A prototypical MMPI-2 configuration of Obsessive-Compulsive Disorder
DOI:
https://doi.org/10.6092/2282-1619/mjcp-2554Keywords:
Differential diagnosis, HPC configuration, MMPI-2, Obsessive-compulsive disorder, Psychological assessment.Abstract
Background: Obsessive-Compulsive Disorder is often measured through self-report questionnaires focused on measuring symptomatology (Y-BOCS, OCI-R, and PI). The scientific literature identifies the Pt scale as a distinctive marker, but does not report data related to a specific OCD profile of the MMPI-2 test. Therefore, based on some clinical considerations and preliminary investigations, the following study aims to identify a specific MMPI-OCD configuration marked by the presence of significant indicators able to describe its psychological functioning and its key features in cognitive, emotional and affective terms.
Method: In order to explore the expected relationships, 395 participants were involved (average age: 34.20 years) and evaluated through the MMPI-2 test and the Yale-Brown interview.
Results: MANOVA, Multiple Linear Regression Analysis and Discriminant Function Analysis confirm that the OCD is marked by the recurrence of three elevated clinical scales (Pt, D, Sc). Hyper-prudential reasoning and some reasoning bias, typically employed by these subjects, could justify such results.
Conclusions: This specific configuration could therefore support the clinician during the assessment phases and lead him to identify – as well as differentiate – his characteristics from those of other psychological disorders, thus stimulating him to deepen during the interpretation of the results.References
American Psychiatric Association (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Washington, DC: Publisher. http://dx.doi.org/10.1176/appi.books.9780890425596
Abramowitz, J. S. (2006). Understanding and treating obsessive-compulsive disorder: A cognitive behavioral approach. New York: Routledge. https://doi.org/10.4324/9781410615718
Abramowitz, J. S., Nelson, C. A., Rygwall, R., & Khandker, M. (2007). The cognitive mediation of obsessive-compulsive symptoms: a longitudinal study. Journal of Anxiety Disorders, 21(1), 91-104. https://doi.org/10.1016/j.janxdis.2006.05.003
Archer, R. P., Griffin, R., & Aiduk, R. (1995). MMPI-2 Clinical Correlates for Ten Common Codes. Journal of personality assessment, 65(3), 391-407. https://doi.org/10.1207/s15327752jpa6503_1
Ben-Porath, Y. S. (2012). Interpreting the MMPI-2-RF. Minneapolis, MN, US: University of Minnesota Press.
Beck, A. T., Steer, R. A., & Brown, G. K. (1996). Manual for the Beck Depression Inventory-II. San Antonio, TX: Psychological Corporation.
Berrios, G. E. (1989). Obsessive-compulsive disorder: its conceptual history in France during the 19th century. Comprehensive psychiatry, 30(4), 283-295. https://doi.org/10.1016/0010-440X(89)90052-7" target="_blank">https://doi.org/10.1016/0010-440X(89)90052-7
Butcher, J. N. (2016). Preparing for Court Testimony Based on the MMPI-2 Guide 6th Edition. Minneapolis: Department of Psychology University of Minnesota. http://mmpi.umn.edu/documents/Preparing%20for%20Court%20Testimony%20Based%20on%20the%20MMPI-2.pdf
Butcher, J. N., Dahlstrom, W. G., Graham, J. R., Tellegen, A., & Kaemmer, B. (1989). Manual for the restandardized Minnesota Multiphasic Personality Inventory: MMPI–2. An administrative and interpretive guide. Minneapolis: University of Minnesota Press.
Butcher, J. N., Hass, G. A., Greene, R. L., & Nelson, L. D. (2015). Using the MMPI-2 in forensic assessment. Washington, DC: American Psychological Association.
Carlson, E. B., & Putnam, F. W. (1993). An update on the Dissociative Experiences Scale. Dissociation: Progress in the Dissociative Disorders, 6(1), 16–27.
Derogatis, L. R., & Unger, R. (2010). Symptom checklist‐90‐revised. The Corsini encyclopedia of psychology, 1-2. https://doi.org/10.1002/9780470479216.corpsy0970
Fals-Stewart, W., & Schafer, J. (1993). MMPI correlates of psychotherapy compliance among obsessive-compulsives. Psychopathology, 26(1), 1-5. https://doi.org/10.1159/000284793
Femia, G., Visco-Comandini, F., Cosentino, T., Sorbara, F., & Gragnani, A. (2018). Identification of specific correlations in obsessive-compulsive disorder among different measures. Clinical Neuropsychiatry,15(6), 379-383.
