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在退伍军人事务医疗保健系统中管理的MCMI-IV症状有效性尺度的全人口分析
Robert D Shura1,2,3, Jordan V Rine1,3, Paul B Ingram4
1Salisbury VA Health Care System, Salisbury, North Carolina.
Journal of personality assessment
|December 3, 2025
概括
这项研究验证了Million临床多轴目录-IV (MCMI-IV) 在退伍军人中的症状有效度表,发现它们与MMPI-2-RF有效度指标相关,并建议改善这一群体的切断分数.
科学领域:
- 心理评估 心理评估
- 临床心理学 临床心理学
- 退伍军人心理健康 退伍军人心理健康
背景情况:
- 米伦临床多轴目录-IV (MCMI-IV) 在退伍军人事务 (VA) 设置中被广泛使用.
- 应答偏差是退伍军人群体的一个问题,但MCMI-IV有效度表在这个群体中缺乏具体的研究.
研究的目的:
- 检查MCMI-IV有效度表与MMPI-2-RF有效度指标的融合有效性.
- 确定退伍军人的无效MCMI-IV有效性得分的基准率.
- 在退伍军人中探索和建议MCMI-IV有效度表的替代切断分数.
主要方法:
- 使用了来自VA设置的MCMI-IV管理的大数据集 (N=6,466) (04/201908/2024).
- 使用Spearman的相关性,与MMPI-2-RF有效性测量 (n=1,401) 相关的MCMI-IV有效性尺度.
- 进行了诊断准确性分析,以确定最佳的截止分数.
主要成果:
- MCMI-IV披露和值量表与MMPI-2-RF过度报告相关,而可取性与报告不足相关 (p < .001).
- MCMI-IV不一致度表显示了与MMPI-2-RF非内容有效度表的正相关性.
- 不到1%的MCMI-IV协议符合手册中无效性标准;为披露,低和可取性等级提出了新的切断值.
结论:
- MCMI-IV有效性指数有效地测量了退伍军人的预期构造.
- 该研究提供了基于证据的,优化的切断分数,用于根据退伍军人人群量身定制的MCMI-IV有效度表.
- 这些发现增强了对退伍军人的MCMI-IV结果的准确解释,解决了潜在的反应偏差.
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