Advertisement

Journal of Traumatic Stress

, Volume 9, Issue 2, pp 353–360 | Cite as

Examining comorbidity and posttraumatic stress disorder in a vietnam veteran population using the MMPI-2

  • Andrea G. Weyermann
  • Fran H. Norris
  • Lee A. Hyer
Brief Report
  • 18 Downloads

Abstract

Examined the discriminant validity of the MMPI-2 in assessing comorbidity in a posttraumatic stress disorder (PTSD) Vietnam veteran population. The Structured Clinical Interview for the DSM-III-R (SCID) was used to diagnose veterans and to classify them into four groups: PTSD Only, PTSD with mood disorders, PTSD with other anxiety disorders, and PTSD with mood and anxiety disorders. All groups had clinical elevations on scales F, 1, 2, 3, 4, 6, 7, 8, 0, PK, and PS, with peak elevations on scales 8, 7, and 2. The PTSD Only group's MMPI-2 scores were not significantly lower than other groups' scores. The PTSD+Mood/Anxiety group was significantly more elevated on scales 2 and 7 than the PTSD Only and PTSD+Anxiety group but did not otherwise show significantly higher scale elevations than other groups. No significant differences existed between groups on scales F, L, K, PK, and PS. Implications of these results for PTSD and the current diagnostic system are explored.

Key words

PTSD comorbidity MMPI-2 veterans 

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. American Psychiatric Association. (1987).Diagnostic and statistical manual of mental disorders (3rd ed., rev). Washington, D.C.: Author.Google Scholar
  2. Boudewyns, P. A., Albrecht, J. W., Talbert, F. S., & Hyer, L. A. (1991). Comorbidity and treatment outcome of inpatients with chronic combat-related PTSD.Hospital and Community Psychiatry, 42 847–849.PubMedGoogle Scholar
  3. Carson, R. C., & Butcher, J. N. (1992).Abnormal psychology and modern life (9th ed.). New York: Harper-Collins.Google Scholar
  4. Davidson, J. R. T., & Foa, E. B. (1991). Diagnostic issues in posttraumatic stress disorder: Considerations for the DSM-IV.Journal of Abnormal Psychology, 100 346–355.PubMedGoogle Scholar
  5. Davidson, J., Smith, R., & Kudler, H. (1989). Validity and reliability of the DSM-III criteria for posttraumatic stress disorder: Experience with a structured interview.Journal of Nervous and Mental Disease, 177 336–341.PubMedGoogle Scholar
  6. Green, B. L., Lindy, J. D., & Grace, M. C. (1985). Posttraumatic stress disorder: Toward DSM-IV.Journal of Nervous and Mental Disease, 173 406–411.PubMedGoogle Scholar
  7. Greene, R. L. (1991).The MMPI-2/MMPI: An interpretive manual. Boston: Allyn and Bacon.Google Scholar
  8. Hyer, L., Fallon, J. H., Harrison, W. R., & Boudewyns, P. A. (1987). MMPI overreporting by Vietnam combat veterans.Journal of Clinical Psychology, 43 79–83.PubMedGoogle Scholar
  9. Hyer, L., O'Leary, W. C., Saucer, R. T., Blount, J., Harrison, W. R., & Boudewyns, P. A. (1986). Inpatient diagnosis of post-traumatic stress disorder.Journal of Consulting and Clinical Psychology, 54 698–702.PubMedGoogle Scholar
  10. Keane, T. M., & Wolfe, J. (1990). Comorbidity in post-traumatic stress disorder: An analysis of community and clinical studies.Journal of Applied Social Psychology, 20 1776–1788.Google Scholar
  11. Kulka, R., & Schlenger, W. (1986).The national needs assessment study of Vietnam veterans. (Available from Research Triangle Institute, Division of Social Policy Research, Box 12194, Research Triangle Park, North Carolina 22709.)Google Scholar
  12. Meek, C. L. (Ed.). (1990).Post-traumatic stress disorder: Assessment, differential diagnosis, and forensic evaluation. Sarasota, Florida: Professional Resource Exchange, Inc.Google Scholar
  13. Modlin, H. C. (1990). Post-traumatic stress disorder: Differential diagnosis. In C. L. Meeks (Ed.),Post-traumatic stress disorder: Assessment, differential diagnosis and forensic evaluation (pp. 63–72). Sarasota, FL: Professional Resource Exchange, Inc.Google Scholar
  14. O'Donohue, W., & Elliott, A. (1992). The current status of post-traumatic stress disorder as a diagnostic category: Problems and proposals.Journal of Traumatic Stress, 5 421–439.Google Scholar
  15. Spitzer, R. L., & Williams, J. B. (1987).Structured Clinical Interview for DSM-III-R (SCID). New York: Biometrics Research, New York State Psychiatric Institute.Google Scholar
  16. Talbert, F. S., Albrecht, N. N., Albrecht, J. W., Boudewyns, P. A., Hyer, L. A., Touze, J. H., & Lemmon, C. R. (1991).MMPI profiles in PTSD as a function of comorbidity. Paper presented at the annual meeting of the American Psychological Association, San Francisco.Google Scholar
  17. Wilson, J. P., & Walker, A. J. (1990). Toward an MMPI trauma profile.Journal of Traumatic Stress, 3 151–168.Google Scholar

Copyright information

© International Society for Traumatic Stress Studies 1996

Authors and Affiliations

  • Andrea G. Weyermann
    • 1
  • Fran H. Norris
    • 2
  • Lee A. Hyer
    • 3
  1. 1.Augusta College and Veterans Administration Medical CenterAugustra
  2. 2.Georgia State UniversityAtlanta
  3. 3.Veterans Administration Medical CenterMedical College of GeorgiaAugusta

Personalised recommendations