The utility and comparative incremental validity of the MMPI-2 and Trauma symptom Inventory validity scales in the detection of feigned PTSD.

The authors examined the comparative predictive capacity of the Trauma Symptom Inventory (TSI) Atypical Response Scale (ATR) and the standard set of Minnesota Multiphasic Personality Inventory-2 (MMPI-2) fake-bad validity scales (i.e., F, FB, Fp, FBS) to detect feigned posttraumatic stress disorder (PTSD). Remitted trauma victims (n = 60) completed the TSI and MMPI-2 under standard (honest) instructions and then were randomly assigned to 1 of 2 experimental conditions (noncoached/validity scale coached) in which they were administered these instruments again with instruction to fake PTSD. These test protocols were compared with TSI and MMPI-2 results from workplace injury claimants with PTSD (n = 84). The ATR and FBS were able to distinguish only the noncoached participants instructed to fake from the PTSD claimants; in contrast, the F, FB, and Fp scales were able to distinguish both the noncoached and the validity-scale-coached participants from the PTSD claimants. F, FB, and Fp always outperformed the ATR and FBS; neither the ATR nor the FBS was able to add incremental predictive variance to that of F, FB, or Fp. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Detection of overreported psychopathology with the MMPI-2 RF form validity scales.

[Correction Notice: An erratum for this article was reported in Vol 23(1) of Psychological Assessment (see record 2011-01446-001). There was an error in the title. The title should have read “Detection of Overreported Psychopathology With the MMPI-2-RF Validity Scales.”] [Correction Notice: An erratum for this article was reported in Psychological Assessment (see record 2011-01446-001). There was an error in the title. The title should have read “Detection of Overreported Psychopathology With the MMPI-2-RF Validity Scales.”] We examined the utility of the validity scales on the recently released Minnesota Multiphasic Personality Inventory–2 Restructured Form (MMPI-2 RF; Ben-Porath & Tellegen, 2008) to detect overreported psychopathology. This set of validity scales includes a newly developed scale and revised versions of the original MMPI-2 validity scales. We used an analogue, experimental simulation in which MMPI-2 RF responses (derived from archived MMPI-2 protocols) of undergraduate students instructed to overreport psychopathology (in either a coached or noncoached condition) were compared with those of psychiatric inpatients who completed the MMPI-2 under standardized instructions. The MMPI-2 RF validity scale Infrequent Psychopathology Responses best differentiated the simulation groups from the sample of patients, regardless of experimental condition. No other validity scale added consistent incremental predictive utility to Infrequent Psychopathology Responses in distinguishing the simulation groups from the sample of patients. Classification accuracy statistics confirmed the recommended cut scores in the MMPI-2 RF manual (Ben-Porath & Tellegen, 2008). (PsycINFO Database Record (c) 2011 APA, all rights reserved)     

The detection of feigned uncoached and coached posttraumatic stress disorder with the MMPI-2 in a sample of workplace accident victims.

In this study research participants completed the Minnesota Multiphasic Personality Inventory-2 (MMPI-2) under standard instructions and then were asked to fake posttraumatic stress disorder (PTSD) when completing the MMPI-2 for a 2nd time in 1 of 4 conditions with different instructions on how to fake PTSD: (a) uncoached, (b) coached about PTSD symptom information, (c) coached about MMPI-2 validity scales, or (d) coached about both symptoms and validity scales. These MMPI-2 protocols were then compared with protocols of claimants with workplace accident-related PTSD. Participants given information about the validity scales were the most successful in avoiding detection as faking. The family of F scales (i.e., F, FB, Fp), particularly Fp, produced consistently high rates of positive and negative predictive power. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

"Detection of overreported psychopathology with the MMPI-2 RF validity scales": Correction to Sellbom and Bagby (2010).

