open access
메뉴E-ISSN : 2733-4538
The purpose of the present study is to identify latent profiles among psychiatric outpatients based on psychological evaluations using K-WAIS-IV and MMPI-2. Multiple regression analysis was conducted to examine whether subtests of K-WAISIV what significantly affected classified profiles. Latent profile analyses indicated that best fitting model is classified into three classes: high average level of intelligence and significant psychological problems associated with D, Pt and Si scales (C1); average level of intelligence and low psychological problems (C2); and low average level of intelligence and significantly high psychological problems associated with Pt, Sc and D scales (C3). Compared to C2, C1 is more likely to obtain low scores on the Arithmetic subtest. C3 members are more likely to obtain high scores on the Picture Completion subtest. Features identified by the MMPI-2 scales affected the performance of patients in certain K-WAIS-IV subtests. This finding provides an overview of psychiatric outpatients psychological evaluation profiles in terms of cognitive features and emotional states for evidencebased evaluation, diagnosis, and treatment.
Bae, J. M., Kim, J. H., Yu, B. H., Jung, Y. S., & Kim, S. T. (1996). The characteristics of cognitive dysfunctions in positive-and negativeschizophrenia. Korean Journal of Clinical Psychology, 15, 55-67.
Bucaille, A., Grandgeorge, M., Degrez, C., Mallégol, C., Cam, P., Botbol, M., & Planche, P. (2016). Cognitive profile in adults with Asperger syndrome using WAIS-IV: Comparison to typical adults. Research in Autism Spectrum Disorders, 21, 1-9.
Burriss, L., Ayers, E., Ginsberg, J., & Powell, D. (2008). Learning and memory impairment in PTSD: relationship to depression. Depression and anxiety, 25, 149-157.
Callens, C. J., & Meltzer, M. L. (1969). Effect of intelligence, anxiety, and diagnosis on Arithmetic and Digit Span performance on the WAIS. Journal of Consulting and Clinical psychology, 33, 630.
Chai, Y. S., Kim, H. J., & Oh, S. W. (1992). Evaluation of cognitive functions on the Korean wechsler intelligence scale scatter analysis - with reference to patients with schizophrenia and bipolar disorders, manic episode. Korean Journal of Clinical Psychology, 11, 31-41.
Cho, S. C., Jung, Y., Kang, E, H., Shin, M. S., & Seong, Y. H. (2001). Relationship between test-anxiety, depression, trait anxiety and state anxiety. Korean J Child and Adol Psychiatr, 12, 236.
Cho, S. U. (1991). MMPI Profiles of chronic schizophrenics. Korean Journal of Clinical Psychology, 10, 159-169.
Choe, A. Y., Hwang, S. T., Kim, J. H., Park, K. B., Chey, J. Y., & Hong, S. H. (2014). Validity of the K-WAIS-IV short forms. Korean Journal of Clinical Psychology, 33, 413-428.
Choi, J. (2010). Comprehension of psychological evaluation: Sigŭma P'ŭresŭ.
Choi, J. Y., & Jeoung, J. B. (1991). Minnesota multiphasic personality inventory responses of depressive patients. Korean Journal of Clinical Psychology, 10, 34-41.
Choi, J. Y., Kim, K. H., & Park, E. H. (2016). Comparison of clinical characteristics among posttraumatic stress disorder, major depressive disorder, and co-occurring PTSD and depressive disorder with MMPI-2-RF (Restructured Form). Korean Journal of Clinical Psychology, 35, 1-20.
Choi, M. S., & Oh, S. W. (1997). The characteristics of cognitive disorder depend upon thought disorder in the patients with schizophrenia. Korean Journal of Clinical Psychology, 16, 1-11.
Collins, L. M., Fidler, P. L., Wugalter, S. E., & Long, J. D. (1993). Goodness-of-fit testing for latent class models. Multivariate Behavioral Research, 28, 375-389.
Correll, R. E. (1985). Relationship of anxiety and depression scores to WAIS performance of psychiatric patients. Psychological reports, 57, 295-301.
Daban, C., Martinez-Aran, A., Torrent, C., Tabarés-Seisdedos, R., Balanzá-Martínez, V., Salazar-Fraile, J., . . . Vieta, E. (2006). Specificity of cognitive deficits in bipolar disorder versus schizophrenia. Psychotherapy and psychosomatics, 75, 72-84.
