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The MCMI-II and race

P H Munley1, T Vacha-Haase, R M Busby

  • 1Department of Veterans Affairs Medical Center, Battle Creek, Michigan, USA.

Journal of Personality Assessment
|June 6, 1998
PubMed
Summary

Racial differences in personality disorder scales were examined in psychiatric inpatients. Black patients scored higher on certain scales initially, but these differences disappeared when controlling for diagnosis and substance abuse.

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Area of Science:

  • Psychiatry
  • Clinical Psychology
  • Psychometrics

Background:

  • The Millon Clinical Multiaxial Inventory-II (MCMI-II) is used to assess personality disorders.
  • Understanding potential racial or ethnic group differences in MCMI-II profiles is crucial for accurate diagnosis and treatment.

Purpose of the Study:

  • To investigate MCMI-II profile differences between Black and White psychiatric inpatients.
  • To determine if observed differences persist after controlling for clinical factors.

Main Methods:

  • Multivariate analysis of variance (MANOVA) was used to compare MCMI-II scale scores between racial groups.
  • A matched-pairs analysis was conducted to control for primary Axis I discharge diagnosis and substance abuse comorbidity.

Main Results:

  • Initial MANOVA revealed significant racial differences, with Black patients scoring higher on Histrionic, Narcissistic, Paranoid, Drug Dependent, and Delusional Disorder scales.
  • A second MANOVA on a matched subsample found no significant multivariate effect associated with race, indicating attenuated scale differences.

Conclusions:

  • Observed MCMI-II scale differences between Black and White psychiatric inpatients may be influenced by clinical comorbidities rather than race itself.
  • Further research is needed to explore the complex interplay of race, diagnosis, and personality assessment in diverse patient populations.

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