. Incarcerated teens (67 substance abusing, 59 non-substance abusing) completed the MMPI-A twice: once under standard instructions (SI) and once under instructions to fake good (FG). Under SI, substance scales correctly classified about 60% to 85% of adolescents. Under FG, substance- and non-substance-abusing juveniles produced lower scores on substance scales. However, the Lie Scale (L) was able to detect more than 75% of deceptive profiles and about 77% of honest profiles. When scale L and the best substance scale were used in combination, only about 18% of faking substance abusers were not identified as either substance abusers or as underreporting. For feigning substance abusers, only about 10% of substance abusers were detected, with about 72% being categorized as faking and needing further assessment.     

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.     

The classification accuracy of the Minnesota Multiphasic Personality Inventory-Adolescent: effects of modifying the normative sample

Numerous studies have reported that the Minnesota Multiphasic Personality Inventory-Adolescent (MMPI-A) produces a high frequency of within-normal-limits basic scale profiles for adolescents with significant clinical pathology (e.g., Archer, 2005). The current study builds on the observation that the MMPI-A normative sample included participants who reported a recent history of referral for counseling or therapy services. The 193 adolescents who reported referral for counseling were removed from the normative sample and uniform T-score values were recalculated for basic clinical scale raw scores. The frequency of within-normal-limits profiles was only marginally reduced by using the revised MMPI-A norms. Furthermore, the overall hit rate, positive predictive power, and sensitivity were only slightly improved by removing normative participants referred for counseling and basing norms on the remaining 1,427 adolescents.     

The development of the items-easy (Ie) and items-difficult (Id) subscales for the MMPI-A

This research involves the development, validation, and cross-validation of the Items-Easy (Ie) and Items-Difficult (Id) subscales for the Minnesota Multiphasic Personality Inventory-Adolescent (MMPI-A; Butcher et al., 1992). These subscales were designed to assess the degree to which reading comprehension deficits may be responsible for significant elevations of validity Scale F and the standard clinical scales on adolescents' MMPI-A profiles. A difference score, bared on the two 13-item subscales, was created in order to compare subjects' responses to subsets of the more comprehensible (Ie) and less comprehensible (Id) items within the test. Hit rate, sensitivity, specificity, positive predictive power, and negative predictive power were calculated on the basis of simple (Id - Ie) and weighted (3Id - 1Ie) difference scores for the validation (N = 495) and cross-validation (N = 264) samples, and for specific high-F profile subsamples. Although some of the indices reflected classification accuracy as high as 95%, none of the indices yielded consistently high results across the various samples and subsamples. It has been concluded that the Ie and Id subscales should be used only for research purposes at this time.     

A replication of the MMPI-A PSY-5 scales and development of facet subscales

McNulty, Harkness, Ben-Porath and Williams recently developed Personality Psychopathology Five (PSY-5) scales for the Minnesota Multiphasic Personality Inventory-A (MMPI-A). This study examined these new scales in a sample of 545 adolescents receiving inpatient psychiatric treatment. Item-level principal components analyses were employed to determine the internal structure of each PSY-5 scale and to aid in the creation of facet subscales for each PSY-5 scale. Results suggest that the MMPI-A PSY-5 scales display adequate internal consistency and our findings generally replicate the original work of McNulty et al. but also extend this work by showing that several of the PSY-5 scales may also be subdivided into meaningful lower level dimensions. These facet subscales for each of the MMPI-A PSY-5 scales are offered for further study.     

The Development of the Items-Easy (Ie) and Items-Difficult (Id) Subscales for the MMPI-A

This research involves the development, validation, and cross-validation of the Items-Easy (Ie) and Items-Difficult (Id) subscales for the Minnesota Multiphasic Personality Inventory-Adolescent (MMPI-A; Butcher et al., 1992). These subscales were designed to assess the degree to which reading comprehension deficits may be responsible for significant elevations of validity Scale F and the standard clinical scales on adolescents' MMPI-A profiles. A difference score, bared on the two 13-item subscales, was created in order to compare subjects' responses to subsets of the more comprehensible (Ie) and less comprehensible (Id) items within the test. Hit rate, sensitivity, specificity, positive predictive power, and negative predictive power were calculated on the basis of simple (Id - Ie) and weighted (3Id - 1Ie) difference scores for the validation (N = 495) and cross-validation (N = 264) samples, and for specific high-F profile subsamples. Although some of the indices reflected classification accuracy as high as 95%, none of the indices yielded consistently high results across the various samples and subsamples. It has been concluded that the Ie and Id subscales should be used only for research purposes at this time.     

