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Validity issues in using the Millon-II with substance abusers

D R Bishop

    Psychological Reports
    |August 1, 1993
    PubMed
    Summary
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    This study examined the Millon Clinical Multiaxial Inventory-II (Millon-II) in substance abusers. Millon-II validity was linked to neuropsychological function, but substance abuse history showed no significant impact.

    Area of Science:

    • Psychology
    • Neuropsychology
    • Clinical Assessment

    Background:

    • Assessing personality functioning in substance abusers is complex.
    • The Millon Clinical Multiaxial Inventory-II (Millon-II) is a tool used for personality assessment.
    • Neuropsychological functioning may influence personality assessment outcomes.

    Purpose of the Study:

    • To evaluate the use of the Millon-II in assessing substance abusers.
    • To examine the relationship between neuropsychological functioning and personality assessment.
    • To determine factors influencing Millon-II score validity in this population.

    Main Methods:

    • The study involved 73 individuals with a history of substance abuse.
    • The Millon Clinical Multiaxial Inventory-II (Millon-II) was administered.

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  • Neuropsychological functioning was assessed.

    • Main Results:

    • No significant relationship was found between substance abuse history and neuropsychological or personality functioning.
    • 16.9% of participants produced invalid Millon-II scores, unrelated to demographics or substance abuse history.
    • Millon-II profile validity was associated with verbal and perceptual-motor functioning.

    Conclusions:

    • Neuropsychological functioning, particularly verbal and perceptual-motor skills, impacts Millon-II validity in substance abusers.
    • Substance abuse history alone does not predict Millon-II invalidity or functioning.
    • Further research is needed to understand the predictive relationship between neuropsychological variables and Millon-II scores.