Hostname: page-component-586b7cd67f-2plfb Total loading time: 0 Render date: 2024-11-25T07:20:06.489Z Has data issue: false hasContentIssue false

MMPI-2 clusters of alcohol-dependent patients and the relation to Cloninger’s temperament-character inventory

Published online by Cambridge University Press:  24 June 2014

Jos I. M. Egger*
Affiliation:
Vincent van Gogh Institute for Psychiatry, Venray, The Netherlands Radboud University, Nijmegen, The Netherlands
Marian Gringhuis
Affiliation:
Radboud University, Nijmegen, The Netherlands
Marinus A. Breteler
Affiliation:
Radboud University, Nijmegen, The Netherlands
Hubert R. A. De Mey
Affiliation:
Radboud University, Nijmegen, The Netherlands
Ellen Wingbermühle
Affiliation:
Vincent van Gogh Institute for Psychiatry, Venray, The Netherlands
Jan J. L. Derksen
Affiliation:
Radboud University, Nijmegen, The Netherlands
Sander Hilberink
Affiliation:
Radboud University, Nijmegen, The Netherlands
*
Dr Jos I. M. Egger, Department of Clinical Psychology and Personality, Radboud University, PO Box 9104, 6500 HE Nijmegen, The Netherlands. Tel: +31 243 612 668; Fax: +31 478 630 797; E-mail: [email protected]

Abstract

Objective:

Psychometric research in the field of alcohol dependence has concentrated on identifying certain (personality) characteristics (i.e. typologies). This paper is aimed to identify such typologies and studies the relation of the Minnesota Multiphasic Personality Inventory-2 (MMPI-2) and Cloninger’s temperament-character inventory (TCI).

Method:

To find MMPI-2 scales associated with maximization of group differences between 222 DSM-IV alcohol dependent inpatients and a control group of 222 normal subjects, discriminant analysis was used. In addition, a cluster analysis was performed with these scales, and the MMPI-2 mean scale values of the resulting patient clusters were examined for their TCI-correlates.

Results:

The discriminant analyses showed several MMPI-2 scales that could clearly distinguish between alcohol-dependent patients and the normal controls. Cluster analysis resulted in semantically different MMPI-2 profiles implying qualitatively different groups of patients. When related to TCI scales, these differences revealed harm avoidance, self-directedness, and persistence, amongst others, as important elements in the description of the clusters.

Conclusion:

Evidence for the validity of MMPI-2 constructs as well as those of the TCI in the assessment of alcohol-dependent patients was provided.

