MMPI-2-RF效度量表增加了预测部分精神病住院期间治疗参与程度的效用。

IF 3.3 2区 心理学 Q1 PSYCHOLOGY, CLINICAL
Psychological Assessment Pub Date : 2024-02-01 Epub Date: 2023-11-13 DOI:10.1037/pas0001285
Craig A Marquardt, Amanda G Ferrier-Auerbach, Marianne M Schumacher, Paul A Arbisi
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引用次数: 0

摘要

部分精神病住院是资源密集型的临床服务,旨在短期稳定患者,防止住院,并鼓励长期康复。通常,提供者基于他们的转诊决定的分类诊断和病人痛苦的主观印象没有仔细考虑报告偏差的证据。本研究对参加部分精神科住院服务的退伍军人(n = 430)进行随访。我们评估了在摄入时的临床诊断预测治疗变量和后来精神卫生保健利用变化的程度。利用层次线性回归和自引导置信区间,明尼苏达多相人格量表-2-重构形式基于内容的效度量表证明了在预测患者预后方面的增量效用。较高的Fp-r(“罕见精神病理反应”)得分独立地预测了部分住院计划迟到次数的增加,入院时自我报告当前功能较差,以及出院后12个月内精神卫生保健接触的相对增加。低K-r(“调整效度”)分数独立地预测了入院和部分住院出院时较差的当前功能的自我报告。因此,严重精神病理过度报告的指标以及不太可能对情绪调整的否认(即,高Fp-r,低K-r)预测了与卫生保健服务的接触以及超越转诊提供者的诊断印象的自我症状表现。我们讨论了明尼苏达多相人格量表-2重构表格中基于内容的无效回应指标如何在理解患者行为和塑造弱势群体的临床干预方面具有现实价值。(PsycInfo数据库记录(c) 2023 APA,版权所有)。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
MMPI-2-RF validity scales add utility for predicting treatment engagement during partial psychiatric hospitalizations.

Partial psychiatric hospitalizations are resource-intensive clinical services designed to stabilize patients in the short term, prevent inpatient hospitalizations, and encourage long-term recovery. Typically, providers base their referral decisions on categorical diagnoses and subjective impressions of patient distress without closely considering the evidence for reporting biases. The present study followed veterans (n = 430) participating in partial psychiatric hospitalization services. We evaluated the extent to which clinical diagnoses at intake predicted treatment variables and changes in later mental health care utilization. Using hierarchical linear regressions with bootstrap confidence intervals, Minnesota Multiphasic Personality Inventory-2-Restructured Form content-based validity scales demonstrated incremental utility for predicting patient outcomes beyond intake diagnoses. Elevated Fp-r ("Infrequent Psychopathology Responses") scores independently predicted an increased number of times arriving late for partial hospitalization programming, self-report of worse current functioning at intake, and a relative increase in mental health care encounters in the 12 months following discharge. Low K-r ("Adjustment Validity") scores independently predicted self-report of worse current functioning at both intake and later discharge from partial hospitalization. Thus, indicators of severe psychopathology overreporting as well as the unlikely disavowal of emotional adjustment (i.e., high Fp-r, low K-r) predicted engagement with health care services and self-presentations of symptoms over and above the diagnostic impressions from referring providers. We discuss how indicators of content-based invalid responding on the Minnesota Multiphasic Personality Inventory-2-Restructured Form have real-world value for understanding patient behavior and shaping clinical interventions among vulnerable populations. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

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来源期刊
Psychological Assessment
Psychological Assessment PSYCHOLOGY, CLINICAL-
CiteScore
5.70
自引率
5.60%
发文量
167
期刊介绍: Psychological Assessment is concerned mainly with empirical research on measurement and evaluation relevant to the broad field of clinical psychology. Submissions are welcome in the areas of assessment processes and methods. Included are - clinical judgment and the application of decision-making models - paradigms derived from basic psychological research in cognition, personality–social psychology, and biological psychology - development, validation, and application of assessment instruments, observational methods, and interviews
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