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M Click

Publications and source records attributed to M Click.

5 recordsLinked to original sources

Screening for borderline personality disorders with the MMPI-168.

Investigated the possible use of the MMPI-168 as a screening instrument for identifying individuals (N = 27) with DSM III diagnosed borderline personality disorder. Using previously reported percentile norms for bright young college graduates as a reference, borderline patients as a group fell above the 98th percentile on the F, Hypochondriasis, Depression, Hysteria, Psychopathic Deviate, Psychasthenia and Schizophrenia scales, as well as the general psychopathology scale (PSY). Additionally, the borderline sample's mean score on the Paranoia scale was above the 95th percentile, and the mean Social Introversion scale was above the 90th percentile. Almost equally distinguishing was the finding that the mean K scale score for the borderline sample fell as low as the 8th percentile for the normative college sample. These results demonstrate that the MMPI-168 response pattern of borderline patients was clearly distinguishable from the great majority of college graduates.

Adult↗

Life events and response to antidepressants.

The present study examined the relationship of life events and response to tricyclic antidepressants among 80 outpatients with unipolar, primary depressions. Participants were randomly assigned to receive either amitriptyline or amoxapine. Events occurring in either the two or 12 months prior to starting treatment (antecedent events) were unrelated to antidepressant response. However, events occurring during the treatment period itself (concurrent events) were significantly related to tricyclic response. Patients evidencing the poorer response reported almost three times as many concurrent events as the more improved patients. A poorer tricyclic response was associated in particular with concurrent events which were undesirable, health related, and perceived as being outside of the patient's own control. It was suggested that the continuing occurrence of stressor events probably interferes with treatment efforts and, therefore, it may be important for the therapist to pay careful attention to the ongoing life stresses of the depressed patient.

Adolescent↗

Research criteria for the diagnosis of depression.

Four sets of research criteria for depression are compared: the Feighner, Spitzer, Texas Actuarial, and Composite methods. Of 80 carefully selected depressed patients, 68% satisfied Feighner's criteria, 71% Spitzer's, 75% the Texas Actuarial, and 94% the Composite criteria. Not only did the criteria sets select different proportions of the total, but they also selected substantially different patients, suggesting that results obtained from studies using one set of criteria for diagnosis or selection might not be generalizable to other groups of "depressed" patients. The authors recommend further studies, comparing relative validity as well as reliability, of alternative research diagnostic criteria.

Adolescent↗