Use of the MMPI-2 in the outpatient assessment of women with Anorexia Nervosa or Bulimia Nervosa

Past research has shown that women with eating disorders commonly display clinical elevations on several scales of the Minnesota Multiphasic Personality Inventory (MMPI; Hathaway & McKinley, 1983), so the MMPI may be useful for the differentiation of women with Anorexia Nervosa from those with Bulimia Nervosa. In the study presented here, 116 women diagnosed with either Bulimia Nervosa or Anorexia Nervosa completed the Minnesota Multiphasic Personality Inventory-2 (Butcher, Dahlstrom, Graham, Tellegen, & Kaemmer, 1989). Multivariate analyses failed to reveal any differences among the diagnostic subtypes. Consideration of profile code types was suggestive of possible group differences that mirror those discussed in previous literature on the personality features of women with eating disorders. Results are discussed with regard to past research and the clinical utility of the MMPI in the outpatient assessment of women with Anorexia Nervosa or Bulimia Nervosa.     

The Self-Rating of the Effects of alcohol (SRE) form as a retrospective measure of the risk for alcoholism

AIMS: A low level of response (LR) to alcohol is a characteristic of sons of alcoholics and predicts an elevated future alcoholism risk. A 12-question Self-Rating of the Effects (SRE) of alcohol form has been shown to correlate cross-sectionally with a designation of a low LR determined by alcohol challenges. DESIGN: This study evaluates the potential usefulness of the SRE as a retrospective measure of both the response to alcohol and of subsequent alcoholism in two samples. SETTING: All subjects were studied in the United States, most in California. PARTICIPANTS: First, 94 sons of alcoholics and controls completed the SRE 15 years after an alcohol challenge, and SRE values were compared to their prior LR results and their alcoholic outcomes. Secondly, the relationship between SRE results and alcoholic status was determined in 551 men and women alcoholics, their relatives, and controls. MEASUREMENTS: Subjects were evaluated with face-to-face interviews. FINDINGS: Despite the interval of 15 years, the correlation between the SRE and the subjective high feelings on the alcohol challenge was between -0.3 and -0.4. For those 94 subjects the full SRE correlated with a diagnosis of alcohol dependence at 0.5, a figure that remained at 0.3 even when only the estimates related to the earliest drinking experiences were considered. For the 551 men and women, the correlation between the SRE and alcohol dependence diagnoses was 0.6, including 0.3 for the estimates of the first five times of drinking. All major findings in both samples remained robust when the recent drinking history or the number of items endorsed was considered, or when the most severe alcohol problem, passing out, was deleted from the analysis. CONCLUSIONS: When alcohol challenges are not possible, these retrospective reports indicate that the SRE is a potentially useful surrogate for determining a subgroup of people who might carry a low level of response to alcohol and a subsequent elevated risk for alcoholism.     

Depression as a risk factor or prodromal feature for dementia? Findings in a population-based sample of Swedish twins.

This study tested whether history of depression is associated with an increased likelihood of dementia, and whether a first depressive episode earlier in life is associated with increased dementia risk, or whether only depressive episodes close in time to dementia onset are related to dementia. Depression information came from national hospital discharge registries, medical history, and medical records. Dementia was diagnosed clinically. In case–control results, individuals with recent registry-identified depression were 3.9 times more likely than those with no registry-identified depression history to have dementia, whereas registry-identified depression earlier in life was not associated with dementia risk. Each 1-year increase in time between depression onset and dementia onset or equivalent age decreased the likelihood of dementia by 8.4%. In co-twin control analyses, twins with prior depression were 3.0 times more likely to have dementia than their nondepressed twin partners, with a similar age of depression gradient. These findings suggest that after partially controlling for genetic influences, late-life depression for many individuals may be a prodrome rather than a risk factor for dementia. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Validating the factor structure of the Self-Report Psychopathy Scale in a community sample.

