Factor analytic evaluation of differences between black and caucasian emotionally disturbed children on the children's depression inventory

Scores on the Children's Depression Inventory (CDI) for 392 Caucasian and 159 black psychiatric inpatients between 6 and 18 years of age were subjected to principal-components factor extraction with Varimax rotation. Factors not contributing to variance were eliminated using the scree test (Cattell, 1966) and the degree of variance accounted for by remaining factors for both groups was examined through respective squared multiple correlations. A comparison of CDI factors for blacks and Caucasians indicated some differences, with blacks be ing less suicidal yet higher on other behavioral dimensions, such as oppositionality, and Caucasians higher on affective dimensions, such as sadness. The results support research on black-Caucasian differences and suggest the need to validate further the CDI with minority populations.     

Cross-validation of a minnesota multiphasic personality inventory (MMPI) subscale for the assessment of combat-related post-traumatic stress disorder

We have examined the Minnesota Multiphasic Personality Inventory (MMPI) scores of 80 carefully diagnosed veterans with post-traumatic stress disorder (PTSD) in an attempt to cross-validate the PTSD subscale and three-point MMPI code of Keane, Malloy, and Fairbank (1984). In general, although we replicated Keane and co-workers'cutoff scores, our hit rates were slightly lower than those reported originally.This research was supported in part by NIMH Grant MH-37839 to Dr. Kolb.     

Construct interpretation of Minnesota Multiphasic Personality Inventory (MMPI) clinical scales: An orthogonal transformation

The implications for personality test construction of the revolution in testing caused by construct validity considerations are outlined, with particular relevance to the assessment of psychopathology. These include (a) substantive definition of constructs; (b) concern for internal consistency reliability as well as generalizability; (c) evaluation of structural relationships among items and scales; (d) suppression of response biases; (e) emphasis on minimum redundancy among scales; (f) evaluation of convergent and discriminant validity of scales and profiles; and (g) evaluation of criterion validity for configurations of scales and profiles, as well as single scales. Benefits are seen as accruing to an increased understanding of psychopathology and higher levels of validity. Prior, and subsequent, to the forthcoming revision of the Minnesota Multiphasic Personality Inventory (MMPI), one approach to realizing some of the aims of construct measurement with an empirically based test is through an orthogonal transformation of the scales. Preliminary results for the extant MMPI clinical scales are reported, yielding evidence of (a) scale independence while retaining high correlations with uncorrected scales, (b) an appropriate pattern of correlations with a separate set of new scales of psychopathology, (c) a possible basis for new item analyses, and (d) freedom from correlations with a putative measure of response bias. Implications of the orthogonal transformation for profile interpretation are discussed.Portions of this paper were presnted at an invited address, 18th Annual Symposium on Recent Developments in the Use of the MMPI, Minneapolis, April 9, 1983. This paper was written while Douglas N. Jackson was distinguished visiting professor at the College of Education, The University of Iowa. This research has been supported by Research Grant 895-84/86 from the Ontario Mental Health Foundation, Research Grant 411-83-0014 from the Social Sciences and Humanities Research Council of Canada, and the Alberta Hospital Edmonton.     

Stability of the internal structure of the millon clinical multiaxial inventory

The Millon Clinical Multiaxial Inventory (MCMI) has become increasingly popular in clinical use. Along with this, there has been more interest in the internal structure of the 20 scales of the original 175-item MCMI-I. The literature reports some agreement on four components, although both three- and five-component solutions have been reported. The degree of similarity of these components across populations remains arguable, as none of the previous studies have used quantitative measures of component similarity. The present study reports on two new samples of psychiatric patients, one of 82 cases from a general hospital and the other of 145 inpatients from a psychiatric hospital. It also reanalyzes the data from nine samples from the literature, using Tucker's coefficient of congruence and ten Berge's analysis of principal component weights (PCW). The congruence analyses showed good agreement of the first three components across samples and notably lower agreement for the fourth. The PCW analyses showed two major types of structure matrices. In the first, there was a large and dominant first component, with three smaller ones. In the second, the variance was distributed more evenly across the four components. The results are discussed in terms of the overlapping scales of the MCMI-I.This work was supported by funds from the Departments of Psychiatry and Psychology, The University of Western Ontario.     

A re-evaluation of the psychometric properties of the Basic Character Inventory

The aim of this study was to re-evaluate the psychometric properties of the Basic Character Inventory (BCI). In a rather large sample of 503 subjects (323 women and 180 men, 88 non-psychotic psychiatric inpatients and 415 non-patients) factor analysis resulted in three factors with personality traits almost identical with the BCI Oral, Obsessive and Hysterical scales. BCI seems to be a fruitful and reliable assessment instrument for personality traits and character types as outlined in psychoanalytic theory. However, some of the trait subscales ought to be scrutinized in future psychometric re-evaluative studies of BCI on new, large samples. Another factor analysis showed that the BCI Oral scale, together with all the ten subscales of the psychiatric Symptom Check-list 90 (SCL-90), loaded on the first factor, and the BCI Obsessive and Hysterical scales loaded on the second factor, but with different signs. Orality seems to be related to psychopathology.     

