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Psychometric deviance in offspring at risk for schizophrenia: I. Initial delineation of a distinct subgroup
S O Moldin1, I I Gottesman, L Erlenmeyer-Kimling
1Department of Psychiatry, Washington University School of Medicine, St. Louis, MO.
Insights
Psychometric signs from the Minnesota Multiphasic Personality Inventory (MMPI) can indicate a genetic risk for schizophrenia. These personality indicators were more common in high-risk children compared to control groups.
Area of Science:
- Psychiatry
- Genetics
- Psychometrics
Background:
- Schizophrenia is a complex disorder with suspected genetic underpinnings.
- Identifying early indicators of schizophrenia liability is crucial for etiological research.
Purpose of the Study:
- To investigate whether Minnesota Multiphasic Personality Inventory (MMPI) psychometric signs indicate a transmissible liability specific to schizophrenia.
- To assess the utility of MMPI indicators in identifying individuals at high risk for schizophrenia.
Main Methods:
- Evaluated psychometric signs from the MMPI in offspring from the New York High-Risk Project.
- Compared three groups: high-risk (HR) for schizophrenia, psychiatric comparison (PC) for affective disorders, and normal comparison (NC).
- Tested subjects aged 13-26 years before the onset of schizophrenic psychopathology.
Main Results:
- The rate of psychometric deviance was significantly higher in the HR group (23%) compared to PC (7%) and NC (2%) groups.
- Profile analyses revealed qualitative distinctions in personality functioning that delineated the HR subgroup.
- MMPI indicators showed utility in distinguishing individuals with a genetic predisposition to schizophrenia.
Conclusions:
- MMPI psychometric signs serve as valuable indicators of transmissible liability for schizophrenia.
- These findings support the use of MMPI in etiological investigations of schizophrenia.
- Early psychometric assessment may aid in identifying individuals at augmented risk for schizophrenia.
Abstract:
Psychometric signs from the Minnesota Multiphasic Personality Inventory (MMPI), which measure substantive disturbances in thinking, social relatedness, volition, and affective expressivity, were evaluated as possible indicators of transmissible liability specific to schizophrenia. Children of three criterion groups in the New York High-Risk Project--offspring at high risk (HR) for schizophrenia, psychiatric comparison (PC) offspring at risk for affective disorders, and normal comparison (NC) offspring not at augmented risk for psychiatric morbidity--were tested before the expression of schizophrenic psychopathology, when the subjects ranged in age from 13 to 26 years. The rate of psychometric deviance in the HR group (23%) was significantly higher than that in either the PC (7%) or NC (2%) groups, and profile analyses showed that the HR subgroup could be delineated by qualitative distinctions in personality functioning. Our results support the utility of MMPI indicators in etiologic investigations of schizophrenia.
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