Currently, there is no standard self-report measure of psychopathy in community-dwelling samples that parallels the most commonly used measure of psychopathy in forensic and clinical samples, the Psychopathy Checklist. A promising instrument is the Self-Report Psychopathy scale (SRP), which was derived from the original version the Psychopathy Checklist. The most recent version of the SRP (SRP-III; D. L. Paulhus, C. S. Neumann, & R. D. Hare, in press) has shown good convergent and discriminate validity and a factor structure similar to the current version of the Psychopathy Checklist (PCL-R; R. D. Hare, 1991, 2003). The analyses in the current study further investigated the viability of the SRP-III as a PCL-R-analogous measure of psychopathy in nonforensic and nonclinical samples by extending the validation process to a community sample. Using confirmatory factor analyses and logistic regressions, the results revealed that a four-factor oblique model for the SRP-III was most tenable, congruent with the PCL-R factor structure of psychopathy and previous research in which the SRP-III was administered to a student sample. (PsycINFO Database Record (c) 2011 APA, all rights reserved)     

The factor structure of situational and dispositional versions of the Smith Irrational Beliefs Inventory in a Spanish student population.

This study attempted to identify and replicate the factor structure of English and Spanish versions of the Smith Irrational Beliefs Inventory (SIBI). Factor analyses of irrational beliefs have yielded conflicting results. In contrast to the results of studies on clinical populations, studies on college students have mostly resulted in unifactorial solutions. Factor analyses of situational and dispositional Spanish versions of the SIBI on 960 Spanish college students resulted in 7 factors: Negativity, Distorted Egocentrism, Perfectionism, Catastrophizing-Task Exaggeration, Minimizing-Avoiding, Needless Other- Blaming, and Distorted Isolation. The results suggest that the SIBI displays a consistent factor structure across cultures and situational/dispositional formats. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Screening for malingering in a criminal-forensic sample with the Personality Assessment Inventory.

In this study, the authors examined how overreporting of psychopathology indices on the Personality Assessment Inventory (PAI; L. C. Morey, 1991) performed as screening measures for malingering in a sample of 166 defendants undergoing pretrial court-ordered evaluations in the federal criminal justice system. Using results from the Structured Interview of Reported Symptoms (SIRS; R. Rogers, R. M. Bagby, & S. E. Dickens, 1992) as the criterion measure of malingering, the authors found that the Negative Impression scale (NIM) was the most effective PAI screening measure (cut score ≥ 81T). NIM performed as well as an established comparison measure from the Minnesota Multiphasic Personality Inventory--2 (J. N. Butcher, W. G. Dahlstrom, J. R. Graham, A. Tellegen, & B. Kaemmer, 1989; Infrequency [F] cut score ≥ 95T), supporting the use of either of these indices as reasonable screening measures to identify potential malingerers for subsequent evaluation. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Latent variable structure of the Brief Symptom Inventory in a sample of persons with spinal cord injuries.

Investigated the presence of underlying factors which may be helpful in understanding Brief Symptom Inventory (BSI) item responses with 215 inpatientsresponse with spinal cord injuries. BSI scores were analyzed with principal components and maximum-likelihood factor estimation, and 6 factors were retained: anxiety, depression, mental blocks, interpersonal sensitivity, spinal cord injury, and hostile suspiciousness. Examination of factor content indicated their relevance to aspects of the rehabilitation process. Evidence for construct validity was examined by comparing the factor scores of persons who were rehospitalized versus persons who were not rehospitalized in the first year following initial rehabilitation. The rehospitalized group had higher BSI depression, mental blocks, and spinal cord injury factor scores prior to discharge. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Examination of the short form of the Inventory of Drinking Situations (IDS-42) in a young adult university student sample

The 42-item version of the Inventory of Drinking Situations (IDS-42) assesses relative frequency of drinking behavior across eight categories of drinking situations and was originally developed as a method for identifying high-risk situations in alcoholic samples. This study was designed to examine the psychometric properties of the IDS-42 in a sample of university students in order to assess its suitability as an assessment tool in the non-clinical population. Three hundred and ninety-six students (111 M, 283 F, 2 with missing gender data) completed the IDS-42 and a well established measure of drinking motives, the Drinking Motives Questionnaire (DMQ). Confirmatory factor analysis of the IDS-42 established a hierarchical factor structure with eight lower-order factors and three higher-order factors of negatively-reinforcing situations, positively-reinforcing situations, and temptation situations. The eight lower-order IDS-42 factors demonstrated moderate to high internal consistency and excellent concurrent validity with conceptually-similar DMQ subscale scores. Non-parametric analyses revealed that male students reported a higher drinking frequency overall as compared to female students, particularly in IDS-42 situations involving Social Pressure to Drink, Pleasant Times with Others, Testing Personal Control, and Urges and Temptations. Across the entire sample of university student drinkers, a higher drinking frequency was reported in positively-reinforcing situations as compared to negatively-reinforcing situations and temptation situations, as predicted. Results suggest the IDS-42 possesses good psychometric properties and support its utility as a tool in identifying situation-specific antecedents to drinking among university students.     

