Diagnostic utility of the MCMI-I and MCMI-II with psychiatric outpatients

Inch, Roxanne; Crossley, Margaret

doi:10.1002/1097-4679(199305)49:3<358::aid-jclp2270490309>3.0.co;2-i

Cited by 8 publications

(3 citation statements)

References 19 publications

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“…One of diagnostic objective, true-false tools is Millon Clinical Multiaxial Inventory (MCMI) which is based on Millon Diagnostic accuracy of the MCMI-I is less than DSM-III-R diagnoses, especially for psychotic disorders. The MCMI-I and MCMI-II minimized the frequency of psychotic disorders and overrated the frequency of personality disorders (PD) and nonpsychotic disorders in psychiatric outpatients (Inch, & Crossley, 1993). Libb, Murray, and Alarcon (1992) indicated that MCMI-II is tied to DSM-III-R diagnoses, and is a diagnostic tool and provides useful information related to diagnostic categories in the most of psychiatric situations.…”

Section: Introductionmentioning

confidence: 99%

Prevalence of Personality Disorders and Clinical Syndromes Using the Millon Clinical Multiaxial Inventory III (MCMI-III) in an Iranian Clinical Sample

Dadfar¹

2017

IJBECS

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Personality objective inventories are commonly used for diagnosis of personality disorders. Personality assessment is effective in diagnosis, prognosis and treatment of psychiatric outpatients and in patients. Comorbid personality disorders and clinical syndromes may be more worth condition of the patients. The present study aimed to examine the diagnosis of personality disorders and clinical syndromes using the Farsi version of Millon Clinical Multiaxial Inventory III (3rd ed.; MCMI-III) in Iranian psychiatric outpatients. This was a descriptive cross-sectional study. The subjects of the project were 737 psychiatric outpatients. They were referred to the psychiatric and psychological clinics at the School of Behavioral Sciences and Mental Health-Tehran Institute of Psychiatry affiliated to Iran University of Medical Sciences, Tehran, Iran. The subjects were selected using convenience sampling during years of 2010-2015 and evaluated by the MCMI-III computerized Farsi version. Data were analyzed by descriptive methods and t test using SPSS/WIN 16.0 program. Results showed that the most frequent of personality disorders were Depressive (2B), Compulsive (7), and Histrionic (4); with double code types of Depressive-Dependent (2B3);and Histrionic-Depressive (42B) combinations. The most frequent of moderate clinical syndrome were Anxiety (A), and Dysthymia (D) and the severe syndromes was Thought Disorder (SS); with double codes of clinical syndromes of Anxiety-PostTraumatic Stress Disorder (AR). There were significant differences between women and men patients in mean scores of some MCMI-III scales. Women had higher scores in Validity Scales of Disclosure (X) and Debasement (Z) than men. Depressive, Passive-Aggressive (Negativistic) (8A), Self-Defeating (8B) and Borderline (C) personality disorders were the most common in women than men. By contrast, Compulsive (7) personality disorder was the most common in men compare to women. Anxiety, Somatoform (H), Bipolar: Manic (N), Dysthymia (D), and Post-Traumatic Stress Disorder (R), Thought Disorder (SS), and Major Depression Disorder (CC) were the most common in women than men. The prevalence of diagnosis personality patterns and clinical syndromes in Iranian psychiatric outpatients is high and this should be taken into account in their assessment and treatment planning. Using of available sample and lack of random sample; possibility of comorbidity of other mental disorders with main diagnosis are limitations of the study. Utilization of item response theory (IRT); Structural Clinical Interviews for DSM Axis I and Axis II (SCID-I and SCID-II) along with MCMI-III; and MCMI-IV in an Iranian clinical sample are recommended.

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Section: Introductionmentioning

confidence: 99%

Prevalence of Personality Disorders and Clinical Syndromes Using the Millon Clinical Multiaxial Inventory III (MCMI-III) in an Iranian Clinical Sample

Dadfar¹

2017

IJBECS

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“…Note. Four additional studies(Curtis & Cowell, 1993;Divac-Jovanovic, Svrakic, & Lecic-Tosevski, 1993;Inch & Crossley, 1993;Piersma, 1987) of the MCMI and personality disorders are not included because insufficient data were available in publications and attempts to secure additional data from authors were unsuccessful. CL, Clinician diagnoses; BSI, Borderline Syndrome Index; D IB-R, Diagnostic Interview for Borderlines-Revised; MMPI-PD, Morey et al's personality scales for the MMPI; NPI, Narcissistic Personality Inventory; PCL-R, Psychopathy Checklist-Revised; PDE, Personality Disorder Examination; PDI, Personality Disorder Inventory; PDQ, Personality Disorder Questionnaire; PIQ, Personality Interview Questions; PSCL, Personality Symptom Checklist; RNPI,…”

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confidence: 99%

Validation of the Millon Clinical Multiaxial Inventory for Axis II disorders: Does it meet the Daubert standard?