Gorlyn, M., Keilp, J. G., Oquendo, M. A., Burke, A. K., Sackeim, H. A., & John Mann, J. (2006). The WAIS-III and major depression:Absence of VIQ/PIQ differences. Journal of clinical and experimental neuropsychology, 28, 1145-1157.
Han, K., Lim, J., & Hahn, J. (2001). The use of Korean MMPI-2 with Korean psychiatric samples: Preliminary investigation. Paper presented at the 36th annual symposium on the recent development of the MMPI-2/MMPI-A, St. Petersburg, FL.
Han, K. H., Lim, J. Y., & Hahn, J. W. (2002). The use of Korean MMPI-2 with Korean psychiatric sample: Preliminary investigation. Korean Journal of Clinical Psychology, 21, 827-842.
Hathaway, S. R., & McKinley, J. C. (1940). A multiphasic personality schedule (Minnesota): I. Construction of the schedule. The Journal of Psychology, 10, 249-254.
Hoffman, R. E., & Rakfeldt, J. (1997). Cognition, negative symptoms, and diagnosis: A comparison of schizophrenic, bipolar, and control samples. Neurosciences, 9, 81-89.
Hunsley, J., & Mash, E. J. (2007). Evidence-based assessment. Annu Rev Clin Psychol, 3, 29-51.
Hwang, S. T., Kim, J. H., Park, K., Chey, J., & Hong, S. H. (2012). Standardization of the K-WAIS-IV. Paper presented at the Korean Psychological Association.
Jeon, H. Y., Park, E. H., & Jon, D. I. (2010). Comparisons of intellectual functions among patients with anxiety, depressive and psychotic disorder. The Korean Journal of Stress Research, 18, 353-362.
Jeong, S. H., Lee, E. H., Kim, J. H., Han, K. H., & Moon, K. J. (2013). Diagnostic utility of MMPI-2-RF scales: Differentiating bipolar disorder from major depressive disorder. The Korean Journal of Psychology: General, 32, 371-394.
Johnston, M. H., & Holzman, P. S. (1979). Assessing schizophrenic thinking: A clinical and research instrument for measuring thought disorder: Jossey-Bass.
Kim, J. A., & Choi, S. J. (2016). Diagnostic efficiency and differential ability of MMPI-2 and rorschach: Focus on schizophreniaspectrum disorder. The Korean Journal of Health Psychology, 21, 411-430.
Kim, Z. S., Hong, K. E., Cho, S. C., & Shin, M. S. (2000). Why diagnostic psychological tests disagree: Regarding rorschach and MMPI. Korean Journal of Clinical Psychology, 19, 393-407.
Knox, W. J., & Grippaldi, R. (1970). High levels of state or trait anxiety and performance on selected verbal WAIS subtests. Psychological reports, 27, 375-379.
Kurachi, M., Matsui, M., Kiba, K., Suzuki, M., Tsunoda, M., & Yamaguchi, N. (1994). Limited visual search on the WAIS picture completion test in patients with schizophrenia. Schizophrenia Research, 12, 75-80.
Lee, H. J., & Won, H. T. (1989). A study on the response style in performing problem-solving task and subjective evaluation in depressive-, nondepressive-obsessive group. Korean Journal of Clinical Psychology, 8, 52-68.
Lichtenberger, E. O., & Kaufman, A. S. (2009). Essentials of WAISIV assessment (Vol. 50): John Wiley & Sons.
Lim, Y. K., Choi, Y. M., & Choi, J. Y. (2013). The relationship among temperament, character, coping style, and depression in depressive patients. Korean Journal of Clinical Psychology, 32, 331-350.
Lo, Y., Mendell, N. R., & Rubin, D. B. (2001). Testing the number of components in a normal mixture. Biometrika, 88, 767-778.
Magidson, J., & Vermunt, J. (2002). Latent class models for clustering:A comparison with K-means. Canadian Journal of Marketing Research, 20, 36-43.
Magidson, J., & Vermunt, J. K. (2004). Latent class models. The Sage Handbook of Quantitative Methodology for the Social Sciences, 175-198.
Malmberg, M., Kleinjan, M., Vermulst, A. A., Overbeek, G., Monshouwer, K., Lammers, J., & Engels, R. C. (2012). Do substance use risk personality dimensions predict the onset of substance use in early adolescence? A variable-and person-centered approach. Journal of youth and adolescence, 41, 1512-1525.