Reports an error in "Detection of overreported psychopathology with the MMPI-2 RF form validity scales" by Martin Sellbom and R. Michael Bagby (Psychological Assessment, 2010[Dec], Vol 22[4], 757-767). There was an error in the title. The title should have read “Detection of Overreported Psychopathology With the MMPI-2-RF Validity Scales.” (The following abstract of the original article appeared in record 2010-24850-001.) We examined the utility of the validity scales on the recently released Minnesota Multiphasic Personality Inventory–2 Restructured Form (MMPI-2 RF; Ben-Porath & Tellegen, 2008) to detect overreported psychopathology. This set of validity scales includes a newly developed scale and revised versions of the original MMPI-2 validity scales. We used an analogue, experimental simulation in which MMPI-2 RF responses (derived from archived MMPI-2 protocols) of undergraduate students instructed to overreport psychopathology (in either a coached or noncoached condition) were compared with those of psychiatric inpatients who completed the MMPI-2 under standardized instructions. The MMPI-2 RF validity scale Infrequent Psychopathology Responses best differentiated the simulation groups from the sample of patients, regardless of experimental condition. No other validity scale added consistent incremental predictive utility to Infrequent Psychopathology Responses in distinguishing the simulation groups from the sample of patients. Classification accuracy statistics confirmed the recommended cut scores in the MMPI-2 RF manual (Ben-Porath & Tellegen, 2008). (PsycINFO Database Record (c) 2011 APA, all rights reserved)     

Psychometric evaluation of the restructured clinical scales of the MMPI-2.

Conceptual overlap and heterogeneity have long been noted as weaknesses of the Minnesota Multiphasic Personality Inventory's clinical scales. Restructured clinical (RC) scales recently were developed to address these concerns (A. Tellegen et al., 2003). The authors evaluated the psychometric properties of the RC scales in psychology clinic clients (N=285) and military veterans (N=567). The RC scales were as internally consistent as the clinical scales and correlated strongly with their original counterparts (except for RC3/Hysteria). They also were less intercorrelated, produced conceptually clearer relations with measures of personality and psychopathology, and yielded somewhat greater incremental utility than the clinical scales. Thus, the RC scales demonstrated several psychometric strengths while utilizing 60% fewer items, but the 2 sets of scales cannot be used interchangeably. Interpretive considerations are discussed. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Further validation of the MMPI-2 and MMPI-2-RF Response Bias Scale: Findings from disability and criminal forensic settings.

The present study extends the validation of the Minnesota Multiphasic Personality Inventory-2 (MMPI-2) and the Minnesota Multiphasic Personality Inventory-2 Restructured Form (MMPI-2-RF) Response Bias Scale (RBS; R. O. Gervais, Y. S. Ben-Porath, D. B. Wygant, & P. Green, 2007) in separate forensic samples composed of disability claimants and criminal defendants. Using cognitive symptom validity tests as response bias indicators, the RBS exhibited large effect sizes (Cohen's ds = 1.24 and 1.48) in detecting cognitive response bias in the disability and criminal forensic samples, respectively. The scale also added incremental prediction to the traditional MMPI-2 and the MMPI-2-RF overreporting validity scales in the disability sample and exhibited excellent specificity with acceptable sensitivity at cutoffs ranging from 90T to 120T. The results of this study indicate that the RBS can add uniquely to the existing MMPI-2 and MMPI-2-RF validity scales in detecting symptom exaggeration associated with cognitive response bias. (PsycINFO Database Record (c) 2011 APA, all rights reserved)     

The ability of the MMPI-2 to detect feigned PTSD within the context of compensation seeking.

The ability of the Minnesota Multiphasic Personality Inventory-2 (MMPI-2) validity scales to detect feigned reports of posttraumatic stress disorder (PTSD) was examined in a group of veterans undergoing a compensation and pension evaluation. Veterans who were seeking compensation for service connected PTSD were randomly assigned to one of two groups: exaggerate PTSD and respond honestly. The MMPI-2 Infrequency (F) family of scales was able to accurately identify the veterans instructed to exaggerate PTSD. The Fake Bad Scale (FBS) did not add incrementally to the prediction of exaggerated PTSD and the Infrequency-Posttraumatic Stress Disorder Scale (Fptsd) added significantly, albeit minimally, to the prediction of exaggerated PTSD. The Infrequency Psychopathology (FP) scale obtained the best overall hit rate in comparison to the other over-reporting indicators on the MMPI-2, both at optimal and at previously recommended cut scores. In sum, the MMPI-2 effectively differentiated compensation seeking veterans instructed to exaggerate PTSD from compensation seeking veterans instructed to respond honestly. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

A comparison of the MMPI-2 restructured clinical (RC) and clinical scales in a substance abuse treatment sample.