Rogers

Salekin

Sewell

1999

Law and Human Behavior

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Relevant to forensic practice, the Supreme Court in Daubert v. Merrell Dow Pharmaceuticals, Inc. (1993) established the boundaries for the admissibility of scientific evidence that take into account its trustworthiness as assessed via evidentiary reliability. In conducting forensic evaluations, psychologists and other mental health professionals must be able to offer valid diagnoses, including Axis II disorders. The most widely available measure of personality disorders is the Million Clinical Multiaxial Inventory (MCMI) and its subsequent revisions (MCMI-II and MCMI-IIl). We address the critical question, "Do the MCMI-II and MCMI-III meet the requirements of Daubert?" Fundamental problems in the scientific validity and error rates for MCMI-III appear to preclude its admissibility under Daubert for the assessment of Axis II disorders. We address the construct validity for the MCMI and MCMI-II via a meta-analysis of 33 studies. The resulting multitrait-multimethod approach allowed us to address their convergent and discriminant validity through method effects (Marsh, 1990). With reference to Daubert, the results suggest a circumscribed use for the MCMI-II with good evidence of construct validity for Avoidant, Schizo typal, and Borderline personality disorders.The Supreme Court's decision in Daubert v. Merrell Dow Pharmaceuticals, Inc. (1993; hereinafter cited as Daubert) changed the landscape of expert testimony. Recent commentaries on Daubert have emphasized its general implications for psychological (Goodman-Delahunty, 1997; Rotgers & Barren, 1996) and psychiatric (Zonana, 1994) evidence, but do not grapple with the admissibility of specific psychological tests. As an overview, the relevance of Daubert and subsequent cases to psychological practice is examined. We then consider the development and validation of the Millon Clinical Multiaxial Inventory (MCMI) in light of Daubert.

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“…Most of this literature has focused on comparisons of later versions of the MCMI to earlier editions (Inch & Crossley, 1993;Piersma, 1989aPiersma, , 1989bStreiner & Miller, 1989), its ability to detect deviant item responses (Bagby, Gillis, & Rogers, 1991;Retzlaff, Sheehan, & Fiel, 1991), the diagnostic congruence of the MCMI to clinician ratings (Chick, Sheaffer, & Goggin, 1993;Inch & Crossley, 1993;Soldz, Budman, Demby, & Merry, 1993), the operating characteristics of the MCMI (Gibertini, Brandenburg, & Retzlaff, 1986;Miller et al, 1993;Piersma, 1991;Retzlaff, 1996), or its specific psychometric properties (Choca, Stanley, & VanDenburg, 1992;Gibertini & Retzlaff, 1988;Piersma, 1989b;Retzlaff & Gibertini, 1987;. Relative to this body of research, fewer studies have investigated the possibility of summarizing the MCMI scales for more parsimonious interpretation (e.g., with techniques such as factor analysis).…”

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confidence: 99%

Factor-Analysis of the MCMI-III on an Offender Population

Dozois

Kelln

1999

Journal of Offender Rehabilitation

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The various versions of the Millon Clinical Multiaxial Inventory (MCMI) are frequently employed in forensic settings to inform decisions regarding the treatment and management of offenders. A paucity of research, however, has investigated the psychometric properties of this instrument with offenders, and no published studies have yet addressed the factorial structure of its most recent edition, the MCMI-III. This study investigated the factorial validity of the MCMI-III in a sample of 159 male, incarcerated offenders. Factor analytic results on the 10 clinical scales revealed two factors, accounting for 70% of the common variance in participants' responses. Factor I (Psychiatric Disturbance) consisted of 8 scales and Factor II (Substance Dependence) was comprised of 3 scales. A 3-factor solution was obtained in the analysis of the 14 personality scales. Factors I (Internalizing; 10 scales), II (Acting Out; 5 scales) and III (Self-Absorption; 3 scales) accounted for a total of 77% of the common variance. The theoretical and clinical implications of these results and directions for future research are discussed. [Article copies available for a fee from The Haworth Document Delivery Service:

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Diagnostic utility of the MCMI-I and MCMI-II with psychiatric outpatients

Cited by 8 publications

References 19 publications

Prevalence of Personality Disorders and Clinical Syndromes Using the Millon Clinical Multiaxial Inventory III (MCMI-III) in an Iranian Clinical Sample

Prevalence of Personality Disorders and Clinical Syndromes Using the Millon Clinical Multiaxial Inventory III (MCMI-III) in an Iranian Clinical Sample

Validation of the Millon Clinical Multiaxial Inventory for Axis II disorders: Does it meet the Daubert standard?

Factor-Analysis of the MCMI-III on an Offender Population

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