Subtypes of adolescents with substance use disorders and psychiatric comorbidity using cluster and discriminant analysis of MMPI-A profiles
Subtypes of adolescents with substance use disorders and psychiatric comorbidity using cluster and discriminant analysis of MMPI-A profiles
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DOI：
10.20882/adicciones.93
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发表时间：
2012-01-01
期刊：
影响因子：
3
通讯作者：
Castro-Fornieles, Josefina
中科院分区：
文献类型：
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作者：
Magallon-Neri, Ernesto;Diaz, Rosa;Castro-Fornieles, Josefina
本研究的主要目的是复制和扩展以前的结果与物质使用障碍（SUD）的青少年亚型，根据他们的明尼苏达多相人格问卷青少年（MMPI-A）配置文件。60例SUD和精神共病患者（41.7%男性，平均年龄= 15.9岁）完成了MMPI-A，青少年成瘾严重程度指数（T-ASI），儿童行为检查表（CBCL），并进行了采访，以确定DSM-IV诊断和物质使用水平。平均MMPI-A人格特征在精神病性偏离、抑郁和歇斯底里量表中显示中度峰值。分层聚类分析显示了四个配置文件（表演，35%的样本;混乱冲突，15%的规范，脉冲，15%;和欺骗隐藏，35%）。外部相关性被发现之间的集群1，CBCL外化症状在临床水平和行为障碍，和集群2和混合CBCL内在/外在症状在临床水平。判别分析表明，抑郁症，精神病性偏差和精神衰弱MMPI-A量表正确分类90%的患者到所获得的集群。
The main aim of this study was to replicate and extend previous results on subtypes of adolescents with substance use disorders (SUD), according to their Minnesota Multiphasic Personality Inventory for adolescents (MMPI-A) profiles. Sixty patients with SUD and psychiatric comorbidity (41.7% male, mean age = 15.9 years old) completed the MMPI-A, the Teen Addiction Severity Index (T-ASI), the Child Behaviour Checklist (CBCL), and were interviewed in order to determine DSM-IV diagnoses and level of substance use. Mean MMPI-A personality profile showed moderate peaks in Psychopathic Deviate, Depression and Hysteria scales. Hierarchical cluster analysis revealed four profiles (acting-out, 35% of the sample; disorganized-conflictive, 15% normative-implusive, 15%; and deceptive-concealed, 35%). External correlates were found between cluster 1, CBCL externalizing symptoms at a clinical level and conduct disorders, and between cluster 2 and mixed CBCL internalized/externalized symptoms at a clinical level. Discriminant analysis showed that Depression, Psychopathic Deviate and Psychasthenia MMPI-A scales correctly classified 90% of the patients into the clusters obtained.