The Relationship of MMPI-2-RF Scales to Treatment Engagement and Alliance
The Relationship of MMPI-2-RF Scales to Treatment Engagement and Alliance
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DOI：
10.1080/00223891.2019.1635488
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发表时间：
2019-07-13
影响因子：
3.4
通讯作者：
Suhr, Julie A.
中科院分区：
文献类型：
--
作者：
Patel, Kruti D.;Suhr, Julie A.
来访者的个性特征可能是治疗参与和联盟的重要相关因素。明尼苏达多相人格调查表-2-重组形式（MMPI-2-RF）是临床环境中最全面和最广泛使用的人格测量方法之一，包括症状有效性的测量。一些先前的研究使用MMPI-2和MMPI-2-RF表明，外化特征和有效性量表可能与治疗参与，但迄今为止还没有研究MMPI治疗联盟的相关性。本研究探讨了MMPI-2-RF量表的关系，以治疗的参与和联盟在134个人寻求门诊治疗的心理部门培训诊所。据预测，有效性量表和外部化量表将与治疗参与（提前终止，未出现率）和联盟。与预期相反，MMPI-2-RF效度量表与提前终止无关，但F-r高分与较高的未出现率有关，症状效度（FBS-r）高分与较低的联盟有关。正如预测的那样，较高的分数评估量表外化精神病理学与提前终止和较高的未出现率。探索性分析还表明，较高的分数在躯体和人际关系的规模有关，较低的联盟。提供了MMPI量表使用临床截止值的准确性统计。
Clients' personality characteristics can be important correlates of treatment engagement and alliance. The Minnesota Multiphasic Personality Inventory-2-Restructured Form (MMPI-2-RF) is one of the most comprehensive and widely used personality measures in clinical settings and includes measures of symptom validity. A few prior studies using the MMPI-2 and MMPI-2-RF suggest that externalizing characteristics and the validity scales might be associated with treatment engagement, but no studies to date have examined MMPI correlates of treatment alliance. This study examined the relationship of MMPI-2-RF scales to treatment engagement and alliance in 134 individuals seeking outpatient treatment at a psychology department training clinic. It was predicted that validity scales and externalizing scales would be related to treatment engagement (premature termination, no-show rate) and to alliance. Contrary to expectations, MMPI-2-RF validity scales were not related to premature termination but high scores on F-r were related to higher no-show rates and high scores on Symptom Validity (FBS-r) were related to lower alliance. As predicted, higher scores on scales assessing externalizing psychopathology were related to premature termination and higher no-show rate. Exploratory analyses also suggested higher scores on somatic and interpersonal scales were related to lower alliance. Accuracy statistics using clinical cutoffs on MMPI scales are provided.