Factor Structure of the Psychopathic Personality Inventory: Validity and Implications for Clinical Assessment.

Psychopathy is a personality disorder characterized by impulsive antisocial deviance in the context of emotional and interpersonal detachment. A factor analysis of the subscales of the Psychopathic Personality Inventory (PPI) yielded evidence for 2 factors. One factor showed relations with external criteria mirroring those of the emotional-interpersonal facet of psychopathy, including high dominance, low anxiety, and venruresomeness. The other factor showed relations paralleling those of the social deviance facet of psychopathy, including positive correlations with antisocial behavior and substance abuse, negative correlations with socioeconomic status and verbal ability, and personality characteristics including high negative emotionally and low behavioral constraint. Findings support using the PPI to assess these facets of psychopathy in community samples and to explore their behavioral correlates and genetic-neurobiological underpinnings. (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)     

The detection of malingered pain-related disability with the Personality Assessment Inventory.

Objective: This study presents and evaluates a method to detect malingered pain-related disability (MPRD) using the Personality Assessment Inventory (PAI), a multiscale self-report instrument with a number of useful applications in pain assessment. Method: In this study PAI scores from respondents in a chronic pain clinic (N = 317) and college students instructed to feign chronic pain (N = 152) were compared. Results: Although existing PAI validity indicators demonstrated strong effects in discriminating actual pain and MPRD cases, these indicators were not sufficiently sensitive to feigned pain to recommend for clinical practice. A discriminant function was developed and cross-validated, which improved upon the sensitivity of the other indicators and yielded an overall hit rate of 88% for detecting individuals instructed to malinger pain-related disability. Conclusion: These data suggest that this new PAI indicator holds some promise for more effective detection of MPRD. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

The convergence and predictive validity of the Multidimensional Pain Inventory and the Personality Assessment Inventory among individuals with chronic pain.

Objective: To explore the convergence, redundancy, and validity of the Multidimensional Pain Inventory (MPI) and the Personality Assessment Inventory (PAI) in a chronic pain treatment setting. Participants: Data from intake (N=235) and follow-up (N=187) for individuals with an average of 9 years of chronic pain who participated in a 20-day integrative treatment program were analyzed. Outcome Measures: Oswestry Disability Index, Beck Depression and Anxiety inventories, Rand Short-Form Health Survey, and clinician-rated ability to stand and carry. Results: Conjoint factor analyses suggested that the MPI and PAI combine to tap five orthogonal factors: Negative Affect, Support, Externalizing, Physical Dysfunction, and Impulsivity. MPI and PAI scales significantly related to various aspects of client functioning, although these scales were more limited in predicting clinician-rated markers and change during treatment. Conclusion: Results support the combined use of the MPI and PAI to understand patient heterogeneity and predict treatment outcome in chronic pain samples. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Detection of overreporting of psychopathology on the Personality Assessment Inventory: A meta-analytic review.

The Personality Assessment Inventory (L. C. Morey, 1991) includes 3 measures for identifying overreporting of psychopathology: the Negative Impression scale (NIM), Malingering Index (MAL), and Rogers Discriminant Function (RDF). Meta-analysis revealed that each measure was a strong predictor of uncoached (NIM, d = 1.48, k = 23; MAL, d = 1.15, k = 19; RDF, d = 1.13, k = 15) and coached malingering (NIM, d = 1.59, k = 8; MAL, d = 1.00, k = 6; RDF, d = 1.65, k = 3). For uncoached malingering, effects were larger in simulation than criterion groups studies, for identifying feigning of severe mental disorders than mood/anxiety disorders, and when feigners were compared to unimpaired honest respondents as opposed to patients. Cut scores of NIM ≥ 81 and MAL ≥ 3 resulted in the highest overall classification rates for identifying feigning. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Further evidence of the divergent correlates of the Psychopathic Personality Inventory factors: Prediction of institutional misconduct among male prisoners.

Recent evidence suggests that 2 largely orthogonal dimensions underpin the latent construct assessed by the Psychopathic Personality Inventory (PPI; Lilienfeld & Andrews, 1996): Fearless Dominance (PPI-I) and Impulsive Antisociality (PPI-II). Relatively few data exist on the correlates of these 2 dimensions in offender samples, however. The present study examines the criterion-related validity of these 2 dimensions among male prison inmates (N = 131) in relation to the prediction of 3 categories of institutional maladjustment: aggressive misconduct, nonaggressive misconduct, and any misconduct. PPI-II significantly predicted each criterion type, with effect sizes of moderate magnitude, whereas PPI-I was essentially unrelated to these outcome measures. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Strategic, method, and stylistic variance in the MMPI.

