Use of the MMPI-A to detect substance abuse in a juvenile correctional setting.

In this study, we examined the ability of the MMPI-A (Butcher et al., 1992) to detect substance abuse problems in a juvenile correctional setting. Specifically, we evaluated the Alcohol/Drug Problem Acknowledgment scale (ACK; Weed, Butcher, & Williams, 1994), the Alcohol/Drug Problem Proneness scale (PRO; Weed et al., 1994), and the MacAndrew Alcoholism Scale-Revised (MAC-R; Butcher et al., 1992) in the prediction of substance abuse. In addition, the incremental validity of ACK in comparison to PRO was evaluated, as was the incremental validity of PRO in comparison to ACK. The sample consisted of 123 boys and girls from ajuvenile correctional facility in Northeastern Ohio. Results indicate that ACK and PRO, but not MAC-R, were related to interviewer ratings of substance abuse. Results point to the superiority of ACK over PRO in substance abuse identification.     

Validity of the Substance Abuse Scales of the MMPI-2 in a College Student Sample

This study assessed the validity of three Minnesota Multiphasic Personality Inventory-2-based (MMPI-2: Butcher, Dahlstrom, Graham, Tellegen, & Kaemmer, 1989) substance abuse scales. The scales were the MacAndrew Alcoholism Scale-Revised (MAC-R; Butcher et al., i989) and the recently developed Addiction Acknowledgment Scale and Addiction Potential Scale (AAS & APS; Weed, Butcher, McKenna, & Ben-Porath, 1992), Study participants were 308 male and female college students who completed the MMPI-2 and the substance use disorder modules of the Diagnostic Interview Schedule. The MAC-R and the APS had a nonsignificant-to-weak relationship with substance dependence as defined by the Diagnostic and Statistical Manual of Mental Disorders' (3rd ed., rex. [DSM-III-R]; American Psychiatric Association, 1980). The AAS had a moderate ability to identify the 33 study participants who met DSM-HI-R criteria for a substance use disorder, primarily alcoholism, Broadening the definition of substance abuse to a continuum of alcohol/drug problems did not alter the character of findings, These results highlight the relative superiority of direct (AAS) versus subtle (APS, MAC-R) scales to detect substance dependence and support studies that question the overall utility of traditional MMPI scales to identify substance abuse.     

Validity of the Devereux Scales of Mental Disorders with adolescent psychiatric inpatients

Tested the validity of the Devereux Scales of Mental Disorders (DSMD; Naglieri, LeBuffe, & Pfeiffer, 1994) in a sample of 108 adolescent psychiatric inpatients. DSMD scales were compared to parent-report, interview-based, self-report and diagnostic measures. DSMD measures of conduct problems and delinquency were significantly associated with the predicted parent-report, interview-based, and diagnostic measures of conduct disorder and substance abuse and not with any measures of anxiety or depression. DSMD measures of anxiety and depression were related to other parent-report ratings of internalizing symptoms but had more limited convergent and discriminant validity. The DSMD was compared to the Child Behavior Checklist (CBCL; Achenbach, 1991) for diagnostic classification accuracy. The two measures were comparable in classifying oppositional or conduct disorder. The CBCL was superior for classification of major depression. The DSMD was superior for classification of substance abuse.     

An Analysis of the Highway Accidents Reported by 1,306 University Students

Two-point MMPI code distributions for a sample of 609 precollege students were compared with the code distributions of 701 precollege students obtained two years previously. The samples showed highly similar two-point code distributions. The same seven two-point code types occurred most frequently in both samples, and these same seven code types accounted for over 50% of the cases in both samples.

Further support was thus obtained for the hypothesis that Scale 5 is related more to IQ and/or education aspiration and/or socioeconomic status than years of education per se.. Also, the original base rate data on two-point code frequencies, including Scales 5 and 0, were replicated, providing reliable data on “normal” college males. Previous research of this nature with this population has typically omitted Scales 5 and 0.     