The development of the Japanese version of the Maslach Burnout Inventory and the examination of the factor structure

This article presents an evaluation of the factor structures of the Japanese version of the Maslach Burnout Inventory (MBI). The MBI is a widely used psychometric instrument for measuring 'burnout' developed by Maslach and her co-workers. The MBI consists of four subscales: Emotional Exhaustion, Personal Accomplishment, Depersonalization, and Involvement. The MBI was translated into Japanese along with a back-translation and was administered to a sample of 267 nurses. Various psychometric analyses showed that the Japanese version of the MBI has high reliability for the 22 items scored for the frequency dimension. The factor analysis using principal factoring with an oblique rotation resulted in three factor structures that had different implications from the MBI: Emotional Exhaustion/Depersonalization, Personal Accomplishment, and Physical Exhaustion. The correlationship between the MBI and the General Health Questionnaire (GHQ), measures of depression, showed that burnout was a unique phenomenon.     

Psychometric properties of the Beck Depression Inventory for Youth in a sample of girls.

A new measure has been developed to assess depressive symptoms, the Beck Depression Inventory for Youth (BDI-Y; J. S. Beck, A. T. Beck, & J. B. Jolly, 2001). This research extends previous validation research of BDI-Y total scores by examining internal consistency and convergent and predictive validity within a school-based sample (n = 859) of girls 9-13 years old by age level and for selected races or ethnic groups. Scores had high internal consistency, and there was support for using the BDI-Y to assess depressive symptoms. Reliability was slightly lower for 9-year-olds, but reliability and validity estimates did not differ by race or ethnic group. Finally, confirmatory factor analysis results provide some support for unidimensionality of scores but also point toward possible refinements. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Empirical validation of the Marital Satisfaction Inventory in a nonclinical sample.

50 couples from the general population were interviewed conjointly using the Marital Satisfaction Inventory (MSI), and spouses were rated separately on a 76-item checklist pertaining to various aspects of their marriage. The mean age of the sample was 36.9 yrs. Subsequent analyses identified 269 significant Scale?×?Criterion correlations, including 203 replicated in independent mixed subsamples. Both the overall distribution and relative magnitude of correlations supported the basic interpretive intent of MSI scales. Discussion contrasts current results with previous findings using distressed samples and addresses implications for clinical use of the MSI. (24 ref) (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Factor analysis of the Children's Depression Inventory in a community sample.

The factor structure of the Children's Depression Inventory (CDI; M. Kovacs, 1992) was evaluated in a large community sample of 1,777 children and 924 adolescents. There were 5 first-order factors (Externalizing, Dysphoria, Self-Deprecation, School Problems, and Social Problems) for the child group; the adolescent group yielded the same 5 factors plus a 6th factor (Biological Dysregulation). Confirmatory factor analyses supported the stability and replicability of the obtained factor structures. Both samples yielded 2 higher order factors—Internalizing and Externalizing. The factors were compared with previous CDI factors identified for clinical (B. Weiss et al., 1991) and community (M. Kovacs, 1992) samples. Other notable findings included more boys reporting high scores (17 and above) on the CDI among the child sample, whereas, among adolescents more girls reported high scores (17 and above) on the total CDI as well as higher scores on the biological dysregulation factor. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Criterion-related validity of the Psychopathic Personality Inventory in a prison sample.

