The assessment of depression among older adults is difficult because depression rating scales can contain items that are related to cognitive deficits, physical illnesses, and other normal age changes. This study attempted to identify those items on the Minnesota Multiphasic Personality Inventory - Revised (MMPI-2) depression scale which strongly correlated with age as a basis for dividing the depression scale into two subscales: one measuring aging and the other measuring depression. These subscales were then evaluated by comparing two groups of older adults, one depressed and the other healthy, to determine if there would be no difference on the aging.subscale and a significant difference on the depression subscale.This research was conducted in two stages. The first stage entailed giving the extracted MMPI-2 depression scale (MMPI-2 D) to healthy older adults (n=114, aged 60 and above) and to healthy younger college students (n=142, aged 18 to 29) in order to assess which of the 57 MMPI-2 depression items were correlated with age.Using a cutoff score of 20% endorsement difference (Butcher & Pancheri, 1976) between the two groups (p<.001), it was determined that fifteen items of the MMPI-2 D scale differentiated the healthy older adult and the healthy younger adult groups and were therefore related to aging and not depression. Twelve of these items were in the depressive direction for older adults. Those items which strongly correlated with age were used to create an aging subscale of the MMPI-2 depression scale (MMPI-2 Da). The remaining items were assumed to measure depression and were considered a depression subscale (MMPI-2 Dd).The second stage of this research addressed the utility of the subscales. It was hypothesized that the MMPI-2 Da (aging subscale) would not discriminate between depressed and healthy older adults since both groups were the same with respect to age. It was further hypothesized that the MMPI-2 Dd (depression subscale) would discriminate between these groups because the groups were different with respect to depression.When the two subscales were used with a new healthy older adult group (n=54) and a depressed older adult group (n=36), both hypotheses were supported. There was no significant difference between the healthy and depressed older adults on the aging subscale (MMPI-2 Da) and there was a significant difference on the depression subscale (MMPI-2 Dd). Implications and limitations of these findings were discussed. / Department of Counseling Psychology and Guidance Services

This study investigated the interaction between test feedback style (interactive and delivered) and a client’s information processing style (experiential and rational) based on Cognitive Experiential Self-Theory (CEST) with a sample comprised of 39 clients from a university outpatient clinic and a community outpatient clinic in a midsized, midwestern city. Participants were randomly assigned to one of three groups: interactive test feedback, delivered test feedback, and examiner attention control group. Participants attended three sessions (initial session, feedback session, follow-up session) with a doctoral-level examiner. Participants in the two experimental groups (interactive and delivered feedback) received test feedback on their MMPI-2 profiles based on their assigned feedback condition while participants in the control group were not provided with feedback until after the conclusion of the study. The instruments assessing client response to treatment over time consisted of process-oriented (client’s perception of counselor and session) and outcome-oriented (symptomatology and self-esteem) measures. The results of two MANCOVAs (one for process and one for outcome variables) found no difference between participants who received test feedback and the control group. Partial support was found for the attribute by treatment interactions. There was some support for the matching effect of experiential information processing and interactive test feedback. This interaction was significant for self-esteem; individuals with higher levels of experiential information processing who received interactive feedback reported higher levels of self-esteem over time than those participants receiving delivered feedback or examiner attention only. The interaction of experiential information processing and treatment group was also significant for symptomatic distress; however, this interaction was opposite to the hypothesized direction. A matching effect for rational information processing and delivered test feedback was not supported. Finally, the three-way interaction of test feedback style, information processing style, and time was not significant for the process- or outcome-oriented benefits. The current study is one of the first studies to examine personality feedback with a community outpatient population. The lack of support for the benefits of personality feedback is noteworthy. In part, the results may be explained by low statistical power. Further examination of beta weights and directions of effects, however, suggest that even with a larger sample support for the benefits of personality feedback may not be found. These findings suggest caution should be exercised in generalizing previous results to a more severely impaired community population. Other limitations are discussed and implication for theory, research, and practice are provided. / Department of Counseling Psychology and Guidance Services

Thesis (Ph. D.)--State University of New York at Binghamton, Department of Psychology, 2006. / Includes bibliographical references.

Thesis (M.S.)--Florida State University, 2004. / Advisor: Dr. Joyce L. Carbonell, Florida State University, College of Arts and Sciences, Dept. of Psychology. Title and description from dissertation home page (viewed Jan. 14, 2005). Includes bibliographical references.

Thesis (Ph. D.)--University of Texas at Austin, 2004. / Supervisors: Deborah J. Tharinger and Timothy Z. Keith. Vita. Includes bibliographical references. Also available from UMI.

Thesis (Ph. D.)--University of California, San Diego and San Diego State University, 1997. / Vita. Includes bibliographical references (leaves 145-152).

Thesis (Psy.D.) -- Virginia Consortium for Professional Psychology. / Includes bibliography.

Thesis (Ph.D.) - University of Queensland, 2003. / Includes bibliography.

