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Assessment
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Accuracy of MMPI-A Scales ACK, MAC-R, and PRO in Detecting Comorbid Substance Abuse among Psychiatric Inpatients

Joseph A. Micucci

Chestnut Hill College

This study investigated the accuracy of various indices involving the MMPI-A scales, ACK, MAC-R, and PRO in diagnosing substance abuse in a sample of 79 psychiatric inpatients. In the full sample, 89.9% of the cases were accurately classified by at least one of the three scales. The overall accuracy of classification was similar among males, females, Caucasians, and African Americans, although there was a tendency for more false positive misclassifications among males. Profile code type moderated the accuracy of classification with greatest accuracy for code types including Scales 1, 2, 3, 5, or 0 and least accuracy for code types including Scales 4, 6, or 9. ACK, MAC-R, and PRO were better at screening out cases of substance abuse than in accurately identifying those adolescents who were using substances.

Key Words: MMPI-A • substance abuse • adolescents • comorbidity

Assessment, Vol. 9, No. 2, 111-122 (2002)
DOI: 10.1177/10791102009002001
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[Abstract] [PDF]