Detecting random, partially random, and nonrandom Minnesota Multiphasic Personality Inventory-Adolescent protocols

The ability of the Minnesota Multiphasic Personality Inventory-Adolescent (MMPI-A; J. N. Butcher et al., 1992) validity scales to detect random, partially random, and nonrandom MMPI-A protocols was investigated. Investigations included the Variable Response Inconsistency scale (VRIN), F, several potentially useful new F and VRIN subscales, and formulas F-sub-2 - F-sub-1 and F + F-sub-2 + |F - F-sub-2|. Protocols completed by 150 adolescents at a juvenile court setting, screened for randomness with a matched-pair Millon Adolescent Clinical Inventory (MACI) or Jesness Inventory, were compared with 100 computer-generated, all-random protocols, and with 5 levels of partially random protocols. VRIN was the most effective scale in detecting all-random protocols; however, the optimum cutoff of >or= 75 failed to identify 1/3 of them. Using the new scales, a decision algorithm was described that correctly classified 94%-95% of protocols as interpretable, partially interpretable, or uninterpretable.     

Psychoanalytic Theory and the Rorschach (Book)

The purpose of this study was to explore how Mexican American adolescents (N = 120) would perform on the MMPI-A given that Hispanic adolescents were seriously underrepresented in the national norming sample during the development of the MMPI-A. The participants completed the MMPI-A, a short demographic questionnaire, and a 5-item version of the Acculturation Rating Scale for Mexican Americans. Results indicated that the present sample of Mexican American adolescents' performance on the Validity, Clinical, and Content scales differed minimally from the national norming group's performance, and their performance varied as a function of their levels of acculturation and socioeconomic status. Implications of these data are discussed.     

Detecting and Discriminating Between Random Responding and Overreporting on the MMPI-A

The utility of traditional validity scales in detecting random responding and overreporting on the MMPI-A and in discriminating between these two response sets was investigated in a sample of 89 clinical and nonclinical adolescents aged 14 to 17 years. The overreporting group consisted of 24 nonclinical adolescents instructed to complete the MMPI-A as if they were trying to create an impression of psychological disturbance. The random group included 20 nonclinical adolescents instructed to complete the MMPI-A answer sheet without access to the test booklet. Clinical (n = 20) and nonclinical (n = 25) standard groups completed the MMPI-A under the standard instructions. Results showed that validity scales designed to detect random responding and overreporting on the MMPI-A were quite effective in doing so. Significant differences between groups and high classification rates were noted. In addition, the VRIN scale was found to be sensitive only to random responding, whereas Scale F was sensitive to both random responding and overreporting. Scale L also was found to be sensitive to random responding, and support for the utility of the F - K index in identifying overreported adolescent profiles was obtained.     

Type A Personality,Self-Control,and Vulnerability to Stress

The Minnesota Multiphasic Personality Inventory-Adolescent (MMPI-A; Butcher et al., 1992) was released in 1992 and has rapidly become the most widely used objective personality assessment instrument with adolescents. Although the MMPI-A reduced or eliminated several problems associated with the use of the original MMPI (Hathaway &; McKinley, 1943) with adolescents, the MMPI-A does produce a high frequency of within normal limits basic scale profiles for individuals with substantial psychopathology including adolescents in inpatient psychiatric settings. To better understand the reasons for this phenomenon, we compared the item endorsement frequencies for the MMPI-A normative sample with results from two adolescent clinical samples, and these results were contrasted to the item endorsement frequencies for the MMPI-2 (Butcher, Dahlstrom, Graham, Tellegen, &; Kaemmer, 1989) normative sample and a clinical sample of adult psychiatric inpatients. Results showed that the MMPI-A contains a substantial number of items that do not show a significant difference in item endorsement frequency between normative and clinical samples. Furthermore, MMPI-A basic and content scales generally show a much lower percentage of effective items than do the corresponding scales for the MMPI-2. We discuss the findings in relation to the frequent occurrence of low range MMPI-A profiles in clinical samples and the potential usefulness of these results in future efforts to develop viable short forms for the MMPI-A.     

