A Cross-Validation of MMPI-2 Substance Abuse Scales

Greene, Roger L.; Weed, Nathan Charles; Butcher, James N.; Arredondo, Rudy; Davis, Harry G.

doi:10.1207/s15327752jpa5802_16

Cited by 29 publications

(20 citation statements)

References 3 publications

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“…Surprisingly, our MOH patients did not show any significant differences on the scales measuring dependence compared with patients with episodic headaches and healthy controls: MAC‐R (MacAndrew Alcoholism Scale‐Revised), Aas (Addiction Admission Scale), Aps (Addiction Potential Scale) did not discriminate between the 2 clinical samples. Different studies clearly showed the validity of MMPI‐2 “dependency” subscales in correctly discriminating substance abusers 33‐37 . So, rather than “true” addiction behavior, a different kind of “dependence” appears to characterize headache patients.…”

Section: Discussionmentioning

confidence: 99%

“…However, we do not know exactly if the problem is related to MMPI‐2 “per se,” or if the dependency in MOH shows different characteristics to be studied. Considering that the “dependency” subscales correctly distinguish substance abusers, 33‐37 we might hypothesize that rather than “true” addiction behavior, a different kind of “dependence” characterizes headache patients. We have to consider the strong impact of daily, persistent pain which becomes an important issue in the life of these patients.…”

Section: Discussionmentioning

confidence: 99%

“…Supplementary scales investigate broad personality characteristics, generalized emotional distress and behavioral dyscontrol which is closely related to dependence and possibly to medication overuse. In particular, 3 of them were specifically constructed to assess substance abuse problems 33‐37 : MacAndrew Alcoholism Scale‐Revised (Mac‐R); Addiction Admission Scale (Aas) and the Addiction Potential Scale (Aps), and they have proven to be particularly reliable in discriminating between abusers and nonabusers.…”

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confidence: 99%

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Medication‐Overuse Headache and Personality: A Controlled Study by Means of the MMPI‐2

et al. 2010

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Patients with MOH and episodic headache showed very similar patterns, differentiating only in the Hypochondriasis and Health Concerns scales. Surprisingly, there were no significant differences in the scores of the scales measuring dependence-related behavior. The clinical role of MMPI-2 in discriminating MOH patients with dependency from drugs is discussed, in order to implement a complete tests' battery for headache patients' assessment.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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confidence: 99%

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Medication‐Overuse Headache and Personality: A Controlled Study by Means of the MMPI‐2

et al. 2010

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“…However, tests of this type tend be quite long. For example, some of these tests are embedded in the Minnesota Multiphasic Personality Inventory, which contains over 500 items, and thus may not be appropriate to use in health care settings where there is limited time to administer and score the screening test (29).…”

Section: Alcohol Screening Testsmentioning

confidence: 99%

Screening, Brief Intervention, and Referral to Treatment (SBIRT): Toward a Public Health Approach to the Management of Substance Abuse

Babor

McRee

Kassebaum

et al. 2011

FOC

267

345

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Abstract:Screening, Brief Intervention, and Referral to Treatment (SBIRT) is a comprehensive and integrated approach to the delivery of early intervention and treatment services through universal screening for persons with substance use disorders and those at risk. This paper describes research on the components of SBIRT conducted during the past 25 years, including the development of screening tests, clinical trials of brief interventions and implementation research. Beginning in the 1980s, concerted efforts were made in the US and at the World Health Organization to provide an evidence base for alcohol screening and brief intervention in primary health care settings. With the development of reliable and accurate screening tests for alcohol, more than a hundred clinical trials were conducted to evaluate the efficacy and cost effectiveness of alcohol screening and brief intervention in primary care, emergency departments and trauma centers. With the accumulation of positive evidence, implementation research on alcohol SBI was begun in the 1990s, followed by trials of similar methods for other substances (e.g., illicit drugs, tobacco, prescription drugs) and by national demonstration programs in the US and other countries. The results of these efforts demonstrate the cumulative benefit of translational research on health care delivery systems and substance abuse policy. That SBIRT yields shortterm improvements in individuals' health is irrefutable; long-term effects on population health have not yet been demonstrated, but simulation models suggest that the benefits could be substantial.

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“…Validity analyses conducted on a cross-validation sample indicated a 97% correct classification with a sensitivity of 97% and specificity of 95%. Compared with other screening measures such as the Michigan Alcohol Screening Test [Selzer, 1971], Addiction Potential Scale [Greene et al, 1992], Addiction Acknowledgment Scale , MacAndrew Alcoholism Scale-Revised [Butcher et al, 1989], and Millon Clinical Multiaxial Inventory-II Alcohol Dependence and Drug Dependence scales [Millon, 1987], those who were classified positive for substance abuse had higher mean scores on the other screening measures than those classified as negative for substance abuse.…”

Section: Methodsmentioning

confidence: 99%

Alcohol and anxiety: Subtle and obvious attributes of abuse in adults with social anxiety disorder and panic disorder

Ham

Hope

2003

Depress. Anxiety

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Previous research has found a relation between social anxiety disorder and alcoholism but recent work found no differences in drinking levels among socially anxious individuals, dysthymics, and normal controls. Using a more sophisticated measure of substance abuse may further explicate the relation between social anxiety and drinking. We examined aspects of substance abuse in treatment-seeking individuals with social anxiety disorder or panic disorder (psychiatric control group) as well as nondisordered individuals (normal control group). We used the Substance Abuse Subtle Screening Inventory-3 because it includes both face valid and subtle items to control for social desirability. Contrary to the hypotheses, there were few obvious or subtle aspects of substance abuse significantly greater for individuals with social anxiety disorder than those with panic disorder or normal controls. Implications for understanding the social anxiety-alcohol relationship, assessment of substance abuse in socially anxious populations, and the construct of social anxiety-are discussed.

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A Cross-Validation of MMPI-2 Substance Abuse Scales

Cited by 29 publications

References 3 publications

Medication‐Overuse Headache and Personality: A Controlled Study by Means of the MMPI‐2

Medication‐Overuse Headache and Personality: A Controlled Study by Means of the MMPI‐2

Screening, Brief Intervention, and Referral to Treatment (SBIRT): Toward a Public Health Approach to the Management of Substance Abuse

Alcohol and anxiety: Subtle and obvious attributes of abuse in adults with social anxiety disorder and panic disorder

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