The Psychopathic Personality Inventory (PPI; S. 0. Lilienfeld & B. P. Andrews, 1996), a self-report measure of psychopathic personality features, and R. D. Hare's (1991) Psychopathy Checklist–Revised (PCL–R) were administered to adult youthful offender prison inmates (N?=?50). As hypothesized, PPI scores were significantly correlated with scores on the PCL–R, providing evidence of concurrent validity for the PPI. Moreover, unlike existing self-report psychopathy measures, the PPI showed a moderate and positive correlation with PCL–R Factor 1 (i.e., the core personality traits of psychopathy). Discriminant function analysis using the optimal PPI total score value to predict PCL–R classifications of psychopath (n?=?10) and nonpsychopath (n?=?40) resulted in accurate classification of 86% of the cases (sensitivity?=?.50, specificity?=?.95). Results are discussed in terms of the relative merits of these 2 measures of psychopathy and the validation of the PPI for clinical use. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Factor structure of the Psychopathic Personality Inventory (PPI): Findings from a large incarcerated sample.

Exploratory factor analysis (EFA) of the Psychopathic Personality Inventory (PPI; S. O. Lilienfeld, 1990; S. O. Lilienfeld & B. P. Andrews, 1996) with a community sample has suggested that the PPI subscales may comprise 2 higher order factors (S. D. Benning, C. J. Patrick, B. M. Hicks, D. M. Blonigen, & R. F. Krueger, 2003). However, substantive and structural evidence raises concerns about the viability of this 2-factor model, particularly in offender populations. The authors attempted to replicate the S. D. Benning et al. 2-factor solution using a large (N = 1,224) incarcerated male sample. Confirmatory factor analysis of this model resulted in poor model fit. Similarly, using the same EFA procedures as did S. D. Benning et al., the authors found little evidence for a 2-factor model. When they followed the recommendations of J.-W. van Prooijen and W. A. van der Kloot (2001) for recovering EFA solutions, model fit results provided some evidence that a 3-factor EFA solution could be recovered via confirmatory factor analysis. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Joint factor structure of the Multidimensional Personality Questionnaire and the MMPI in a psychiatric and high-risk sample.

Assessed aspects of the construct validity of the Multidimensional Personality Questionnaire (MPQ), a measure of normal personality characteristics, in a clinically relevant sample through joint factor analyses of primary and second-order scales of the MPQ and the MMPI. A subsample from the Washington University Twin Study of Psychopathology was analyzed. The MPQ's primary scales and higher order factors were found to have meaningful associations with MMPI scales that served as construct markers. The MPQ taps constructs related to, although not redundant with, those measured by the MMPI. Additionally, the MPQ provides a Constraint measure that is relevant to the study of psychopathy and not represented among the MMPI clinical scales. The potential utility of the MPQ in clinical settings as an adjunct to traditional assessment instruments such as the MMPI is discussed. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Generalization of the WAIS—R factor structure with a vocational rehabilitation sample.

Investigated the robustness of the WAIS—R factor structure with a generalization sample of 85 psychiatric and medical patients (mean age 35.38 yrs) receiving vocational rehabilitation services at a VA medical center. A principal factor analysis followed by varimax rotation identified the Verbal Comprehension and Perceptual Organization factors. Coefficients of congruence indicate that the results are highly consistent with those reported by A. B. Silverstein (1982) for the standardization sample and provide added justification for specific interpretation of the WAIS—R Verbal and Performance IQs in this clinical group. (4 ref) (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

The Tridimensional Personality Questionnaire: Reliability and validity studies and derivation of a short form.

A series of interrelated analyses were conducted on 2 samples of college students to examine the reliability and validity of the Tridimensional Personality Questionnaire (TPQ) and to develop and validate a short version of the scale. Factor analyses were conducted and tended to approximate Cloninger's proposed model, Novelty Seeking predicted a range of substance use and abuse measures, and substance use disorders. Harm Avoidance was unrelated to substance use but predicted alcohol problems and dependence phenomena. No support was found for the quadratic and specific interaction effects proposed by Cloninger (1987). The Short-TPQ, a 44-item scale derived through exploratory factor analysis, demonstrated levels of reliability and validity quite comparable to those of the full scale. These results provide moderate support for the reliability and validity of both the TPQ and the Short-TPQ. (PsycINFO Database Record (c) 2010 APA, all rights reserved)