MacAndrew Versus MacAndrew: The Relative Efficacy of the MAC and the SAP Scales for the MMPI in Screening Male Adolescents for Substance Misuse

MacAndrew (1965) constructed the MacAndrew Alcoholism Scale (MAC) using adult male alcoholic outpatients and male psychiatric outpatients. Later, he developed the Substance Abuse Proclivity Scale (SAP; MacAndrew, 1986), specifically for screening younger males, using adolescent and young adult substance misusing and nonmisusing males 16 to 22 years of age. Because clinicians frequently apply the MAC to adolescents, we compared the efficacy of the MAC and the SAP scales using a sample of 436 young males between the ages of 13 and 25, who were hospitalized because of substance abuse, and 770 normal young males between the ages of 13 and 25. Results suggest that clinicians should use these scales with great caution.     

MacAndrew versus MacAndrew: the relative efficacy of the MAC and the SAP scales for the MMPI in screening male adolescents for substance misuse

MacAndrew (1965) constructed the MacAndrew Alcoholism Scale (MAC) using adult male alcoholic outpatients and male psychiatric outpatients. Later, he developed the Substance Abuse Proclivity Scale (SAP; MacAndrew, 1986), specifically for screening younger males, using adolescent and young adult substance misusing and nonmisusing males 16 to 22 years of age. Because clinicians frequently apply the MAC to adolescents, we compared the efficacy of the MAC and the SAP scales using a sample of 436 young males between the ages of 13 and 25, who were hospitalized because of substance abuse, and 770 normal young males between the ages of 13 and 25. Results suggest that clinicians should use these scales with great caution.     

External validity of the new Devereux Adolescent Behavior Rating scales

The discriminant and concurrent validity of the five new scales for the Devereux Adolescent Behavior Rating Scale (DAB) was explored using a heterogeneous sample of psychiatric and substance abuse patients. Consistent with predictions, the substance abuse patients scored higher on the Acting Out Behaviors (AOB) and Heterosexual Interests (HI) scales, and psychiatric patients scored higher on the Psychotic Behaviors scale. Gender differences also were found, including boys being rated higher on Acting Out Behaviors, and girls higher on Heterosexual Interests. The new DAB scales demonstrated sufficient concurrent validity using a thorough record review and a patient rating scale (the Child Behavior Checklist [CBCL]). The Neurotic/Dependent Behaviors scale (NDB) showed a consistent relationship with substance abuse and several other measures of more externalizing behaviors, in addition to the predicted relationships with anxious, tense, and dependent behaviors. The Withdrawn/Timid Behaviors scale (WTB) proved to be a purer measure of internalizing behaviors in both sexes.     

External Validity of the New Devereux Adolescent Behavior Rating Scales

The discriminant and concurrent validity of the five new scales for the Devereux Adolescent Behavior Rating Scale (DAB) was explored using a heterogeneous sample of psychiatric and substance abuse patients. Consistent with predictions, the substance abuse patients scored higher on the Acting Out Behaviors (AOB) and Heterosexual Interests (HI) scales, and psychiatric patients scored higher on the Psychotic Behaviors scale. Gender differences also were found, including boys being rated higher on Acting Out Behaviors, and girls higher on Heterosexual Interests. The new DAB scales demonstrated sufficient concurrent validity using a thorough record review and a parent rating scale (the Child Behavior Checklist [CBCL]). The Neurotic/Dependent Behaviors scale (NDB) showed a consistent relationship with substance abuse and several other measures of more externalizing behaviors, in addition to the predicted relationships with anxious, tense, and dependent behaviors. The Withdrawn/Timid Behaviors scale (WTB) proved to be a purer measure of internalizing behaviors in both sexes.     

Empirical correlates of common MMPI-2 two-point codes in male psychiatric inpatients

Empirical correlates of common Minnesota Multiphasic Personality Inventory-2 (MMPI-2) 2-point codes were identified for a sample of 1,213 inpatient men. A comprehensive standardized review of the hospital record was undertaken, and clinically relevant demographic, diagnostic, and behavioral information was extracted from intake summaries obtained prior to administration of the MMPI-2. Nonmutually exclusive psychiatric diagnoses found in the sample included substance abuse or dependence, schizophrenia, depression, bipolar affective disorder post-traumatic stress disorder, and other anxiety disorders as well as personality disorders. Subsamples consisting of the five most frequently obtained well-defined 2-point code types were selected, and empirical correlates of each code type were then identified and described. Remarkable consistency was found between the empirical correlates of the code types obtained in this study and the correlates of the same code types described by other investigators 40 years ago.     