"Strategic variance arises in the assessment of an S's communality with respect to a normative group on a dimension defined by contrast with a criterion group. Method variance is due to the idiosyncratic nature of the total item pool in regard to the proportion of true and false keyings and the distribution of item popularity values. (Stylistic variance includes dispositions to agree (acquiescence) or disagree (cautiousness) with neutral statements, independently of item content." In these terms, relevant research with the MMPI is reviewed. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Clinical validation of the Chinese Personality Assessment Inventory.

The clinical validity of the Chinese Personality Assessment Inventory (CPAI; F. M. Cheung, K. Leung, et al., 1996) was examined in 2 studies involving a group of 167 male prisoners in Hong Kong and a group of 339 psychiatric patients in China. Elevated scores on the clinical scales were obtained for the clinical samples. Logistic regression analyses confirmed that the CPAI scales were useful in differentiating between male prisoners and the Hong Kong male normative sample and between psychiatric patients and a random sample of normal adults in China. Multivariate analyses of variance results showed significant differences on the CPAI clinical scales and personality scales among subgroups of psychiatric patients with diagnoses of bipolar, schizophrenic, and neurotic disorders. The usefulness of an indigenous personality inventory is discussed. (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)     

Efficiency of a Strategy for Detecting Back Random Responding on the Personality Assessment Inventory.

The efficiency of a new strategy to identify back random responding (BRR) on the Personality Assessment Inventory (L. C. Morey, 1991) was studied using random manipulations of item responses from community (904 adult nonpatients) and clinical (1,079 adult patients) respondents. The strategy involved a comparison of short-form and full-instrument T scores on 2 scales found to be particularly sensitive to BRR in a recent study. This strategy was found to be reasonably sensitive and specific to even relatively low levels of BRR. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

The relation of the Vocational Preference Inventory to the Sixteen Personality Factor Questionnaire.

How valid is the Holland Vocational Preference Inventory? The VPI, a short form of this inventory, and Form A of Cattell's Sixteen Personality Factor test were administered via mail to 783 boys and 394 girls and the scores intercorrelated. These "generally provided positive evidence for the construct validity of the VPI and its rationale." (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Multidimensional Personality Questionnaire profiles of veterans with traumatic combat exposure: Externalizing and internalizing subtypes.

This study used the Multidimensional Personality Questionnaire (MPQ; A. Tellegen, in press) to identify personality-based subtypes of posttraumatic response. Cluster analyses of MPQs completed by combat veterans revealed subgroups that differed on measures relating to the externalization versus internalization of distress. The MPQ profile of the externalizing cluster was defined by low Constraint and Harmavoidance coupled with high Alienation and Aggression. Individuals in this cluster also had histories of delinquency and high rates of substance-related disorder. In comparison, the MPQ profile of the internalizing cluster was characterized by lower Positive Emotionality, Alienation, and Aggression and higher Constraint, and individuals in this cluster showed high rates of depressive disorder. These findings suggest that dispositions toward externalizing versus internalizing psychopathology may account for heterogeneity in the expression of posttraumatic responses, including patterns of comorbidity. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Detecting back irrelevant responding on the Personality Assessment Inventory in a psychiatric inpatient setting.

The present studies focus on strategies for detecting back irrelevant responding (BIR) on the Personality Assessment Inventory (PAI; L. C. Morey, 1991). Moderate BIR levels can greatly affect the clinical scales of the PAI. Further, the PAI's Inconsistency and Infrequency validity scales are less than optimal for detecting BIR. L. C. Morey and C. J. Hopwood (2004) developed an alternative strategy for detecting BIR that involves comparison of 2 scales from the PAI short-form with the same 2 scales from the PAI full-instrument. The present study examines how different BIR levels affect the clinical, treatment, and interpersonal scales of the PAI in 2 psychiatric inpatient samples. The effectiveness of various strategies for detecting BIR in an inpatient setting is also discussed. Consistent with previous research, moderate rates of BIR impacted several PAI scales in a meaningful way. The Inconsistency and Infrequency validity scales of the PAI were relatively ineffective for detecting low-to-moderate BIR levels. Conversely, the short-form full-instrument comparison strategy was much more sensitive to BIR. Finally, a new BIR detection indicator is presented that improves sensitivity rates for detecting all BIR levels in an acute setting. The implications of these results for detecting BIR in inpatient settings are discussed. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Detecting over- and underreporting of psychopathology with the Spanish-language Personality Assessment Inventory: Findings from a simulation study with bilingual speakers.