The Minnesota Multiphasic Personality Inventory-2 (MMPI-2) restructured clinical (RC) scales were designed to assess the underlying distinctive core components of the MMPI-2 clinical scales in order to enhance discriminant and convergent validity. Analyses utilizing inpatient and outpatient mental health treatment samples (Tellegen et al., 2003) have demonstrated improvements in the psychometric functioning of the RC scales in comparison with the original clinical scales. The current study extends these analyses by comparing the RC and original clinical scales in a sample of 1,284 men assessed at intake to a substance abuse treatment program in a VA setting. Results indicate that the RC scales demonstrate a general improvement in psychometric properties, with some increases in convergent and discriminant validity compared to their clinical scale counterparts. These results replicate Tellegen et al.'s (2003) findings in a different type of treatment setting and with different criteria, and complement their report by examining the validity of scales RC3 and RC9, for which Tellegen et al. (2003) did not have appropriate criteria. Implications for deliverers of psychological services in public sector settings are discussed. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Pretreatment predictors of dropout from cognitive behavioral therapy for PTSD in Iraq and Afghanistan war veterans.

Cognitive–behavioral therapies (CBTs) can be effective treatments for posttraumatic stress disorder (PTSD) but their effectiveness is limited by high rates of premature dropout. Few studies have compared pretreatment characteristics of treatment completers and dropouts, and only one has examined these factors in Operations Iraqi Freedom and Enduring Freedom (OIF/OEF) Veterans. This study analyzed archival clinical data from 117 OEF/OIF Veterans evaluated and treated through a Veterans Affairs PTSD clinic. High numbers dropped out of treatment (68%). Treatment dropouts (n = 79) and completers (n = 38) differed significantly on Minnesota Multiphasic Personality Inventory-2 (MMPI-2) scales, PTSD symptom severity, and age. Regression analyses identified one MMPI-2 scale, TRT (negative treatment indicators), and age as unique but modest predictors of dropout. (PsycINFO Database Record (c) 2011 APA, all rights reserved)     

The MMPI-2 considered in the contexts of personality theory, external validity, and clinical utility.

The MMPI-2 promises to be a substantial improvement over its predecessor and is a major contribution to the field of personality assessment. Much of the former research and the clinical experience that one has accumulated over the years will continue to be applicable to the MMPI-2. The author is somewhat surprised that the revision of the basic scales was not a more substantive one. Based on the research literature, psychometric considerations, and clinical needs, a more fundamental revision may have been appropriate. Improvements in and possible limitations in the MMPI-2 are discussed. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Use of the MMPI-2 With Asian Populations.

Psychological tests developed in the United States are being widely adapted into other languages and cultures around the world. This article examines the generalizability and utility of personality assessment instruments across cultures and addresses methodological issues related to using personality questionnaires in countries different from the one in which they were developed. This article specifically highlights the application of objective psychological tests in Asia with special emphasis on the most widely used and internationally adapted personality instrument, the Minnesota Multiphasic Personality Inventory-2 (MMPI-2). Effective strategies for translating, adapting, and standardizing questionnaires in languages and cultures different from their country of origin are reviewed. The history of several successful adaptations of the original MMPI and MMPI-2 is surveyed to illustrate the extensive research base for the test in Asia. Current research is summarized, and recommendations for future research are provided. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Computerized adaptive personality testing: A review and illustration with the MMPI-2 computerized adaptive version.

Computerized adaptive testing in personality assessment can improve efficiency by significantly reducing the number of items administered to answer an assessment question. Two approaches have been explored for adaptive testing in computerized personality assessment: item response theory and the countdown method. In this article, the authors review the literature on each and report the results of an investigation designed to explore the utility, in terms of item and time savings, and validity, in terms of correlations with external criterion measures, of an expanded countdown method-based research version of the Minnesota Multiphasic Personality Inventory-2 (MMPI-2), the MMPI-2 Computerized Adaptive Version (MMPI-2-CA). Participants were 433 undergraduate college students (170 men and 263 women). Results indicated considerable item savings and corresponding time savings for the adaptive testing modalities compared with a conventional computerized MMPI-2 administration. Furthermore, computerized adaptive administration yielded comparable results to computerized conventional administration of the MMPI-2 in terms of both test scores and their validity. Future directions for computerized adaptive personality testing are discussed. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Detection of back random responding: Effectiveness of MMPI-2 and Personality Assessment Inventory validity indices.