MMPI-A performance of African and Mexican American adolescent first-time offenders

54 African and Mexican American adolescent first-time offenders were examined with the MMPI-A to evaluate ethnic differences. Multivariate analyses by ethnicity and MMPI-A scales (validity, clinical, content, and supplementary scales) were not significant; however, there was a significant univariate difference where African American adolescents scored significantly higher on the Repression scale than the Mexican American group. A greater percentage of within-normal-limits profiles were African American (50%) than Mexican American (25%). Research and clinical implications for using the MMPI-A with these groups are discussed.     

Characteristics of juvenile offenders with invalid and valid MMPI--a profiles

The issue of what type of juvenile offender produces an invalid versus a valid Minnesota Multiphasic Personality Inventory, Adolescent Form (MMPI-A) profile requires study. Using technical manual profile invalidation requirements from a cohort sample of 1,054 juvenile offenders, 387 produced invalid profiles, whereas 667 yielded valid profiles. Utilizing scale scores from the Millon Adolescent Clinical Inventory (MACI), univariate and multivariate analyses for girls, boys, and combined samples of invalid and valid MMPI-A profiles suggested similarities and differences which influenced the results for the combined samples. The groups were separated on the following MACI scales: Disclosure, Impulsivity, Substance Abuse Propensity, Unruly, and Oppositional by sex and for the combined group. Also noted were other MACI scales which distinguished boys and girls in comparisons made between as well as within the invalid and valid profiles.     

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.     

The effectiveness of MMPI-A items in discriminating between normative and clinical samples.

The Minnesota Multiphasic Personality Inventory-Adolescent (MMPI-A; Butcher et al., 1992) was released in 1992 and has rapidly become the most widely used objective personality assessment instrument with adolescents. Although the MMPI-A reduced or eliminated several problems associated with the use of the original MMPI (Hathaway & McKinley, 1943) with adolescents, the MMPI-A does produce a high frequency of within normal limits basic scale profiles for individuals with substantial psychopathology including adolescents in inpatient psychiatric settings. To better understand the reasons for this phenomenon, we compared the item endorsement frequencies for the MMPI-A normative sample with results from two adolescent clinical samples, and these results were contrasted to the item endorsement frequencies for the MMPI-2 (Butcher, Dahlstrom, Graham, Tellegen, & Kaemmer, 1989) normative sample and a clinical sample of adult psychiatric inpatients. Results showed that the MMPI-A contains a substantial number of items that do not show a significant difference in item endorsement frequency between normative and clinical samples. Furthermore, MMPI-A basic and content scales generally show a much lower percentage of effective items than do the corresponding scales for the MMPI-2. We discuss the findings in relation to the frequent occurrence of low range MMPI-A profiles in clinical samples and the potential usefulness of these results in future efforts to develop viable short forms for the MMPI-A.     

Evaluation of an MMPI--a short form: implications for adaptive testing

Efforts to develop a viable short form of the MMPI (Hathaway & McKinley, 1943) span more than 50 years, with more recent attempts to significantly shorten the item pool focused on the use of adaptive computerized test administration. In this article, we report some psychometric properties of an MMPI-Adolescent version (MMPI-A; Butcher et al., 1992) short form based on administration of the first 150 items of this test instrument. We report results for both the MMPI-A normative sample of 1,620 adolescents and a clinical sample of 565 adolescents in a variety of treatment settings. We summarize results for the MMPI-A basic scales in terms of Pearson product-moment correlations generated between full administration and short-form administration formats and mean Tscore elevations for the basic scales generated by each approach. In this investigation, we also examined single-scale and 2-point congruences found for the MMPI-A basic clinical scales as derived from standard and short-form administrations. We present the relative strengths and weaknesses of the MMPI-A short form and discuss the findings in terms of implications for attempts to shorten the item pool through the use of computerized adaptive assessment approaches.