Muslim-Christian Religious Orientation Scales: Distinctions,Correlations, and Cross-Cultural Analysis in Iran and the United States

Allport and Ross (1967) Religious Orientation Scales were administered along with nine new Muslim-Christian Religious Orientation Scales (MCROS) to students in Iran and the United States. Religious extrinsicness was associated with self-reported symptoms of psychological disturbance; with the Iranians, intrinsicness predicted adjustment. Most relations among the religious variables were positive with the two samples displaying similar, though not identical, patterns of correlations. Factor analysis of all religious scales in each sample separately yielded two components suggesting Allport's differentiation between the intrinsic and extrinsic motivations. In both samples, partial correlations and multiple regressions were used to remove variance associated with the Allport and Ross scales, and at least some evidence testified to the incremental validity of each MCROS measure in predicting psychological symptoms and the other MCROS variables. Most important, this first systematic, empirical study of the psychology of religion in Iran confirmed the relevance of Allport's thought for understanding Muslim religion and established an empirical foundation for further explorations of the MCROS.     

Exploration of the prevalence and correlates of substance use among sheltered adolescents in South Korea

Substance use among sheltered adolescents is very serious in South Korea--a nation in the process of rapid industrialization and urbanization. However, few studies have investigated substance use among the adolescents which is a growing concern of the changing society of this nation. This study examined the prevalence of substance use and explored risk factors that predict substance abuse by sheltered adolescents. Through a questionnaire survey of sheltered adolescents, data on substance use and the risk factors were collected. The sample of the adolescents included 44 (33.3%) males and 88 (67.2%) females; their mean age was 15.8 years (SD = 1.62). The results of a logistic regression analysis showed that alcohol expectancy, physical abuse, and peer pressure were all statistically significantly associated with substance abuse. Findings on the critical issues are expected to lead to the development of urgently needed prevention programs for the high-risk adolescents in South Korea.     

New Measures for Assessing Alcohol and Drug Abuse With the MMPI-2: The APS and AAS

We introduce two new scales for assessing substance abuse problems with the Minnesota Multiphasic Personality Inventory-2 (MMPI-2): the Addiction Potential Scale (APS), a 39-item empirically derived scale, developed by contrasting the responses of a large residential substance abuse sample with responses from both normative and psychiatric control groups; and the Addiction Acknowledgement Scale (AAS), a 13-item face-valid scale, constructed rationally and with attention to internal consistency. Both new scales are shown to discriminate well between groups and substantially better than other selected substance abuse scales. Covariation between the scales and joint effectiveness are examined. Finally, limitations for their practical utility are expressed, and considerations for future research are identified.     

New measures for assessing alcohol and drug abuse with the MMPI-2: The APS and AAS.

We introduce two new scales for assessing substance abuse problems with the Minnesota Multiphasic Personality Inventory-2 (MMPI-2): the Addiction Potential Scale (APS), a 39-item empirically derived scale, developed by contrasting the responses of a large residential substance abuse sample with responses from both normative and psychiatric control groups; and the Addiction Acknowledgement Scale (AAS), a 13-item face-valid scale, constructed rationally and with attention to internal consistency. Both new scales are shown to discriminate well between groups and substantially better than other selected substance abuse scales. Covariation between the scales and joint effectiveness are examined. Finally, limitations for their practical utility are expressed, and considerations for future research are identified.     

