MMPI profiles among neuropsychology patients

Wooten, Alvin J.

doi:10.1002/1097-4679(198305)39:3<392::aid-jclp2270390313>3.0.co;2-h

Cited by 23 publications

(6 citation statements)

References 21 publications

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“…For example, the Minnesota Multiphasic Personality Inventory (MMPI), a commonly used measure of personality and emotional status in many such studies ( e g , Golden, Sweet, & Osmon, 1979;Woodward, Bisbee, & Bennett, 1984;Wooten, 1983), was originally developed for, and standardized on, psychiatric populations. It is thus questionable to what extent a test instrument such as the MMPI can be validly and uncritically generalized to the assessment of personality and emotional status in neurologic cases.…”

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confidence: 99%

The MMPI and neurologic dysfunction: Profile configuration and analysis

Alfano

Finlayson

Stearns

et al. 1990

Clinical Neuropsychologist

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This study examined the application of the Minnesota Multiphasic Personality Inventory (MMPI) to the assessment of personality and emotional status in neurologic patients. Eighteen specialists in the clinical neurosciences examined the standard MMPI and indicated those items they felt were potentially tapping valid manifestations of neurologic damage or dysfunction. Forty-four items, loading primarily on the Hs, Hy, and Sc scales, were identified. These items were then deleted from the standard MMPI protocols of a heterogeneous group of 115 verified neurologic patients and the protocols rescored in the usual fashion. Corresponding high-points between the original MMPI and the modified version occurred in 46% of the cases. Comparable two-point code types occurred in only 29% of the cases. Taking into account the neurologic content of the MMPI can thus considerably alter the MMPI profile of a neurologic patient. Caution should thus be exercised with regard to the application and literal interpretation of the MMPI in neurologic cases.

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confidence: 99%

The MMPI and neurologic dysfunction: Profile configuration and analysis

Alfano

Finlayson

Stearns

et al. 1990

Clinical Neuropsychologist

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“…Multiply elevated MMPI profiles with six or more of the ten clinical scales above T -score 69 are frequently produced by patients referred for neuropsychological evaluation (Wooten, 1983). Nevertheless, despite the voluminous research literature on the MMPI, relatively little is known about the behavioral correlates of grossly abnormal MMPI profiles with multiple clinically significant elevations (Newmark, Chassin, Evans, & Gentry, 1984; Newmark & Sines, 1972).…”

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confidence: 99%

MMPI profiles of patients who endorse multiple partial seizure symptoms.

Roberts¹,

Paulsen²,

Marchman³

et al. 1988

Neuropsychology

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This investigation was concerned with the MMPI profiles of 40 patients who reported multiple symptoms of partial seizure-like phenomena and had abnormal EEGs. The majority of this sample was presumed to have longstanding treatment-resistant psychiatric illnesses. Grossly abnormal MMPl profiles with multiple elevations were frequently observed, with 65% having significant elevations on at least six of the ten clinical scales. The mean group profile had seven significant scale elevations (i.e.,T-score >69). Of 38 patients whose medical records were available for review, all but one patient had a history of some form of cerebral trauma, 66% had obtained four or more psychiatric diagnoses, and 45% had been tried unsuccessfully onfour or more psychotropic medications. More than 80% of patients tested failed a simple dichotic word listening task, providing additional validity for the view that their symptoms were associated with cerebral dysfunction. Thirteen of 16 patients subsequently treated with open trials of carbamazepine (Tegretol) exhibited clinical improvement which was often associated with less deviant MMP 1 profiles at follow-up. Findings suggest that psychiatric patients with grossly elevated MMPI profiles should be routinely screened for multiple partial seizure-like symptoms.

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“…The extent of neuropsychological impairment (AIR) and time poststroke were only marginally related to MMPI indexes of psychological adjustment in the LHD sample. Level of neuropsychological impairment has typically shown a weak relation to indexes of psychological adjustment (Dikmen & Reitan, 1977; Gass, 1991b; Gass & Russell, 1985, 1987; Gass, Russell, & Hamilton, 1990; Lishman, 1968; Vogel, 1962; Wooten, 1983). Factors of greater importance to poststroke adjustment are likely to include premorbid personality, adaptive flexibility, social support, and the extent to which rewarding activities continue to exist as part of the patient's lifestyle.…”

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confidence: 99%

Psychological adjustment following stroke: An MMPI study.

Gass¹,

Lawhorn²

1991

Psychological Assessment: A Journal of Consulting and Clinical

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MMPI) was used to examine the psychological adjustment of 98 patients who had had cerebrovascular accidents (strokes) within 2.5 years of testing (M= 5.2 months). Depression and somatization were prevalent in their profiles (mean code type: 2 f), with greater depression in patients who had right hemisphere damage. However, when a 21 -item correction index (Gass, in press) was applied to remove response variance due to bona fide stroke symptoms, the results indicated a significant reduction in scores that suggested somatization and hysterical features (Scales 1 and 3). The effects of age, education, time poststroke, and degree of neuropsychological impairment also were investigated. In addition, the usefulnessof a correction index for scoring the MMPI profiles of stroke patients is discussed.Cerebrovascular accident (CVA), or stroke, is the most common neurological disorder of adult life, accounting for over 85,000 fatalities and 1 million new disabilities annually (Adams & Victor, 1989). Among the various complications following stroke, emotional disturbance and mood disorders, in particular, have been subjects of recent investigation. Poststroke depression has been investigated in a series of studies of longitudinal data by Robinson, Parikh, and colleagues (e.g., Parikh,

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MMPI profiles among neuropsychology patients

Cited by 23 publications

References 21 publications

The MMPI and neurologic dysfunction: Profile configuration and analysis

The MMPI and neurologic dysfunction: Profile configuration and analysis

MMPI profiles of patients who endorse multiple partial seizure symptoms.

Psychological adjustment following stroke: An MMPI study.

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