Abstract
The MMPI-2 is frequently used for a variety of pre-surgical evaluations that can have life changing consequences for the patient being examined. While it intuitively makes sense that a proportion of examinees will attempt to downplay distress in order to avoid any perceived questions about their surgical candidacy, this hypothesis has received scant research attention. This study cluster analyzed the MMPI-2 L, F, & K validity scales for 890 pre-surgical candidates. Depending on the standard utilized, between one-third and two-thirds of our sample displayed some degree of defensive responding. These results suggest that traditional markers of test validity may need to be adjusted in populations with high base rates for defensiveness. The difficulty in ascribing personality characteristics based on validity scale scores and directions for further research are also discussed.
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References
Alexy, W., & Webb, P. (1999). Utility of the MMPI-2 in work-hardening. Rehabilitation Psychology, 44, 266–273.
Arbisi, P., & Butcher, J. (2004). Relationship between personality and health symptoms: Use of the MMPI-2 in medical assessments. International Journal of Clinical and Health Psychology, 4(3), 571–595.
Archer, R., Handel, R., & Couvadelli, B. (2004). An evaluation of the incremental validity of the MMPI-2 Superlative (S) Scale in an inpatient psychiatric sample. Assessment, 11(1), 102–108.
Burns, J. (2000). Repression predicts outcome following multidisciplinary treatment of chronic pain. Health Psychology, 19, 75–84.
Butcher, J. (1994). Psychological assessment of airline pilots with the MMPI-2. Journal of Personality Assessment, 62(1), 31–44.
Butcher, J., Dahlstrom, W., Graham, J., Tellegen, A., & Kaemmer, B. (1989). Minnesota Multiphasic Personality Inventory (MMPI-2): Manual for administration and scoring. Minneapolis: University of Minnesota Press.
Crews, W. D., Jefferson, A., & Broshek, D. (2003). Neuropsychological dysfunction in patients with end-stage pulmonary disease: Lung transplant evaluation. Archives of Clinical Neuropsychology, 18(4), 353–362.
Greene, R. (2000). The MMPI-2: An interpretive manual (2nd Ed.). Boston: Allyn and Bacon.
Graham, J. (2000). MMPI-2: Assessing personality and psychopathology (3rd Ed.). New York: Oxford Press.
Maddi, S., Fox, S., Khoshaba, D., Harvey, R., Lu, J., & Persico, M. (2001). Reduction in psychopathology following bariatric surgery for morbid obesity. Obesity Surgery, 11(6), 680– 685.
Maddi, S., Khoshaba, D., Persico, M., Bleecker, F., & Van Arsdall, G. (1997). Psychosocial correlates of psychopathology in a national sample of the morbidly obese. Obesity Surgery, 7(5), 297–404.
Masters, K., Shearer, D., & Ogles, B. (2003). Presurgical MMPI-2 cluster profiles predict 1-year low-back surgery outcomes. Journal of Clinical Psychology in Medical Settings, 10(4), 279–288.
McGrath, R., Sweeney, M., O’Malley, W., & Carlton, T. (1998). Identifying psychological contributions to chronic pain complaints with the MMPI-2: The role of the K scale. Journal of Personality Assessment, 70, 448–459.
Mori, D., Klein, W., & Gallagher, P. (1999). Validity of the MMPI-2 and Beck Depression Inventory for making decisions of organ allocation in renal transplantation. Psychological Reports, 84(1), 114–116.
Quigg, M., Broshek, D., & Heidal-Schiltz, S. (2003). Depression in intractable partial epilepsy varies by laterality of focus and surgery. Epilepsia, 44(3), 419–424.
Riley, J., Robinson, M., Geisser, M., Wittmer, V., & Smith, A. (1995). Relationship between MMPI-2 cluster profiles and surgical outcome in low-back pain patients. Journal of Spinal Disorders, 8(3), 213–219.
Ruchinskas, R., Broshek, D., Crews, D., Barth, J., Francis, J., & Robbins, M. (2000). A neuropsychological normative database for lung transplantation candidates, Journal of Clinical Psychology in Medical Settings, 7(2), 107–112.
Ruchinskas, R., & O’Grady, T. (2000). Psychological variables predict decisions regarding implantation of a spinal cord stimulator. Neuromodulation, 3(4), 183–189.
Ruchinskas, R., Meagher, R., Narayan, R., & Furukowa, S. (2002) The relationship of psychopathology and hyperhidrosis. British Journal of Dermatology, 147, 733–735.
Singer, H., Ruchinskas, R., Riley, K., Broshek, D., & Barth, J. (2001) Personality styles and coping in end-stage lung disease. Chest, 120(4), 1246–1252.
Stilley, C., Miller, D., Gayowski, T., and Marino, I. (1998). Psychological characteristics of candidates for liver transplantation. Clinical Transplantation, 12, 416–424.
Strong, D., Greene, R., Hoppe, C., Johnston, T., & Olesen, N. (1999). Taxometric analysis of impression management and self-deception on the MMPI-2 in child-custody litigants. Journal of Personality Assessment, 73(1), 1–18.
Trunzo, J., Petrucci R., & Carter, A. (1999). Use of the MMPI and MMPI-2 in patients being evaluated for cardiac transplant. Psychological Reports, 85(3), 1105–1110.
Williams, M., LaMarche, J., Smith, R., Fielstein, E., Hardin, J., McGiffin,D., Zorn, G., Kirklin, J., & Boll, T. (1997). Neurocognitive and emotional functioning in lung transplant candidates: A preliminary study. Journal of Clinical Psychology in Medical Settings, 4(1), 79–90.
Williams, M., Putzke, J., LaMarche, J., Bourge, R., Kirklin, J., McGiffin, D., & Boll, T. (2000). Psychological defensiveness among heart transplant candidates. Journal of Clinical Psychology in Medical Settings, 7(3), 167–174.
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Ruchinskas, R.A., Combs, C.J., Riley, K.C. et al. Defensive Responding on the MMPI-2 in Pre-Surgical Candidates. J Clin Psychol Med Settings 13, 435–439 (2006). https://doi.org/10.1007/s10880-006-9044-5
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DOI: https://doi.org/10.1007/s10880-006-9044-5