Existing research on the Spanish-language translation of the Personality Assessment Inventory (PAI; L. C. Morey, 1991) suggests that the validity scales from the English- and Spanish-language versions may not be equivalent measures. In the current study, 72 bilingual participants completed both the English- and Spanish-language versions of the PAI under the instructions to respond honestly, to overreport psychopathology for an insanity case, or to underreport psychopathology for an employment evaluation. Overall, the English- and Spanish-language validity scales performed similarly, and scores from the Negative Impression Management and the Positive Impression Management scales demonstrated the highest levels of equivalence and accuracy for the identification of simulators across language versions. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Clinical utility of the Cross-Cultural (Chinese) Personality Assessment Inventory (CPAI-2) in the assessment of substance use disorders among Chinese men.

This study examined the clinical utility of the Cross-Cultural (Chinese) Personality Inventory (CPAI-2) in differentiating the personality characteristics of Chinese men with substance use disorders from other psychiatric patients and normal control participants. The CPAI-2 profile of 121 Chinese men with substance use disorders was contrasted with that of a matched psychiatric comparison group (n = 172) and a normal comparison group (n = 187). Multivariate analyses of variance and logistic regression results supported the utility of the CPAI-2 clinical scales, especially Pathological Dependence, Antisocial Behavior, and Depression, for assessing substance use disorders. The Pathological Dependence scale (cutoff T score of 64) achieved good sensitivity and specificity. Apart from the universal personality traits related to neuroticism, conscientiousness, and agreeableness found in Western studies, the indigenously derived CPAI-2 personality scales, including Family Orientation and Harmony, highlighted deficits in social adjustment and interpersonal relationship as important cultural features in the personality characteristics of these participants. The study provided a cross-cultural extension to research on the relationship between personality and substance use disorders and could assist clinicians in considering culturally relevant treatment approaches. (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)     

The association between psychopathology in fathers versus mothers and children's internalizing and externalizing behavior problems: A meta-analysis.

In light of the selective focus on maternal (vs. paternal) psychopathology as a risk factor for child development, this meta-analysis examines the relative strength of the association between psychopathology in mothers versus fathers and the presence of internalizing and externalizing disorders in children. Associations were stronger between maternal than paternal psychopathology and the presence of internalizing (but not externalizing) problems in children, with all average effect sizes being small in magnitude. Relations were moderated by variables that highlight theoretically relevant differences between psychopathology in mothers versus fathers (e.g., age of children studied, type of parental psychopathology) and by variables related to methodological differences across studies (e.g., method of assessing psychopathology in parents and children, type of sample recruited, familial composition). (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Psychometric adequacy and comparability of the short and full forms of the Personality Assessment Inventory.

The 160-item short form of the Personality Assessment Inventory (PAI) was developed for situations in which respondents complete only the 1st half of the test. The present study evaluates the adequacy and comparability of the full and short forms of the PAI in terms of a wide range of psychometric characteristics. In all, 421 participants completed the full form as part of a neuropsychological evaluation. Results indicated slightly lower internal consistency reliability of the short compared with the full form. Group-level agreement of short and full form scales ranged from adequate to excellent. However, within-subject agreement was somewhat more variable. Low levels of within-subject agreement were strongly associated with elevated validity scale scores. The factor structures of the full and short forms showed high congruence for a 3-factor solution. These findings suggest that many scales of the short form have adequate comparability with their respective full form scales. However, low levels of reliability across less impaired ranges of the latent trait, diminished content coverage, and altered validity detection may limit the utility of some of the short form scales. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Identification of mental disorders in an in-patient prison psychiatric unit: Examining the criterion-related validity of the Personality Assessment Inventory.

Identifying inmates with mental disorders is a crucial function of correctional mental health services. This study examined the utility of several theoretically relevant scales and subscales of the Personality Assessment Inventory (PAI; Morey, 1991, 2007) to identify various broad diagnostic categories (i.e., mood, psychotic, and substance use disorders) in a sample of prisoners in an inpatient psychiatric facility (N = 57). Results indicated moderate effect sizes and classification accuracy for most but not all PAI scales and subscales. Experimental scales for the detection of substance use disorders performed worse than the PAI Drug Problems scale in isolation. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Personality Assessment Inventory profiles of deployed combat troops: An empirical investigation of normative performance.

The present study examined the normative scores and psychometric properties of the Personality Assessment Inventory (PAI; Morey, 1991) within a non-treatment-seeking sample of soldiers deployed to combat zones in Iraq, compared with a sample of community adults matched with respect to age and gender. Results indicate the scores and properties of the PAI scales were generally quite similar in the Iraq and community samples, with modest differences emerging on only 3 subscales addressing antisocial behavior, issues with close relationships, and interpersonal vigilance. These results suggest that standard normative interpretation of PAI scales is appropriate even when the instrument is administered in a combat zone. In comparison with prior research, the results may suggest that documented mental health issues among combat veterans, when present, may be particularly likely to emerge postdeployment. (PsycINFO Database Record (c) 2011 APA, all rights reserved)