The Korean Journal of Health Psychology
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- KOREAN
- P-ISSN1229-070X
- E-ISSN2713-9581
- KCI
Diagnostic efficiency and differential ability of MMPI-2 and Rorschach: Focus on Schizophrenia-Spectrum Disorder
Abstract
In this study, we compared the MMPI-2 and Rorschach tests, that are representative assessments in clinical practice including the index of psychotic state; in addition, we investigated the predictive validity and the discriminant validity for psychotic disorder indices of each assessment. Participants were 59 adults who underwent psychological testing at the department of psychiatry of the general hospital in Busan. Patients with schizophrenia, schizophreniform disorder, and brief psychotic disorder were categorized into the group with schizophrenia spectrum disorders; and patients with mood disorder, anxiety disorder, somatoform disorder, and adjustment disorder were categorized into the group with non-schizophrenia spectrum disorders. Logistic regression analysis was conducted using schizophrenia-related indicators from the MMPI (Pa, Sc3, Sc6, BIZ1, BIZ2, RC8, and PSYC) and Rorschach’s test (SCZI and PTI) as variables. The results showed that RC8, BIZ1, and Sc3 had significant between-group discriminatory power; however, neither of the Rorschach variables, SCZI and PTI, showed significant discriminatory power. In conclusion, aberrant perceptual experiences and cognitive distortion are decisive factors in the discrimination of schizophrenia spectrum disorders. The MMPI-2 was developed for schizophrenia patients. However, it includes symptoms such as aberrant perceptual experiences and cognitive distortion, as well as paranoia features that can be experienced by patients both with and without schizophrenia. Our results suggested that this instrument should be used sparingly. Finally, we discussed the limitations of the study, future research directions, and psychological health significance.
- keywords
- MMPI-2, Rorschach, BIZ1, RC8, Sc3, 정신병, 조현병, MMPI-2, Rorschach, BIZ1, RC8, Sc3 Psychotic feature, Schizophrenia
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