1. Establishing context-specific Veteran Affairs Comparison Groups for the MMPI-2-Restructured Form
Paul B. Ingramac
Jackie Bhattaraiac
Anthony M. Tarescavageb
Yossef S. Ben-Porathb
Mary E. Oehlertca
a = University of Kansas
b = Kent State
c = Eastern Kansas Veteran Healthcare System

2. Context of evaluations
Greater comorbidity and prevalence
Compensation for symptoms due to service
Statistical and evidence-based are thrust

3. Past Projects and Project Aims
Goal: Improve VA comparison group availability
Inclusive nationwide sample
Performance evaluated across clinical setting
Performance validated against external measures
PTSD Anxiety Depression Substance Cognition
PC-PTSD PHQ-9 BDI-II CIWA-AR SLUMS
PCL-2 BDI-II GAD-7 CAGE MOCA
MISS PHQ-2 STAI SMAST
PCL-M GDS BAI
PCL-C

4. Study design Participants: Inclusion Criteria
Instrument
Unique PID
Total Administrations
MMPI-2
70,469
79,502
MMPI-2-RF
16,179
16,864
Total
88,750 RF profiles
Participants:
VA Population (January 1st 2008 – May 31st 2015)
Inclusion Criteria
Taken either MMPI-2 and/or MMPI-2-RF
Those administrations were entered into MHA
Completed all items on the test they were administered

5. Initial Clinical areas
Areas Grouped by Stop Code
Medical
Substance Use
Internal Medicine (301)
Women’s Primary Care (323)
Individual SUD treatment (513)
Residential
Polytrauma
Outpatient
PTSD
Residential Polytrauma (197)
PTSD Clinical Team (540)

6. Percentages Exceeding Cut-scores
Scale
Polytrauma
PTSD
SUD
Medical
TRIN-r
3.9%
3.6%
6.9%
3.7%
VRIN-r
2.7%
1.7%
3.2%
2.0%
F-r
31.6%
50.4%
26%
22%
Fp-r
8.6%
18.0%
18%
13% Fs
15.3%
26.0%
21%
29%
FBS-r
4.2%
5.7% 1% 5%
RBS
22.9%
31.2%
19%
24%
L-r
2.4%
2.2%
K-r
0.0%
0.2%
Note: VRIN-r ≥ 80, TRIN-r ≥ 80, F-r ≥ 120, Fp-r ≥ 100, Fs ≥ 100, FBS-r ≥ 100, RBS ≥ 100, L-r ≥ 80, K-r ≥ 70

7. Residential Polytrauma
Rates of exclusion
Treatment Location
Total Sample
Final Sample*
Outpatient PTSD
4466
2287 (48.8% excluded)
Residential Polytrauma
1596
612 (61.7% excluded)
Medical
8711
2247 (74.2% excluded)
Substance Use
652
260 (60.1% excluded)
*exclusionary criteria: VRIN-r or TRIN-r ≥ 80, F-r ≥ 120, or Fp-r ≥ 100

8. Post-Exclusion Demographics
Characteristic
Polytrauma
n = 612
PTSD
n = 2287
SUD
n = 260
Medical
n = 2247
%Male
86.3%
84.1%
91.9%
87.6%
Service Connected -
0-30%
21.4%
24.5%
52.3%
26.7%
31-70%
25.2%
32.3%
21.5%
35.6%
71-100%
53.4%
43.6%
26.2%
37.8%
Service Era
Vietnam
9.3%
29.4%
21.2%
37.2%
Post-Vietnam
9.6%
13.2%
30.0%
8.7%
Gulf War
79.4%
56.3%
47.3%
51.3%
Other
1.6%
1.1%
1.5%
2.8%
%Combat
19.6%
13.3%
10.0%

14. Thank you