Abstract
This study investigated the utility of the Personality Assessment Inventory (PAI) for the assessment of posttraumatic stress disorder (PTSD). Participants were 55 community-residing adult women who were administered a comprehensive battery that included the PAI and the Clinician-Administered PTSD Scale (CAPS). Participants were classified as either PTSD or non-PTSD based on the CAPS, and PAI profiles were compared between the two groups. Significant group differences were found for seven PAI clinical scales (Anxiety, Depression, Anxiety-Related Disorders, Somatic Complaints, Paranoia, Borderline Features, and Schizophrenia), one validity scale (Negative Impression), and two treatment scales (Nonsupport and Treatment Rejection). When all PAI scales and component subscales are considered, the largest group differences were found for the physiological subscale of the Depression scale (DEP-P) and the Traumatic Stress subscale of the Anxiety-Related Disorders scale (ARD-T). ARD-T and DEP-P also demonstrated excellent diagnostic utility. Finally, correlations between PAI scales and four CAPS symptom clusters provided additional validity evidence, in particular supporting a distinction between effortful avoidance and numbing. Taken together, these results support the use of the PAI in the assessment of PTSD.
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References
American Psychiatric Association. (1980). Diagnostic and statistical manual of mental disorders (3rd ed.). Washington, DC: Author.
American Psychiatric Association. (1987). Diagnostic and statistical manual of mental disorders (3rd ed., Rev.). Washington, DC: Author.
American Psychiatric Association. (1994). Diagnostic and statistical manual of mental disorders (4th ed.). Washington, DC: Author.
Asmundson, G. J. G., Frombach, I., McQuaid, J., Pedrelli, P., Lenox, R., & Stein, M. B. (2000). Dimensionality of posttraumatic stress symptoms: A confirmatory factor analysis of DSM-IV symptom clusters and other symptom models. Behaviour Research and Therapy, 38, 203–214.
Beck, A. T., & Steer, R. A. (1990). Manual for the Beck Anxiety Inventory. San Antonio, TX: The Psychological Corporation.
Beck, A. T., Steer, R. A., & Brown, G. K. (1996). Beck Depression Inventory (2nd ed.). San Antonio, TX: The Psychological Corporation.
Blake, D. D., Weathers, F. W., Nagy, L. M., Kaloupek, D. G., Gusman, F. D., Charney, D. S., (1995). The development of a Clinician-Administered PTSD Scale. Journal of Traumatic Stress, 8, 75–90.
Butcher, J. N., Dahlstrom, W. G., Graham, J. R., Tellegen, A., & Kaemmer, B. (1989). MMPI-2 manual for administration and scoring. Minneapolis, MN: University of Minnesota Press.
Cherepon, J. A., & Prinzhorn, B. (1994). The Personality Assessment Inventory profiles of adult female abuse survivors. Assessment, 1, 393–400.
Fairbank, J. A., Keane, T. M., & Malloy, P. F. (1983). Some preliminary data on the psychological characteristics of Vietnam veterans with posttraumatic stress disorders. Journal of Consulting and Clinical Psychology, 51, 912–919.
First, M. B., Gibbon, M., Spitzer, R. L., Williams, J. B. W., & Benjamin, L. S. (1997). User’s guide for the Structured Clinical Interview for DSM-IV Axis-II Disorders. Washington, DC: American Psychiatric Press.
First, M. B., Spitzer, R. L., Gibbon, M., & Williams, J. B. W. (1996). Structured Clinical Interview for DSM-IV Axis I Disorders (Non-patient ed., version 2.0). New York: Biometrics Research.
Graham, J. R. (2000). MMPI-2: Assessing personality and psychopathology (3rd ed.). New York: Oxford University Press.
Hathaway, S. R., & McKinley, J. C. (1951). Minnesota Multiphasic Personality Inventory: Manual for administration and scoring. New York: Psychological Corporation.
Herman, J. (1992). Trauma and recovery. New York: Basic Books.
Holmes, G. E., Williams, C. L., & Haines, J. (2001). Motor vehicle accident trauma exposure: Personality profiles associated with posttraumatic diagnoses. Anxiety, Stress, and Coping, 14, 301– 313.
Horowitz, M. J., Wilner, N., & Alvarez, W. (1979). Impact of Event Scale: A measure of subjective stress. Psychosomatic Medicine, 41, 209–218.
