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The effects of the modifier and correction indices on MCMI-II profiles
H R Miller1, J O Goldberg, D L Streiner
1Department of Psychology, Hamilton Psychiatric Hospital, Ontario, Canada.
Abstract:
Five modifier and correction indices are used in the Millon Clinical Multiaxial Inventory-II (MCMI-II; Millon, 1987) to improve the sensitivity and specificity of its scales; however, profile analyses indicated that they had little effect on the profiles of 141 psychiatric inpatients. The profiles generated within each MCMI-II section with and without the indices had the same shape and generally showed no significant differences on the various scales. A simple procedure applied to the initial, uncorrected scores provided a good estimate of the final base rate (BR) scores that are obtained when the correction and modifier indices are applied. Examination of individual profiles indicated that the 3-point codetypes were usually the same regardless of whether or not the correction indices were applied. When there were changes, these usually involved changes in rank order; new scales were rarely introduced in a code type. Although the utility of the indices for assessing test-taking attitude remains to be determined, these results argue against their use for modifying BR scores.
Insights
The Millon Clinical Multiaxial Inventory-II (MCMI-II) correction indices had minimal impact on patient profiles. Applying a simple procedure to uncorrected scores effectively estimated final base rate (BR) scores, suggesting indices may not be necessary for modifying BR scores.
Area of Science:
- Psychological Assessment
- Clinical Psychology
- Psychometrics
Background:
- The Millon Clinical Multiaxial Inventory-II (MCMI-II) utilizes modifier and correction indices to enhance scale sensitivity and specificity.
- Previous research has not definitively established the impact of these indices on clinical profiles.
Purpose of the Study:
- To evaluate the effect of MCMI-II modifier and correction indices on the profiles of psychiatric inpatients.
- To determine if these indices significantly alter scale scores and diagnostic codetypes.
Main Methods:
- Profile analyses were conducted on 141 psychiatric inpatients using the MCMI-II.
- Comparisons were made between profiles generated with and without the correction and modifier indices.
- A simple procedure for estimating base rate (BR) scores from uncorrected scores was assessed.
Main Results:
- MCMI-II correction indices had little effect on the shape and scale differences of patient profiles.
- Profiles generated with and without indices showed no significant differences.
- A simple procedure accurately estimated final BR scores from initial, uncorrected scores.
- 3-point codetypes remained largely consistent, with minor rank order changes.
Conclusions:
- The MCMI-II correction and modifier indices appear to have limited utility for modifying base rate (BR) scores in this patient population.
- A simpler method of estimating BR scores from uncorrected scores may be sufficient.
- Further research is needed to determine the utility of these indices for assessing test-taking attitude.
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