This study examined the psychometric properties of the Minnesota Multiphasic Personality Inventory-2 (MMPI-2) Restructured Clinical Scales (RCSs) in individuals with posttraumatic stress disorder (PTSD) receiving clinical services at Veterans Affairs medical centers. Study 1 included 1,098 men who completed the MMPI-2 and were assessed for a range of psychological disorders via structured clinical interview. Study 2 included 136 women who completed the MMPI-2 and were interviewed with the Clinician Administered Scale for PTSD. The utility of the RCSs was compared to that of the Clinical Scales (CSs) and the Keane PTSD (PK) scale. The RCSs demonstrated good psychometric properties along with patterns of associations with other measures of psychopathology that corresponded to current theory regarding the structure of comorbidity. A notable advantage of the RCSs compared to the MMPI-2 CSs was their enhanced construct validity and clinical utility in the assessment of comorbid internalizing and externalizing psychopathology. The PK scale demonstrated incremental validity in the prediction of PTSD beyond that of the RCSs or CSs.
KeywordsMinnesota Multiphasic Personality Inventory-2; Restructured Clinical Scales; posttraumatic stress disorder; internalizing; externalizingThe Minnesota Multiphasic Personality Inventory-2 (MMPI-2; Butcher, Dahlstrom, Graham, Tellegen, & Kaemmer, 1989) is one of the most widely used assessment instruments in mental health and, as such, is often used in the assessment of posttraumatic stress disorder (PTSD). Its extensive array of scales, established norms for a range of populations, and unparalleled breadth of research provides a solid foundation from which to evaluate the profiles of individuals with PTSD for clinical description, case conceptualization, and treatment planning purposes. Despite clear strengths, there are psychometric limitations to its main scales, the Clinical Scales (CSs). Within-scale item content is heterogeneous and some scales tap multiple constructs, complicating the interpretation of scale elevations and limiting construct validity (Tellegen et al., 2003). There is considerable item overlap among the CSs, which contributes to artificially inflated intercorrelations (Helmes & Reddon, 1993;Tellegen et al., 2003). This makes it difficult to determine if elevations on multiple scales are indicative of substantive patterns of symptom covariation or simply due to common items. Recently, the MMPI-2 Restructured Clinical Scales (RCSs) were developed to address these issues and to increase the independence of each scale and provide purer, more valid indicators of pathology (Tellegen et al., 2003). This article describes two studies that examined the psychometric properties and diagnostic utility of the RCSs for the assessment of PTSD and comorbid disorders in men Correspondence concerning this article should be addressed to Mark W. Miller, National Center for PTSD (116B-2), VA Boston Healthcare System, 150 South Huntington Avenue, Boston, MA 02130. E-mail: mark.m...