Predicting DSM-IV Cluster B personality disorder criteria from MMPI-2 and Rorschach data:: A test of incremental validity

被引:41
作者
Blais, MA
Hilsenroth, MJ
Castlebury, F
Fowler, JC
Baity, MR
机构
[1] Massachusetts Gen Hosp, Inpatient Psychiat Serv, Boston, MA 02114 USA
[2] Harvard Univ, Dept Psychol, Cambridge, MA 02138 USA
[3] Austen Riggs Ctr Inc, Erik H Erikson Inst Training & Res, Stockbridge, MA USA
关键词
D O I
10.1207/S15327752JPA7601_9
中图分类号
B849 [应用心理学];
学科分类号
040203 ;
摘要
Despite their frequent conjoint clinical use, the incremental validity of Rorschach (Rorschach, 1921/1942) and MMPI (Hathaway & McKinley, 1943) data has not been adequately established, nor has any study to date explored the incremental validity of these tests for predicting Diagnostic and Statistical Manual of Mental Disorders (4th ed. [DSM-IV]; American Psychiatric Association, 1995) personality disorders (PDs). In a reanalysis of existing data, we used select Rorschach variables and the MMPI PD scales to predict DSM-IV antisocial, borderline, histrionic, and narcissistic PD criteria in a sample of treatment-seeking outpatients. The correlational findings revealed a limited relation between Rorschach and MMPI-2 (Butcher, Dahlstrom, Graham, Tellegen, Sr. Kaemmer, 1989) variables, with only 5 of 30 correlations reaching significance (p < .05). Hierarchical regression analyses showed that both the MMPI and Rorschach data add incrementally in the prediction of DSM-IV borderline and narcissistic PD total criteria scores. The findings were less clear for the incremental value of Rorschach and MMPI-2 data in predicting the total number of DSM-IV histrionic PD criteria, which were best predicted by Rorschach data, and antisocial PD criteria, which were best predicted by MMPI-2 data. In addition to providing evidence of the incremental validity of Rorschach data, these findings also shed light on the psychological characteristics of the DSM-IV Cluster B PDs.
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页码:150 / 168
页数:19
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