ISABELLA ROMERO SUPERVISED BY DR. DANIELLE BURCHETT CALIFORNIA STATE UNIVERSITY, MONTEREY BAY IN COLLABORATION WITH DR. DAVID GLASSMIRE PATTON STATE HOSPITAL.

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Presentation transcript:

ISABELLA ROMERO SUPERVISED BY DR. DANIELLE BURCHETT CALIFORNIA STATE UNIVERSITY, MONTEREY BAY IN COLLABORATION WITH DR. DAVID GLASSMIRE PATTON STATE HOSPITAL Mental Disorder Assessment: Mapping the MMPI-2-RF Substantive Scales onto Internalizing, Externalizing and Thought Dysfunction Dimensions

Why Validate Assessments? Tools which inform important processes for mental health practitioners  Give clinical picture  Must be accurate to inform effective treatment plan Diagnostic construct validity content/uploads/2014/08/psychologists-prescribing-medications.jpg content/uploads/2015/05/psychotherapy-los-angeles.jpg

Model of Psychopathology Three Factor Model of Psychopathology: The internalizing and externalizing dimensions, have received the most empirical support within general populations (Eaton, et al., 2012, Krueger, 1999) Internalizing Externalizing Thought Dysfunction Schizophrenia Mania Substance Abuse Antisocial Personality Attention- Hyperactivity Depression Anxiety Somatic Disorders (?)

MMPI-2-RF Minnesota Multiphasic Personality Inventory-2- Restructured Form (MMPI-2-RF, Ben-Porath & Tellegen, 2008/2011)

MMPI-2-RF Technical Manual of the MMPI-2-RF (Tellegen & Ben- Porath, 2008/2011) Low AES & MEC: Aesthetic-Literary Interests & Mechanical Interests

MMPI-2-RF

Current Study: Research Question Past MMPI-2-RF Research:  Compared mean scores for specific diagnostic groups (eg. Bipolar disorder, v. schizophrenia, Sellbom, et al., 2012) Current Study:  Does the MMPI-2-RF distinguish between forensic inpatients with and without  1. Internalizing Disorders  2. Externalizing Disorders  3. Thought Dysfunction Disorders ?

Method Participants  641 forensic inpatients, Males (72.1 %) Mean Age = years Total = 1,110 Total = 1,110 Valid = 641 Valid = 641 Internalizing Externalizing Yes (n =320) No (n =321) Yes (n =469) Thought No (n = 172 ) Yes (n = 562) No (n = 69)

Hypotheses ScalesInternalizingExternalizing Thought Dysfunction Higher- Order Scales EIDBXDTHD Restructured Clinical Scales RCd, RC1, RC2, RC,7 RC4 & RC9RC6 & RC8 Specific Problems Scales Internalizing, Somatic, Intrapersonal ANP, Externalizing Scales, FML Interest ScalesLow AES & MEC Personality Pathology-5 Scales NEGE-r & INTR-r DISC-r & AGG-r PSYC-r

Method: Statistical Analyses M1M1 M2M2 * Independent Samples t-test: Comparing means of independent samples Hedges' g values: Comparing size of difference between two means Small: Medium: Large:.80+ Cohen (1988)

Results: Internalizing Diagnosis MMPI-2-RF ScalesYes (n = 320)No (n = 321)g Higher-Order ScalesMSDM EID: Emotional/ Internalizing Dysfunction * Restructured Clinical Scales RCd: Demoralization * RC1: Somatic Complaints * RC2: Low Positive Emotions * RC7: Dysfunctional Negative Emotions * Somatic Specific Problems Scales MLS: Malaise * GIC: Gastrointestinal Complaints * HPC: Head Pan Complaints * NUC: Neurological Complaints * COG: Cognitive Complaints * Interest Scales AES: Aesthetic-Literary Interests MEC: Mechanical Interests *

Yes (n = 320)No (n = 321)g Internalizing SP ScalesMSDM SUI: Suicidal/Death Ideation * HLP: Helplessness * SFD: Self-Doubt * NFC: Inefficacy * STW: Stress and Worry * AXY: Anxiety * ANP: Anger Proneness * BRF: Behavior restricting Fears * MSF: Multiple Specific Fears * Interpersonal Specific Problems Scales IPP: Interpersonal Problems SAV: Social Avoidance SHY: Shyness * DSF: Disafiliativeness Personality Pathology- 5 Scales NEGE-r: Negative Emotionality/Neuroticism-Revised * INTR-r: Introversion-Revised

Results: Externalizing Diagnosis MMPI-2-RF ScalesYes (n = 469)No (n = 172)g Higher-Order ScalesMSDM BXD: Behavioral Externalizing Dysfunction * Restructured Clinical Scales RC4: Antisocial Behaviors * RC9: Hypomanic Activation Internalizing Specific Problems Scale ANP: Anger Proneness Externalizing Specific Problems Scales JCP: Juvenile Conduct Problems * SUB; Substance Abuse * AGG: Aggression * ACT: Activation Interpersonal Scales FML: Family Problems Personality Pathology-5 Scales AGGR-r: Aggressiveness-Revised DISC-R: Disconstraint-Revised *

Results: Thought Dysfunction Diagnosis MMPI-2-RF ScalesYes (n = 572)No (n = 69)g Higher-Order ScalesMSDM THD: Thought Dysfunction * Restructured Clinical Scales RC6: Ideas of Persecution RC8: Aberrant Experiences * Personality Pathology-5 Scales PSYC-r: Psychoticism-Revised *

Discussion Key Findings :  Higher-Order (H-O) scales demonstrated strong construct validity  Somatic problems are significantly associated with Internalizing domain  Interestingly, Ideas of Persecution scores were similar across groups; may be result of controlled settings (Morgan, Rozycki, & Wilson, 2004) Strengths:  High base rates of severe mental illness across all three domains Limitations & Future Directions  Overlapping vs. pure diagnostic groups VS.

Acknowledgements & References Eaton, N. R., Krueger, R. F., Markon, K. E., Keyes, K. M., Skodol, A. E., Wall, M., Grant, B. F. (2012). The structure and predictive validity of the internalizing disorders. Journal of Abnormal Psychology, 122(1), 86–92. doi: /a Krueger, R. F. (1999). The structure of common mental disorders. Archives of General Psychiatry, 56(10), 921–926. doi: /archpsyc Tellegen, A., & Ben-Porath, Y. S. (2008/2011). MMPI-2-RF (Minnesota Multiphasic Personality Inventory-2 Restructured Form): Technical manual. Minneapolis, MN: University of Minnesota Press. Weinborn, M., Orr, T., Woods, S. P., Conover, E., & Feix, J. (2003). A validation of the Test of Memory Malingering in a forensic psychiatric setting. Journal of Clinical and Experimental Neuropsychology, 25(7), Thanks to the following for making this study possible: University of Minnesota Press, which supported data collection Dr. Glassmire of Patton State Hospital Dr. Danielle Burchett CSUMB Undergraduate Research Opportunities Center (UROC)