Using an abbreviated MMPI as a screening device for medical patients.
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Biomedical subjects
Publications and source records attributed to C S Newmark.
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The diagnostic efficacy of the MMPI-168 and standard MMPI was compared with a sample of psychiatric inpatients. Using traditional psychiatric measures and projective testing as a basis for the criterion diagnoses, no significant differences were found between the two MMPI forms. Rationale for the methodology employed was discussed.
The interpretive accuracy of the standard MMPI and three abbreviated forms was assessed and compared with a sample of psychiatric inpatients. Psychiatric teams evaluated the accuracy of the interpretation of one abbreviated form and the standard form for their patients. Only the MMPI-168 obtained comparable ratings to the standard form.
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Since MMPI measures of anxiety do not differentiate situational from chronic anxiety, an attempt was made to factor analyze the MMPI-STAI scores of 311 psychiatric inpatients. Four factors emerged that were labeled Adjustment, Passivity, Somatic Concern and Anxiety Proneness. The results were compared with other MMPI factor-analytic studies. Evidence supported Welsh's A as a measure of chronic anxiety.
Two studies, one using 242 psychiatric patients and the other 120 normal college students, were conducted to evaluate the predictive potential of three abbreviated MMPIs namely the Midi-Mult, Hugo abbreviated MMPI and Faschingbauer abbreviated MMPI. With regard to psychiatric inpatients, the Faschingbauer abbreviated MMPI-scale group means were markedly similar, highly correlated, and seemed to be a fairly accurate substitute for the MMPI in predicting clinical types. Numerous deficiencies were evident when using the Midi-Mult or Hugo abbreviated MMPI, especially with regard to classification analysis concerning validity, mean raw score scale differences and high point codes. In contrast, results from a normal college sample showed close statistical correspondence, high comparability in identifying valid and invalid profiles as well as high correspondence with respect to high point codes and general profile elevations regardless of which abbreviated form was used.
Thirty-five elementary school children received the WISC, Rorschach, CAT, and Sentence Completion Test in counterbalanced order with a test-test interval of approximately 24 hours. State and trait anxiety measures were assessed immediately prior to and immediately following each test administration. Results indicated that state anxiety measures increased significantly following administration of the more ambigious and school related assessment tests, namely the Rorschach and WISC. In contrast, the more structured, less amorphous CAT and Sentence Completion Test, did not induce any significant changes in state anxiety. In all cases, trait anxiety measures remained relatively stable. Implications for assessment techniques with children were discussed.
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