Type
Research Article
Copyright
Copyright © 2007 Blackwell Munksgaard

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Apfeldorf, M. Contrasting assumptions and directions in MMPI research on alcoholism. Q J Stud Alcohol 1974;35:13751379. CrossRefGoogle ScholarPubMed
Costa, PT, Widiger, TA. Personality disorders and the five factor model of personality. 2nd edn. Washington, DC: American Psychological Association, 2002. CrossRefGoogle Scholar
Bowden-Jones, O, Iqbal, MZ, Tyrer, Pet al. Prevalence of personality disorder in alcohol and drug services and associated comorbidity. Addiction 2004;99:13061314. CrossRefGoogle ScholarPubMed
Cloninger, CR, Svrakic, DM, Przybeck, TR. A psychobiological model of temperament and character. Arch Gen Psychiatry 1993;50:977991. CrossRefGoogle ScholarPubMed
De Jong, CA, Van Den Brink, W, Harteveld, FM, Van Der Wielen, EG. Personality disorders in alcoholics and drug addicts. Compr Psychiatry 1993;34:8794. CrossRefGoogle ScholarPubMed
Sher, KJ, Trull, TJ. Personality and disinhibitory psychopathology: alcoholism and antisocial personality disorder. J Abnorm Psychol 1994;103:92102. CrossRefGoogle ScholarPubMed
Verheul, R. Co-morbidity of personality disorders in individuals with substance use disorders. Eur Psychiatry 2001;16:274282. CrossRefGoogle ScholarPubMed
Millon, T, Simonsen, E, Birket-Smith, M, Davis, RD, eds. Psychopathy: antisocial, criminal, and violent behaviour. New York: Guilford Press, 1998. Google Scholar
Verheul, R, Van Den Brink, W, Hartgers, C. Personality disorders predict relapse in alcoholic patients. Addict Behav 1998;23:869882. CrossRefGoogle ScholarPubMed
Widiger, TA, Verheul, R, Van Den Brink, W. Personality and psychopathology. In: Pervin, LA, ed. Handbook of personality: theory and research. 2nd edn. New York: Guilford Press, 1999: 347366. Google Scholar
Tuinier, S, Verhoeven, WMA, Van Praag, HM. Serotonin and disruptive behaviour: a critical evaluation of the clinical data. Hum Psychopharmacol Clin Exp 1996;11:469482. 3.0.CO;2-X>CrossRefGoogle Scholar
Derksen, J, Maffei, C, Groen, H, eds. Treatment of personality disorders. New York: Kluwer Academic, 1999. CrossRefGoogle Scholar
Goldstein, R, Bigelow, C, McCusker, J, Lewis, BF, Mundt, KA, Powers, SI. Antisocial behavioural syndromes and return to drug use following residential relapse prevention/health education treatment. Am J Drug Alcohol Abuse 2001;27:453482. CrossRefGoogle ScholarPubMed
Nelson, EC, Cloninger, CR. The tridimensional personality questionnaire as a predictor of response to nefazodone treatment of depression. J Affect Disord 1995;35:5157. CrossRefGoogle ScholarPubMed
Nelson, EC, Cloninger, CR. The tridimensional personality questionnaire as a predictor of response to nefazodone treatment of depression: Erratum. J Affect Disord 1997;44:201. Google Scholar
Joyce, PR, Mulder, RT, Cloninger, CR. Temperament predicts clomipramine and desipramine response in major depression. J Affect Disord 1994;30:3546. CrossRefGoogle ScholarPubMed
Kubiszyn, TW, Meyer, GJ, Finn, SEet al. Empirical support for psychological assessment in clinical health care settings. Prof Psychol: Res Pract 2000;31:119130. CrossRefGoogle Scholar
Meyer, GJ, Finn, SE, Eyde, LDet al. Amplifying issues related to psychological testing and assessment. Am Psychol 2002;57:140141. CrossRefGoogle ScholarPubMed
Piedmont, RL. The revised NEO personality inventory: clinical and research applications. New York: Plenum Press, 1998. CrossRefGoogle Scholar
Derksen, JJL, De Mey, HRA, Sloore, H, Hellenbosch, G. MMPI-2: handleiding bij afname, scoring en interpretatie. 3rd edn. Nijmegen: PEN Test Publisher, 1997. Google Scholar
Graham, JR. MMPI-2. Assessing personality and psychopathology. 2nd edn. New York: Oxford University Press, 1993. Google Scholar
Cloninger, CR, Przybeck, TR, Svrakic, DM, Wetzel, RD. The temperament character inventory (TCI): a guide to its development and use. St Louis: Washington University, 1994. Google Scholar
Cloninger, CR, Svrakic, DM. Integrative psychobiological approach to psychiatric assessment and treatment. Psychiatry Interpers Biol Process 1997;60:120141. CrossRefGoogle ScholarPubMed
