Abstract
The study compared structured interview (SCID-II) and self-report test (MCMI-II) vantages for the detection and characterization of personality pathology among 144 urban, poor, cocaine-addicted individuals seeking outpatient treatment. Diagnostic agreement was inadequate for most disorders, and the instruments at best shared only modest common variance. Positive predictive power was poor for all MCMI-II scales, though negative predictive power was good to excellent. This lends support for the use of the MCMI-II as a screening measure to rule out Axis II disorders; however, confirmation of positive diagnoses will require follow-up interview assessment. Future development of self-report personality inventories for substance abusers should focus on controlling for the acute dysphoric effects of drug use and related dysfunction, expanding attention to Cluster B content domains, and incorporating more objective criteria for assessing paranoia and 'odd/eccentric' traits.
Original language | English (US) |
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Pages (from-to) | 177-190 |
Number of pages | 14 |
Journal | Journal of Personality Disorders |
Volume | 11 |
Issue number | 2 |
DOIs | |
State | Published - 1997 |
Externally published | Yes |
All Science Journal Classification (ASJC) codes
- Clinical Psychology
- Psychiatry and Mental health