Two experiments examined the detection and effects of back random responding (BRR) on the Minnesota Multiphasic Personality Inventory-2 (MMPI-2) and the Personality Assessment Inventory (PAI). Experiment 1 revealed that MMPI-2 Clinical and Content scales were relatively resistant to the effects of BRR. Fb--F ≥ 20T was the most effective index for identifying invalid protocols. Experiment 2 revealed greater susceptibility of the PAI interpretive scales to the effects of BRR and less successful detection of BRR. The most effective PAI validity index was the combined indicator, ICN ≥ at 73T or INF ≥ 75T. Clinical and empirical implications of these findings are discussed, and tentative modifications to the MMPI-2 interpretative guidelines are provided. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Cross-Cultural Equivalence and Validity of the Vietnamese MMPI-2: Assessing Psychological Adjustment of Vietnamese Refugees.

The cross-cultural equivalence and validity of the Vietnamese translation of the Minnesota Multiphasic Personality Inventory-2 (MMPI-2) were examined in a sample of 1st-generation Vietnamese refugees in the United States (N = 143). Respondents completed the Vietnamese MMPI-2, the Harvard Trauma Questionnaire, a measure of acculturation, and a demographic questionnaire. An inspection of MMPI-2 mean profiles and items showing extreme endorsement rates suggested that certain symptom tendencies and cultural values may be reflected in responses to some MMPI-2 items. Older age, lower acculturation, greater experienced premigration-postmigration traumas, and military veteran status were all associated with elevated MMPI-2 profiles, suggesting that the MMPI-2 functions in a reasonably equivalent and valid way in this population. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Malingering as a categorical or dimensional construct: The latent structure of feigned psychopathology as measured by the SIRS and MMPI-2.

The 6 nonoverlapping primary scales of the Structured Interview of Reported Symptoms (SIRS) were subjected to taxometric analysis in a group of 1,211 criminal and civil examinees in order to investigate the latent structure of feigned psychopathology. Both taxometric procedures used in this study, mean above minus below a cut (MAMBAC) and maximum covariance (MAXCOV), produced dimensional results. A subgroup of participants (n = 711) with valid Minnesota Multiphasic Personality Inventory-2 (MMPI-2) protocols were included in a second round of analyses in which the 6 nonoverlapping primary scales of the SIRS and the Infrequency (F), Infrequency-Psychopathology (Fp), and Dissimulation (Ds) scales of the MMPI-2 served as indicators. Again, the results were more consistent with dimensional latent structure than with taxonic latent structure. On the basis of these findings, it is concluded that feigned psychopathology forms a dimension (levels of fabrication or exaggeration) rather than a taxon (malingering-honest dichotomy) and that malingering is a quantitative distinction rather than a qualitative one. The theoretical and clinical practice implications of these findings are discussed. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

The MMPI-2 Restructured Clinical Scales in the assessment of posttraumatic stress disorder and comorbid disorders.

[Correction Notice: An erratum for this article was reported in Vol 21(1) of Psychological Assessment (see record 2009-03401-005). The URL for the supplemental material was incomplete. The complete URL is http://dx.doi.org/10.1037/a0012948.supp] This study examined the psychometric properties of the Minnesota Multiphasic Personality Inventory-2 (MMPI-2) Restructured Clinical Scales (RCSs) in individuals with posttraumatic stress disorder (PTSD) receiving clinical services at Department of Veterans Affairs medical centers. Study 1 included 1,098 men who completed the MMPI-2 and were assessed for a range of psychological disorders via structured clinical interview. Study 2 included 136 women who completed the MMPI-2 and were interviewed with the Clinician Administered Scale for PTSD. The utility of the RCSs was compared with that of the Clinical Scales (CSs) and the Keane PTSD (PK) scale. The RCSs demonstrated good psychometric properties and patterns of associations with other measures of psychopathology that corresponded to current theory regarding the structure of comorbidity. A notable advantage of the RCSs compared with the MMPI-2 CSs was their enhanced construct validity and clinical utility in the assessment of comorbid internalizing and externalizing psychopathology. The PK scale demonstrated incremental validity in the prediction of PTSD beyond that of the RCSs or CSs. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Detecting random, partially random, and nonrandom Minnesota Multiphasic Personality Inventory-2 protocols.