The purpose of this study is to replicate and extend earlier work involving cluster analysis of MMPI profiles among persons with chronic low back pain. There are two specific goals. The first goal is to demonstrate the existence in a new sample of four distinct and homogenous profile clusters that have been found in previous research. The second goal is to investigate the relationship of the four profiles to the subjects, self-reported pain history and response to treatment. This study concludes that four distinct MMPI profiles can be identified among chronic low back pain patients. Further, these profiles are the same for males and females, and are the same profiles found in previous research. These profiles are significantly related to subjects' history of behaviors in dealing with pain. However, no relationship to treatment response was found. It was inferred that the MMPI is of value in understanding the nature of patients' pain coping behaviors, but that further research is needed before any statements can be made regarding the utility of the MMPI in understanding their response to treatment.

Abstract Both genetic and environmental factors and gene-environment interaction have been found to contribute to the development of schizophrenia. Predisposition may manifest as prodromal vulnerability indicators before the onset of disease. The aim was to search for vulnerability signs of schizophrenia spectrum disorders, to establish the origin of these signs, and to predict the future mental disorders of adoptees with these signs. The study is a part of the Finnish Adoptive Family Study of Schizophrenia. Genetic vulnerabilty indicators were studied by comparing MMPI (Minnesota Multiphasic Personality Inventory) subscales of high-risk adoptees (HR, biological mother with a diagnosis of schizophrenia spectrum disorder) and low-risk adoptees (LR, biological mother with no diagnosed schizophrenia spectrum disorder) in the sample of all adoptees (n = 182) and in the sample of initially mentally healthy adoptees (n = 136). The later mental health status of the initially mentally healthy adoptees (assessed with DSM-III-R criteria) was predicted by MMPI subscales during the 11-year follow-up. The origins of the vulnerability indicators were investigated by assessing gene-environment interaction using parental Communication Deviance (CD) as a measure of environmental risk (n = 99). The MMPI subscales Hostility, Hypomania, and Social Maladjustment (these scales indicate emotional unresponsiveness, avolition, decreased energy, and introversion) were found to be vulnerability indicators of schizophrenia spectrum disorders. Social Maladjustment developed under gene-environment interaction when the environmental risk was assessed by CD. Psychopathic Deviate (asociality) was found to be a predictor of any later mental health disorder of the adoptees. Genetic vulnerability to schizophrenia spectrum disorders, gene-environment interaction and later onset of psychiatric disorders were found to manifest in the adoptees' MMPI. These results suggest a need to use a combination of multiple methodologies in the screening of at-risk individuals and are useful in the clinical practice of preventive mental health care. / Tiivistelmä Skitsofreniaan sairastumisessa keskeisiä ovat perintö- ja ympäristötekijät sekä näiden yhdysvaikutus. Skitsofrenia kehittyy siten, että jo ennen sairauden puhkeamista on olemassa alttiutta ilmentäviä, sairautta ennakoivia prodromaali piirteitä. Tämän tutkimuksen tarkoituksena oli etsiä skitsofreniaspektrin häiriöihin sairastumiseen liittyviä haavoittuvuutta ilmentäviä merkkejä, selvittää kuinka nämä kehittyvät ja ennustaa niillä adoptiolasten myöhempiä mielenterveydenhäiriöitä. Tutkimus on osa suomalaista adoptiolapsiperhetutkimusta. Perinnöllistä haavoittuvuuden ilmenemistä tutkittiin vertailemalla riskiadoptiolasten (biologisella äidillä oli skitsofreniaspektrin häiriö) ja heidän verrokkiensa (biologisella äidillä ei ollut skitsofreniaspektrin häiriötä) MMPI (Minnesota Multiphasic Personality Inventory) testin osa-asteikkoja kaikkien adoptiolasten ryhmässä (n = 182) ja tutkimuksen aloitusvaiheessa psyykkisesti terveiden adoptiolasten ryhmässä (n = 136). Tutkimuksen aloitusvaiheessa psyykkisesti terveiden adoptiolasten MMPI testin osa-asteikoilla ennustettiin 11 vuoden seurannassa heidän DSM-III-R kriteerein arvioitua mielenterveyttään. Perimän ja perheympäristön (adoptiovanhempien kommunikaatiohäiriöt) yhdysvaikutuksella pyrittiin selittämään haavoittuvuutta ilmentävien piirteiden syntyä (n = 99). MMPI testin osa-asteikot Hostility, Hypomania ja osittain myös Social Maladjustment (astekot ilmentävät emotionaalisen vastavuoroisuuden puutetta, tahdottomuutta, energian puutetta ja sosiaalista vetäytyneisyyttä) osoittivat perinnöllistä haavoittuvuutta skitsofreniaspektrin häiriöihin. Social Maladjustment kehittyi perinnöllisen riskin ja adoptiovanhempien poikkeavan kommunikaation yhdysvaikutuksen seurauksena. Psychopathic Deviate (asosiaalinen käyttäytyminen) ennusti adoptiolasten myöhempää sairastumista mihin tahansa mielenterveydenhäiriöön. Perinnöllinen alttius skitsofreniaspektrin häiriöihin, perintö- ja ympäristötekijöiden yhdysvaikutus sekä myöhempi sairastuminen mielenterveyden häiriöihin ilmenivät MMPI testin tuloksissa. Tuloksia voidaan käytää hyväksi mielenterveydenhäiriöiden ennaltaehkäisyssä.