Donovan, DM, Chaney, EF, O’Leary, MR. Alcoholic MMPI subtypes: relationship to drinking styles, benefits, and consequences. J Nerv Ment Dis 1978;166:553561. CrossRefGoogle ScholarPubMed
Goldstein, SG, Linden, JD. Multivariate classification of alcoholics by means of the MMPI. J Abnorm Psychol 1969;74:661669. CrossRefGoogle ScholarPubMed
Whitelock, PR, Overall, JE, Patrick, JH. Personality patterns and alcohol abuse in a state hospital population. J Abnorm Psychol 1972;78:916. CrossRefGoogle Scholar
Kline, RB, Snyder, DK. Replicated MMPI subtypes for alcoholic men and women: relationship to self-reported drinking behaviours. J Consult Clin Psychol 1985;53:7079. CrossRefGoogle Scholar
Morey, LC, Roberts, WR, Penk, W. MMPI alcoholic subtypes: replicability and validity of the 2-8-7-4 subtype. J Abnorm Psychol 1987;96:164166. CrossRefGoogle ScholarPubMed
Morey, LC, Skinner, HA, Blashfield, RK. A typology of alcohol abusers: correlates and implications. J Abnorm Psychol 1984;93:408417. CrossRefGoogle ScholarPubMed
Battaglia, M, Przybeck, TR, Bellodi, L, Cloninger, CR. Temperament dimensions explain the comorbidity of psychiatric disorders. Compr Psychiatry 1996;37:292298. CrossRefGoogle ScholarPubMed
Howard, MO, Kivlahan, D, Walker, RD. Cloninger’s tridimensional theory of personality and psychopathology: applications to substance use disorders. J Stud Alcohol 1997;58:4866. CrossRefGoogle ScholarPubMed
Sher, KJ, Bartholow, BD, Wood, MD. Personality and substance use disorders: a prospective study. J Consult Clin Psychol 2000;68:818829. CrossRefGoogle ScholarPubMed
Sher, KJ, Wood, MD, Crews, TM, Vandiver, PA. The tridimensional personality questionnaire: reliability and validity studies and derivation of a short form. Psychol Assess 1995;7:195208. CrossRefGoogle Scholar
Cloninger, CR, Sigvardsson, S, Przybeck, TR, Svrakic, DM. Personality antecedents of alcoholism in a national area probability sample. Eur Arch Psychiatry Clin Neurosci 1995;245:239244. CrossRefGoogle Scholar
Ball, SA, Tennen, H, Kranzler, HR. Factor replicability and validity of the Temperament and Character Inventory in substance-dependent patients. Psychol Assess 1999;11:514524. CrossRefGoogle Scholar
Duysens, I, Spinhoven, P, Goekoop, J, Spermon, T, Eurelings-Bontekoe, E. The dutch temperament and character inventory (TCI): dimensional structure, reliability and validity in a normal and psychiatric outpatient sample. Pers Individ differ 2000;28:487499. CrossRefGoogle Scholar
Morey, LC. Personality Assessment Inventory Manual. Odessa, FL: Psychological Assessment Resources Inc., 1991. Google Scholar
Cloninger, CR. Assessment of the impulsive-compulsive spectrum of behaviour by the seven-factor model of temperament and character. In: Oldham, JM, Hollander, E, eds. Impulsivity and compulsivity. Washington, DC: American Psychiatric Association, 1996: 5995. Google Scholar
Juckel, G, Schmidt, LG, Rommelspacher, H, Hegerl, U. The Tridimensional Personality Questionnaire and the intensity dependence of auditory evoked dipole source activity. Biol Psychiatry 1995;37:311317. CrossRefGoogle ScholarPubMed
Blume, AWI. The central executive model: an examination of its utility to predict changes in drinking behaviour among people abusing alcohol. Diss Abstr Int B Sci Eng 2001;62:2476. Google Scholar
Dawes, MA, Tarter, RE, Kirisci, L. Behavioural self-regulation: correlates and 2 year follow-ups for boys at risk for substance abuse. Drug Alcohol Depend 1997;45:165176. CrossRefGoogle ScholarPubMed
Fallgatter, AJ, Wiesbeck, GA, Weijers, HG, Boening, J, Strik, WK. Event-related correlates of response suppression as indicators of novelty seeking in alcoholics. Alcohol Alcohol 1998;33:475481. CrossRefGoogle ScholarPubMed
Wetzel, RD, Knesevich, MA, Brown, SL, Wolff, HA, Horn, CJ, Cloninger, CR. Correlates of Tridimensional Personality Questionnaire scales with selected Minnesota Multiphasic Personality Inventory Scales. Psychol Rep 1992;71:10271038. CrossRefGoogle ScholarPubMed
Dom, G, De Wilde, B, Hulstijn, W, Van Den Brink, W, Sabbe, B. Decision-making deficits in alcohol-dependent patients with and without comorbid personality disorder. Alcohol Clin Exp Res 2006;30:16701677. CrossRefGoogle ScholarPubMed