Field, A. (2013). Discovering statistics using IBM SPSS statistics (4th ed). London: Sage.
First, M. B., Williams, J. B. W., Karg, R. S., & Spitzer, R. L. (2015). Structured clinical interview for DSM-5 disorders, clinician version (SCID-5-CV). Arlington, VA: American Psychiatric Association. https://doi.org/10.1007/978-981-287-087-2_80-1
First, M. B., Williams, J. B., Benjamin, L. S., & Spitzer, R. L. (2016). SCID-5-PD: Structured clinical interview for DSM-5® personality disorders. American Psychiatric Association Publishing.
Foa, E. B., Huppert, J. D., Leiberg, S., Langner, R., Kichic, R., Hajcak, G., & Salkovskis, P. M. (2002). The Obsessive-Compulsive Inventory: development and validation of a short version. Psychological assessment, 14(4), 485-496. https://doi.org/10.1037/1040-3590.14.4.485
Friedman, A. F., Nichols, D. S., Levak, R. W., & Webb, J. T. (2014). Psychological assessment with the MMPI-2. New York: Routledge.
Goodman, W. K., Price, L. H., Rasmussen, S. A., Razure, C., Fleischmann, R. L., Hill, C. L., … & Charney, D. S. (1989). The Yale-brown obsessive compulsive scale: I. Development, use, and reliability. Archives of General Psychiatry 46(11), 1006-1011. https://doi.org/10.1001/archpsyc.1989.01810110048007
Graham, J. R. (2012). MMPI–2: Assessing personality and psychopathology (5th ed.). New York, NY: Oxford University Press.
Gravetter, F., & Wallnau, L. (2014). Essentials of statistics for the behavioral sciences (8th ed). Belmont: Wadsworth.
Greene, R. L. (2011). The MMPI-2/MMPI-2-RF: an interpretive manual. Boston, MA: Allyn & Bacon. Minneapolis, MN: University of Minnesota Press.
Haberkamp, A., Schmidt, F., Hansmeier, J., & Glombiewski, J. A. (2019). Contamination-fear in subclinical obsessive-compulsive disorder: A further proof for no preferential processing of disorder-related stimuli. Journal of Obsessive-Compulsive and Related Disorders, 21, 26-36. https://doi.org/10.1016/j.jocrd.2018.11.004
Hathaway, S. R., & McKinley, J. C. (1951). Minnesota Multiphasic Personality Inventory; Manual, revised. New York: Psychological Corporation.
Knowles, K. A., Jessup, S. C., & Olatunji, B. O. (2018). Disgust in anxiety and obsessive-compulsive disorders: recent findings and future directions. Current psychiatry reports, 20(9), 68. https://doi.org/10.1007/s11920-018-0936-5
Kumar, R. (2017). Verbal exposure for irrational fears: New directions in research and applications. Clinical and Experimental Psychology, 3(3), 1-2. https://doi.org/10.4172/2471-2701.1000157
Maj, M. (Eds.). (2005). Personality disorders: Evidence and Experience in Psychiatry (Volume 8). London: John Wiley & Sons.
Mancini, F., Fadda, S., & Rainone, A. (2016). Le caratteristiche del DOC e gli interrogativi che solleva. In F. Mancini (Ed.), La Mente Ossessiva. Milano: Raffello Cortina Editore (pp. 3-38).
Mancini, F., & Gangemi, A. (2016). I processi cognitivi nel DOC. In F. Mancini (Ed.), La Mente Ossessiva. Milano: Raffello Cortina Editore (pp. 69-90).
Mancini, F., & Gragnani, A. (2004). Gli Homework nel Disturbo Ossessivo-compulsivo. In F. Baldini (Ed.), Homework: un’antologia di prescrizioni terapeutiche. Milano: McGraw Hill (pp. 105-136).