The ability of the Minnesota Multiphasic Personality Inventory-2 (MMPI-2; J. N. Butcher et al., 2001) validity scales to detect random, partially random, and nonrandom MMPI-2 protocols was investigated. Investigations included the Variable Response Inconsistency scale (VRIN), F, several potentially useful new F and VRIN subscales, and Fb - F ≥ 30 and Fb ≥ 90. Protocols completed by 150 adults participating in custody evaluations at a juvenile court setting, screened for randomness with a matched-pair Millon Clinical Multiaxial Inventory-III (T. Millon, R. Davis, & C. Millon, 1997), were compared with 500 computer-generated all-random protocols and with three levels of partially random protocols. VRIN was the most effective scale in detecting uninterpretable random protocols; however, VRIN ≥ 80 failed to identify 37% of them. Fb - F ≥ 30 and Fb ≥ 90 misidentified 41% of the 50%-65% random protocols as partially interpretable. Using the new scales, a decision algorithm was described that correctly classified 97%-100% of the protocols as interpretable, partially interpretable, or uninterpretable. (PsycINFO Database Record (c) 2011 APA, all rights reserved)     

A comparison of MMPI-2 validity in African American and Caucasian psychiatric inpatients.

This study investigated ethnic differences on the Minnesota Multiphasic Personality Inventory-2 (MMPT-2) in 229 African American and 1,558 Caucasian psychiatric inpatients. Mean differences were found on several MMPI-2 validity and clinical scales. These were generally consistent with differences between the groups, indicated by the available extratest criterion data. To identify potential bias, the authors conducted 65 step-down hierarchical multiple regression analyses, predicting conceptually relevant clinical criteria from either MMPI-2 clinical or content scales for each gender. A number of MMPI-2 scales evidenced bias reflecting minor underprediction of psychopathology in African Americans. It is important to note that, in almost all cases, the magnitude of these differences was small and not clinically significant. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Detecting symptom exaggeration in combat veterans using the MMPI–2 symptom validity scales: A mixed group validation.

Although validity scales of the Minnesota Multiphasic Personality Inventory–2 (MMPI–2; J. N. Butcher, W. G. Dahlstrom, J. R. Graham, A. Tellegen, & B. Kaemmer, 1989) have proven useful in the detection of symptom exaggeration in criterion-group validation (CGV) studies, usually comparing instructed feigners with known patient groups, the application of these scales has been problematic when assessing combat veterans undergoing posttraumatic stress disorder (PTSD) examinations. Mixed group validation (MGV) was employed to determine the efficacy of MMPI–2 exaggeration scales in compensation-seeking (CS) and noncompensation-seeking (NCS) veterans. Unlike CGV, MGV allows for a mix of exaggerating and nonexaggerating individuals in each group, does not require that the exaggeration versus nonexaggerating status of any individual be known, and can be adjusted for different base-rate estimates. MMPI–2 responses of 377 male veterans were examined according to CS versus NCS status. MGV was calculated using 4 sets of base-rate estimates drawn from the literature. The validity scales generally performed well (adequate sensitivity, specificity, and efficiency) under most base-rate estimations, and most produced cutoff scores that showed adequate detection of symptom exaggeration, regardless of base-rate assumptions. These results support the use of MMPI–2 validity scales for PTSD evaluations in veteran populations, even under varying base rates of symptom exaggeration. (PsycINFO Database Record (c) 2011 APA, all rights reserved)     

Correlates of the MMPI-2-RF in a college setting.

The current study examined empirical correlates of scores on Minnesota Multiphasic Personality Inventory–2–Restructured Form (MMPI–2–RF; A. Tellegen & Y. S. Ben-Porath, 2008; Y. S. Ben-Porath & A. Tellegen, 2008) scales in a college setting. The MMPI–2–RF and six criterion measures (assessing anger, assertiveness, sex roles, cognitive failures, social avoidance, and social fear) were administered to 846 college students (nmen = 264, nwomen = 582) to examine the convergent and discriminant validity of scores on the MMPI–2–RF Specific Problems and Interest scales. Results demonstrated evidence of generally good convergent score validity for the selected MMPI–2–RF scales, reflected in large effect size correlations with criterion measure scores. Further, MMPI–2–RF scale scores demonstrated adequate discriminant validity, reflected in relatively low comparative median correlations between scores on MMPI–2–RF substantive scale sets and criterion measures. Limitations and future directions are discussed. (PsycINFO Database Record (c) 2010 APA, all rights reserved)