Keane, T. M., Caddell, J. M., & Taylor, K. L. (1988). Mississippi Scale for combat-related posttraumatic stress disorder: Three studies in reliability and validity. Journal of Consulting and Clinical Psychology, 56, 85–90.
Keane, T. M., Malloy, P. F., & Fairbank, J. A. (1984). Empirical development of an MMPI subscale for the assessment of combat-related posttraumatic stress disorder. Journal of Consulting and Clinical Psychology, 52, 888–891.
Kessler, R. C., Sonnega, A., Bromet, E., Hughes, M., & Nelson, C. B. (1995). Posttraumatic stress disorder in the national comorbidity survey. Archives of General Psychiatry, 52, 1048–1060.
King, D. W., Leskin, G. A., King, L. A., & Weathers, F. W. (1998). Confirmatory factor analysis of the Clinician-Administered PTSD Scale: Evidence for the dimensionality of posttraumatic stress disorder. Psychological Assessment, 10, 90–96.
Koretzky, M. B., & Peck, A. H. (1990). Validation and cross-validation of the PTSD subscale of the MMPI with civilian trauma victims. Journal of Clinical Psychology, 46, 296–300.
Kraemer, H. C. (1992). Evaluating medical tests: Objective and quantitative guidelines. Newbury Park, CA: Sage.
Meng, X. L., Rosenthal, R., & Rubin, D. B. (1992). Comparing correlated correlation coefficients. Psychological Bulletin, 111, 172–175.
Morey, L. C. (1991). The Personality Assessment Inventory Professional Manual. Odessa, FL: Psychological Assessment Resources.
Morey, L. C. (1996). An Interpretive Guide to the Personality Assessment Inventory (PAI). Odessa, FL: Psychological Assessment Resources.
Query, W. T., Megran, J., & McDonald, G. (1986). Applying posttraumatic stress disorder MMPI subscale to world war II POW veterans. Journal of Clinical Psychology, 42, 315–317.
Rosenthal, R., Rosnow, R. L., & Rubin, D. B. (2000). Contrasts and effect sizes in behavioral research. New York: Cambridge University Press.
Scotti, J. R., Sturges, L. V., & Lyons, J. A. (1996). The Keane PTSD scale extracted from the MMPI: Sensitivity and specificity with Vietnam veterans. Journal of Traumatic Stress, 9, 643–650.
Sinnett, E. R., Holen, M. C., & Albott, W. L. (1995). MMPI scores of female victims. Psychological Reports, 76, 139–144.
Vreven, D. L., Gudanowski, D. M., King, L. A., & King, D. W. (1995). The civilian version of the Mississippi Scale: A psychometric evaluation. Journal of Traumatic Stress, 8, 91–109.
Watson, C. G., Kucala, T., & Manifold, V. (1986). A cross-validation of the Keane and Penk MMPI scales as measures of posttraumatic stress disorder. Journal of Clinical Psychology, 42, 727–732.
Weathers, F. W., Litz, B. T., Herman, D. S., Huska, J. A., & Keane, T. M. (1993, October). The PTSD Checklist: Reliability, validity, and diagnostic utility. Paper presented at the annual meeting of the International Society for Traumatic Stress Studies, San Antonio, CA.
Weathers, F. W., Ruscio, A. M., & Keane, T. M. (1999). Psychometric properties of nine scoring rules for the Clinician-Administered Posttraumatic Stress Disorder Scale. Psychological Assessment, 11, 124–133.
Weiss, D. S., & Marmar, C. R. (1997). The Impact of Event Scale-Revised. In J. P. Wilson & T. M. Keane (Eds.), Assessing psychological trauma and PTSD (pp. 399–411). New York: Guilford Press.
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This study was the basis of a Master’s thesis for Meghan McDevitt-Murphy. Portions of this study were presented at the annual meeting of the Association for Advancement of Behavior Therapy, November 2000.
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McDevitt-Murphy, M.E., Weathers, F.W., Adkins, J.W. et al. Use of the Personality Assessment Inventory in Assessment of Posttraumatic Stress Disorder in Women. J Psychopathol Behav Assess 27, 57–65 (2005). https://doi.org/10.1007/s10862-005-5380-2
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DOI: https://doi.org/10.1007/s10862-005-5380-2