McGuire, J. F., Orr, S. P., Wu, M. S., Lewin, A. B., Small, B. J., Phares, V., ... & Storch, E. A. (2016). Fear conditioning and extinction in youth with obsessive‐compulsive disorder. Depression and anxiety, 33(3), 229-237. https://doi.org/10.1002/da.22468
Menzies, R. E., & Dar-Nimrod, I. (2017). Death anxiety and its relationship with obsessive-compulsive disorder. Journal of Abnormal Psychology, 126(4), 367-377. https://doi.org/10.1037/abn0000263
Monaco, F., Cavanna, A., Magli, E., Barbagli, D., Collimedaglia, L., Cantello, R., & Mula, M. (2005). Obsessionality, obsessive–compulsive disorder, and temporal lobe epilepsy. Epilepsy & Behavior, 7(3), 491-496. https://doi.org/10.1016/j.yebeh.2005.07.003
Moritz, S., Meier, B., Kloss, M., Jacobsen, D., Wein, C., Fricke, S., & Hand, I. (2002). Dimensional structure of the Yale–Brown obsessive-compulsive scale (Y-BOCS). Psychiatry Research, 109(2), 193-199. https://doi.org/10.1016/S0165-1781(02)00012-4
O’Connor, K., & Audet, J. S. (2019). OCD is not a phobia: an alternative conceptualization of OCD. Clinical Neuropsychiatry, 16(1), 39-46.
Rachman, S. (1993). Obsessions, responsibility and guilt. Behavior Research and Therapy, 31(2), 149–154. https://doi.org/10.1016/0005-7967(93)90066-4
Reddy, Y. J., Sudhir, P. M., Manjula, M., Arumugham, S. S., & Narayanaswamy, J. C. (2020). Clinical Practice Guidelines for Cognitive-Behavioral Therapies in Anxiety Disorders and Obsessive-Compulsive and Related Disorders. Indian Journal of Psychiatry, 62(Suppl 2), S230-S250. Available from: https://www.indianjpsychiatry.org/text.asp?2020/62/8/230/276100
Ruscio, A. M., Stein, D. J., Chiu, W. T., & Kessler, R. C. (2010). The epidemiology of obsessive-compulsive disorder in the National Comorbidity Survey Replication. Molecular psychiatry, 15(1), 53-63. https://doi.org/10.1038/mp.2008.94
Salkovskis, P. M. (1989). Cognitive-behavioral factors and the persistence of intrusive thoughts in obsessional problems. Behavior research and therapy, 27(6), 677-682. https://doi.org/10.1016/0005-7967(89)90152-6
Samuel, D. B., & Widiger, T. A. (2010). A comparison of obsessive–compulsive personality disorder scales. Journal of personality assessment, 92(3), 232-240. https://doi.org/10.1080/00223891003670182
Sanavio, E. (1988). Obsessions and compulsions: the Padua Inventory. Behavior research and therapy, 26(2), 169-177. https://doi.org/10.1016/0005-7967(88)90116-7
Sellbom, M., Ben-Porath, Y. S., & Bagby, R. M. (2008). Personality and psychopathology: Mapping the MMPI-2 Restructured Clinical (RC) Scales onto the five factor model of personality. Journal of Personality Disorders, 22(3), 291-312. https://doi.org/10.1521/pedi.2008.22.3.291
Settineri, S., Merlo, E. M., Alibrandi, A., Sicari, F., Dritto, I. P., Strangis, F., & Frisone, F. (2019). Personality and phobias in adolescence: age and gender in psychopathological expressions. Journal of Mind and Medical Sciences, 6(2), 304-310. https://doi.org/10.22543/7674.62.P304310
Steketee, G., & Barlow D. H. (2004). Obsessive-Compulsive disorder. In D. H. Barlow (Ed.) Anxiety and its disorders: the nature and treatment of anxiety and panic, pp. 516-550. New York: Guilford Press.
Wells, A., & Papageorgiou, C. (1998). Relationships between worry, obsessive–compulsive symptoms and meta-cognitive beliefs. Behavior research and therapy, 36(9), 899-913. https://doi.org/10.1016/S0005-7967(98)00070-9
Wroe, A. L., & Salkovskis, P. M. (2000). Causing harm and allowing harm: A study of beliefs in obsessional problems. Behavior Research and Therapy, 38, 1141–1162. https://doi.org/10.1016/S0005-7967(99)00145-X
Downloads
Published
Issue
Section
License
Articles and conference papers published in Mediterranean Journal of Clinical Psychology are distributed under the terms and conditions of a Creative Commons Attribution 4.0 Unported License. Correspondingly, authors who publish with this journal agree to the following terms:
- Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
- Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
- Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work (See The Effect of Open Access).