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MMPI-2评估心理创伤后适应不良
作者:马磊1  王家同2  黄远桂1  苏衡2  候艳红2  肖利军2  闫其乐2  王伟2  刘晓军2 
单位:1. 第四军医大学西京医院神经内科 
2.
 航空航天医学系心理学教研室 陕西西安710032 
关键词:创伤 应激障碍 MMPI-2 适应不良 
分类号:R395
出版年,卷(期):页码:2005,13(3):277-278
摘要:

目的:在经历创伤事件的人群中检验MMPI-2中适应不良量表的效度。方法:研究对象为43名入院治疗的应激障碍(SD)患者和44名适应良好的创伤幸存者(TS)。以8个临床量表的T分数均值(M8)为适应不良效标,与MMPI-2中的7个适应不良量表进行比较。结果:SD患者有6个量表显著高于TS;两组研究对象的大多数量表均与M8显著相关;尽管F和PK增加了对SD患者或TS适应不良方差变异的解释,Pt在两组被试中均显著增加了其他变量对适应不良的预测作用。结论:MMPI-2中多数适应不良量表的效度较满意,Pt对创伤后适应不良具有普遍较好的预测作用。

Objective:To investigate validities of MMPI- 2 measures of general maladjustment in people who had expe- rienced traumatic events.Methods:Participants were 43 patients with stress disorder (SD) and 44 well- adjusted trauma survivors(TS).Validities of 7 MMPI- 2 measures of general maladjustment were compared with the mean scores on 8 clini- cal scales (M8),which were considered as the criterion measure of general maladjustment.Results:Patients with SD ob- tained significantly higher scores on 6 measures and M8 than TS.Most of the measures were significantly related to M8 in both groups.Although F and PK sometimes added significantly to the variance accounting for the criterion measure,Pt added significantly and meaningfully to each of the other MMPI- 2 measure in predicting maladjustment.Conclusion:The results support the use of the MMPI- 2 as a measure of general maladjustment in trauma survivors.Pt emerges consistently as a good indicator of general maladjustment.

基金项目:
全军医药卫生科研基金资助(项目号:01L072)
作者简介:
参考文献:

[1] Yehuda R,Davidson JRT.Clinician's Manual on Posttraumatic Stress Disorder.London:Science Press,2000.1-2.
[2] Graham JR,Barthlow DL,Stein LA,et al.Assessing general maladjustment with the MMPI-2.J Pers Assess,2002,78(2):334-347.
[3] American Psychiatric Association.Diagnostic and Statistic Manual of Mental Disorders (DSM-Ⅳ).4th edition.Washington DC:American Psychiatric Association,1994.424-429.
[4] 张建新,宋维真,张妙清.明尼苏达多相人格测验中文版用户手册.北京:地质出版社,2004.17-44.
[5] 纪术茂,戴郑生.明尼苏达多相人格调查表:最新研究与多类量表解释.北京:科学出版社,2004.363-364.
[6] Graham JR.MMPI -2:Assessing Personality and psychopathology.3rd ed.New York:Oxford University Press,2000.249-250.
[7] 马煊,陈龙,裴华,等.对方式、人格特征与应激水平的关系.中国临床心理学杂志,2004,12(1):48-55.
[8] 马磊,王家同,苗丹民,等.MMPI-2评估应激障碍的效果.中国心理卫生杂志,2005,19(3):179-182.
[9] Klotz Flitter JM,Elhai JD,Gold SN.MMPI-2 F scale elevations in adult victims of child sexual abuse.J Trauma Stress,2003,16(3):269-274.

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