Sexual Sensation Seeking and Sexual Compulsivity Scales: Validity,and Predicting HIV Risk Behavior

Two studies are presented that evaluate newly developed scales of sensation seeking and sexual compulsivity. Results showed that the scales were reliable and correlated with convergent and divergent measures in expected directions in samples of both gay men (N = 296) and inner city low-income men and women (N = 158). Consistent with theories of sensation seeking, the scales corresponded to an attraction toward a range of sexual practices, including increased frequencies of unprotected intercourse and a greater number of sexual partners. As expected, sexual compulsivity was not related to variety and novelty in sexual practices, but was associated with lower levels of self-esteem and resistance to adopting sexual risk-reducing strategies. However, important differences were observed between the gay men and heterosexual samples; scales correlated with substance use only among gay men, and sexual compulsivity was related to a range of sexual practices only among heterosexuals. The sensation seeking and Sexual Compulsivity Scales were therefore reliable, appeared valid, and useful in predicting sexual risk behaviors.     

General relations among drug use, alcohol use, and major indexes of psychopathology

Relations among measures of trait anxiety, depression, panic, somatization, alcohol use, drug use, and treatment for depression were investigated because, typically, studies (a) addressed relations among subsets of only 2 or 3 of the measures and (b) dealt almost exclusively with narrow samples of the population representing extremes on 1 or 2 of the measures. In this study, relations among all 7 measures were assessed with participants representing a wide range of scores on all the measures. The 369 participants (155 men, 214 women) were sampled from the general population. Three replications of the same study consistently yielded hypothesized positive intercorrelations among all 7 scales. Factor 1 (Anxiety-Depression) included Trait Anxiety, Depression, and Panic scales. Factor 2 (Substance Abuse) included Drug Use, Alcohol Use, Treatment for Depression, and Somatization scales. Factor 2 highlighted self-medication as a defining characteristic of somatizers and corroborated findings showing that substance abuse is often a precursor to treatment for depression-like symptoms that can be ameliorated with abstinence. Factors 1 and 2 were significantly intercorrelated (r = .41, df = 367, p < .05), showing a 17% shared variance in two common groupings of psychological dysfunction (anxiety-depression, substance abuse) in the general population. Thus, depending on socioeconomic and demographic variables, a third common form of dysfunction in the general population is represented by a combination of anxiety-depression plus substance abuse.     

Twelve‐Step Groups,Attributions of Blame for Personal Sadness,Psychological Well‐Being,and the Moderating Role of Gender1

Two studies investigated links among 12‐step group participation, gender, attributions of blame for personal sadness, and psychological well‐being. Study I used a correlational design to examine these links cross‐sectionally among substance abusers who identified alcohol as their primary drug problem. Study 2 used an experimental design to examine prospective links among these variables for substance abusers who were also adult children of alcoholics. Females engaged in more blame than did males, and personal blame was negatively related to psychological well‐being in Studies 1 and 2. Most significantly, 12‐step group participation was associated with lower personal blame among females but not among males across both studies. These results indicate that 12‐step groups can reduce personal blame among females who have substance abuse problems.     

Characteristics, Services, and Outcomes of Treatment for Women

This paper analyzes the demographic and pretreatment characteristics of maleand female participants in the National Treatment Improvement Evaluation Study,including the women's treatment experiences and the outcomes of various types of substance abuse treatment. Follow-up of a multisite sample of 1,374 women and 3,037 men indicates minimal differences exist between menand women in the outcomes of five modalities of substance abuse treatment. Treatment appears to reduce women's drug and alcohol use and illegal activities and increase their levels of employment. Demographic and pretreatment characteristics are only modestly associated with differences in treatment outcomes, and differential service receipt has inconsistent effects on outcomes.     

An Examination of Early Maladaptive Schemas among Substance Use Treatment Seekers and their Parents

Early maladaptive schemas, which are cognitive and behavioral patterns of viewing oneself and the world that result in substantial distress, are gradually being documented as important vulnerabilities for substance abuse. Unfortunately, there is limited research on early maladaptive schemas among substance abusers and their family members. Research on this topic may carry important implications for family-focused substance use interventions. The current study examined similarities and differences in early maladaptive schemas among a sample of substance abuse treatment seeking adults (n?=?47) and at least one parent (n?=?58). Results demonstrated that the substance abusers scored higher than their parents on 17 of 18 early maladaptive schemas, with most differences falling into the large effect size range. There were some similarities in the specific early maladaptive schemas endorsed by both groups despite substance abusers scoring higher on all schemas. Implications of these findings for future research and family-focused substance use treatment programs are discussed.