Martin, J. A., & Penn, D. L. (2001). Social cognition and subclinical paranoid ideation. British Journal of Clinical Psychology, 40, 261-265.
McLachlan, G. J. (1987). On bootstrapping the likelihood ratio test stastistic for the number of components in a normal mixture. Applied Statistics, 318-324.
Mendlowicz, M. V., & Stein, M. B. (2000). Quality of life in individuals with anxiety disorders. American Journal of Psychiatry, 157, 669-682.
Moon, K., Lee, J. Y., & Heo, J. (2015). Psychological characteristics of college students with suicide risk in MMPI-2-RF. Korean Journal of Clinical Psychology, 34, 809-827.
Morris, L. W., & Liebert, R. M. (1969). Effects of anxiety on timed and untimed intelligence tests: Another look. Journal of Consulting and Clinical psychology, 33, 240.
Muthén, B., & Muthén, L. K. (2000). Integrating person‐centered and variable‐centered analyses: Growth mixture modeling with latent trajectory classes. Alcoholism: Clinical and experimental research, 24, 882-891.
Nam, D., Lee, H., & Kim, J. H. (2016). Analysis on the K-WAIS-IV profile of the patients with bipolar disorder. Korean Journal of Clinical Psychology, 35, 393-410.
Nichols, D. S. (2011). Essentials of MMPI-2 assessment (Vol. 88):John Wiley & Sons.
Nylund, K. L., Asparouhov, T., & Muthén, B. O. (2007). Deciding on the number of classes in latent class analysis and growth mixture modeling: A Monte Carlo simulation study. Structural equation modeling, 14, 535-569.
Oh, S. M. (2014). Effects of changing items in intelligence test on distribution of norm group and computation of standardized score:focused on digit symbol in K-WAIS and coding in K-WAIS-IV. Psychology. Duksung Women University.
Oh, S. W., Kang, J. K., & Park, M. C. (1998). The study of the usefulness of computerized neuropsychological test (STIM) in traumatic brain-injury patients. Korean Journal of Clinical Psychology, 17, 123-132.
Reitan, R. M., & Wolfson, D. (1992). Neuropsychological evaluation of older children: Neuropsychology Press.
Sackett, D. L., Rosenberg, W. M. C., Gray, J. A. M., & Haynes, R. B.(1996). Evidence based medicine: what it is and what it isn’t. British Medical Journal, 312, 71-72.
Seo, L., Sung, G. H., Kim, J. H., Hwang, S. T., Park, K., Chey, J., & Hong, S. H. (2014). K-WAIS-IV profile in schizophrenia. Korean Journal of Clinical Psychology, 33, 719-737.
Spence, K. W. (1958). A theory of emotionally based drive (D) and its relation to performance in simple learning situations. American psychologist, 13, 131.
Statistics Korea. (2011). Prevalence of Mental Illness. In Statistics Korea.
Taylor, J. A. (1956). Drive theory and manifest anxiety. Psychological Bulletin, 53, 303.
Taylor, K., Fletcher, I., & Lobban, F. (2015). Exploring the links between the phenomenology of creativity and bipolar disorder. J Affect Disord, 174, 658-664. doi:10.1016/j.jad.2014.10.040
Varga, M., Magnusson, A., Flekkøy, K., David, A. S., & Opjordsmoen, S. (2007). Clinical and neuropsychological correlates of insight in schizophrenia and bipolar I disorder: Does diagnosis matter? Comprehensive Psychiatry, 48, 583-591.
Won, H. T., Kim, K. S., Kim, I. K., Kim, M., Kim, Y. Y., Kyung, P., & Oh, S. W. (1982). A study on the clinical validation of minnesota multiphasic personality inventory, Korean wecshler intelligence scale and rorschach test. Korean Journal of Clinical Psychology, 3, 165-172.
Yang, I. H., Lee, H. P., & Choi, M. G. (1997). MMPI response study on schizotypal personality disorder students. The Korean Journal of Educational Psychology, 11, 123-145.
Yim, M. K., Lee, J. H., Lee, H. N., Kim, T. D., & Choi, K. H. (2013). Evidence-based practice in psychotherapy. The Korean Journal of Psychology: General, 32, 251-270.