Evaluation of an islandwide screening,assessment and treatment program

This article reports on the effectiveness of the Islandwide Screening, Assessment, and Treatment Program of the Child Development Project in Bermuda. From 1982 to 1984, approximately 1100 families with 2-year-old children were screened for children's cognitive and language delay, for behaviour management problems and for other home characteristics that put children at risk for later school failure. Children who failed the screening and subsequent assessment procedures (of whom random samples received treatment) and samples of others who passed screening and assessment were evaluated from 1984 to 1986 at 4 years of age. This article focuses on the results of the cognitive and language programs; the more problematic behaviour management analyses were reported elsewhere (Miller and Scarr, 1988). The screening procedures and assessment measures developed for this project were themselves evaluated and adjusted to maximize efficiency and costeffectiveness. The screening and assessment procedures proved effective in bringing to the attention of the Child Development Project those families and children who need developmental services, and in not overidentifying normal children as potentially delayed in development. Two kinds of treatment services were compared: The Mother-Child Home Program (MCHP), administered by paraprofessional toy demonstrators, and other interventions tailored by professionals to the language and cognitive problems of the child (called ‘tailored programs’). Children who were not extremely delayed or disturbed were randomly assigned either to the MCHP or to a tailored program. Neither intervention program was preferable to the other. Even though improved, the 4-year-olds identified as developmentally delayed at 24 months still lagged behind children who passed all parts of screening and those who failed screening but passed assessment 2 years earlier. The screening and assessment procedures were very effective in the early identification of children with developmental problems, but the treatment programs failed to bring most children to normal levels of cognitive and language functioning.     

Failed back surgeries and minnesota multiphasic personality inventory (MMPI) profiles

MMPI profiles were evaluated for 105 prospective surgical patients who had previously undergone surgery or other procedures for treatment of back pain. Patients were classified into groups having undergone zero, one, two, three, or four or more previous surgeries. While all groups demonstrated a characteristicsomatogenic profile, none of the MMPI validity or clinical scales significantly differentiated the groups and there was no relationship between increased number of surgeries and MMPI scale characteristics. These results support the nonoptimistic prognostication of thesomatogenic MMPI profile for surgical intervention for back pain but show no clear relationship of MMPI profile characteristics to degree of experience of previously failed surgery.     

Concurrent validity of the Social Phobia and Anxiety Inventory

The Social Phobia and Anxiety Inventory (SPAI) is a new instrument designed to assess symptoms of social phobia. Although the scale has been shown to have a good test-retest reliability, internal consistency, and construct validity, no studies have examined its concurrent validity with respect to other measures of social anxiety and avoidance. In the present study, the relationship between the SPAI and several self-report measures of social anxiety was examined in a sample of 23 patients meeting DSM-III-R criteria for social phobia. The relationship between the SPAI and other measures of psychopathology, as well as performance during a role play test and an impromptu speech, was also examined. The results strongly support the concurrent validity and the specificity of the SPAI. The Social Phobia subscale may be a better index of social anxiety symptoms than the Difference subscale.This research was supported, in part, by NIMH grants MH 38636 and MH 41577 to the second author.     

The Beck Anxiety Inventory in nonclinical samples: Initial psychometric properties

The Beck Anxiety Inventory (BAI) was recently developed to assess clinical anxiety. Because one of its main features is a focus upon physiological sequelae of anxiety, the inventory may prove useful in nonclinical samples as well. The current paper provides initial psychometric properties with a nonclinical sample. Two studies are presented. The first presents scores and factor structure. A five factor solution was obtained, with one subjective and four somatic factors accounting for approximately 60% of the variance. The second study utilizes the total and factor scores to assess concordance with physiological responding. The total BAI correlated moderately with several physiological domains and with subjective distress. Factor scores were not consistently correlated with corresponding physiological domains. When subjects were divided into high- and low-anxiety groups, the relationships between self-report and physiological response increased in subjects with higher levels of anxiety. Results are discussed in terms of comparing clinical and nonclinical findings, use of the BAI in nonclinical samples, and future research.This research was supported in part by a grant to the first author from the Commission on Academic Excellence, University of Louisville.     

Resolutions to interpretive dilemmas created by the minnesota multiphasic personality inventory 2 (MMPI-2): A reply to Strassberg

We discuss the interpretive dilemmas identified by Strassberg (1991) and propose to resolve these dilemmas by pointing out that some change has indeed been introduced in the MMPI-2 and that change is a necessary requisite for improvement. Changes in administration procedures used with the MMPI-2 normative sample should only improve the quality of the normative data; changes in the way T-scores were developed lead to minimal change in the profile but enable more accurate interpretation of differences between scales on an individual's profile; normative changes have a differential effect on the clinical scales and this is to be expected; and the problem of codetype congruence has been overestimated and overstated. We conclude that the change introduced in the MMPI-2 can only serve to improve the test.