MMPI-2 Variables in Attention and Memory Test Performance.

MMPI-2 Variables in Attention and Memory Test Performance.
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MMPI-2 注意力和记忆力测试表现的变量。

DOI:
10.1037//1040-3590.8.2.135
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发表时间:
1996
影响因子:
3.6
通讯作者:
C. Gass
C. Gass
中科院分区:
心理学2区
文献类型:
--
作者:
C. Gass

文献摘要

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采用明尼苏达多相人格调查表-2(MMPI-2)测量闭合性颅脑损伤(n = 48)和精神障碍(n = 80)男性患者的抑郁、焦虑和精神病性思维,对注意广度(数字广度)、言语列表学习和记忆测试表现(韦氏记忆量表-修订版; WMS-R)进行检查。在这两个样本中,MMPI-2分数显着相关的注意广度,但独立的列表学习性能。MMPI-2分数与WMS-R的逻辑记忆和视觉再现子测试的因子分数相关。分层回归分析的结果,检查神经和情绪状态的相对影响,支持MMPI-2分数的解释有关的神经心理学测试的注意力和记忆力的表现。情绪因素对认知功能的潜在影响一直是神经心理学评估中持续关注的领域。人们普遍认为,焦虑、抑郁和精神病性思维等问题会对神经心理学测试表现和日常生活中的认知效率产生不利影响(Burt,Zembar,& Niederehe,1995; Rabins,Pearlson,& Strauss,1993)。明尼苏达多相人格调查表-2(MMPI-2)是神经心理学和一般医疗环境中最广泛使用的精神病理学测量方法,表面上测量这些和其他情绪因素。几位研究者报告说,霍尔斯特德-雷坦成套测验的得分与MMPI得分无关,这支持了标准化成套测验对心理障碍的影响具有相当的弹性的观点(Calsyn,Louks,&约翰逊,1982; Gass,1991; Heaton,Baade,&约翰逊,1978;希顿& Crowley,1981; Reitan & Wolfson,1993)。然而,关于MMPI-2及其分数可能与其他广泛使用的神经心理学测试的表现有关的方式知之甚少。在本研究中,假设MMPI-2量表上与抑郁(D和DEP)、焦虑(Ft、ANX、FRS和OBS)和精神病性思维(Sc和BIZ)相关的分数与注意力、记忆力和词汇表材料的获得指标的表现呈负相关。此外,本研究还探讨了闭合性颅脑损伤和情绪因素的相对重要性,MMPI-2测量在解释认知测试性能。
Attention span (Digit Span), verbal list learning, and memory test performance (Wechsler Memory Scale—Revised; WMS-R) were examined in relation to Minnesota Multiphasic Personality Inventory—2 (MMPI-2) measures of depression, anxiety, and psychotic thinking in male patients with closed-head injury (« = 48) and with psychiatric disorder (n = 80). In both samples, MMPI-2 scores were significantly related to Attention Span but independent of List Learning performance. MMPI-2 scores correlated with factor scores derived from the Logical Memory and Visual Reproduction subtests of the WMS-R. The results of a hierarchical regression analysis, which examined the relative effects of neurologic and emotional status, support the view that MMPI-2 scores are relevant to the interpretation of performance on neuropsychological tests of attention and memory. The potential influence of emotional factors on cognitive functioning has been a continuing area of concern in neuropsychological assessment. It is widely recognized that problems such as anxiety, depression, and psychotic thinking can adversely affect neuropsychological test performance and cognitive efficiency in daily living (Burt, Zembar, & Niederehe, 1995; Rabins, Pearlson, & Strauss, 1993). The Minnesota Multiphasic Personality Inventory—2 (MMPI-2), which is the most widely used measure of psychopathology in neuropsychological and general medical settings, ostensibly measures these and other emotional factors. Several investigators reported Halstead-Reitan Battery scores to be independent of MMPI scores, supporting the view that standardized test batteries may be fairly resilient to the effects of psychological disturbance (Calsyn, Louks, & Johnson, 1982; Gass, 1991; Heaton, Baade, & Johnson, 1978; Heaton & Crowley, 1981; Reitan & Wolfson, 1993). However, little is known regarding the MMPI-2 and the manner in which its scores may be related to performance on other widely used neuropsychological tests. In the present study, it was hypothesized that scores on MMPI-2 scales related to depression (D and DEP), anxiety (Ft, ANX, FRS, and OBS), and psychotic thinking (Sc and BIZ) would show a negative association with performance on measures of attention, retentive memory, and acquisition of verbal list material. In addition, this study examined the relative importance of closed-head injury and emotional factors as measured by the MMPI-2 in interpreting cognitive test performance.