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Differential diagnosis using the MMPI-2: Goldberg’s index revisited

Published online by Cambridge University Press:  16 April 2020

Jos I.M. Egger*
Affiliation:
Department of Clinical Psychology and Personality, University of Nijmegen, P.O. Box 9104, 6500HE Nijmegen, The Netherlands Vincent van Gogh Institute for Psychiatry, Venray, The Netherlands
Peter A.M. Delsing
Affiliation:
Vincent van Gogh Institute for Psychiatry, Venray, The Netherlands
Hubert R.A. De Mey
Affiliation:
Department of Clinical Psychology and Personality, University of Nijmegen, P.O. Box 9104, 6500HE Nijmegen, The Netherlands
*
*Corresponding author. E-mail address: j.egger@psych.kun.nl (J.I.M. Egger)
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Abstract

Background

The Minnesota Multiphasic Personality Inventory (MMPI-2) often supports clinical decision-making in complex diagnostic problems like differentiating neurosis from psychosis and psychosis from bipolar disorder. The MMPI Goldberg index, an arithmetical combination of five clinical scales, has been considered to provide a good estimate for discriminating between neurotic and psychotic profiles. Similarly, the MMPI-2 Personality Psychopathology Five (PSY-5) scales have been found to be useful in differentiating diagnostic categories.

Method

This study evaluates these findings in a sample of psychiatric patients diagnosed with depressive, psychotic, or bipolar disorder using ANOVA and discriminant analysis.

Results

Results corroborate the validity of Goldberg’s index and find MMPI-2 PSY-5 scale Disconstraint to significantly differentiate between psychotic and bipolar-I disorder.

Conclusion

The MMPI-2 Goldberg index and PSY-5 scales can offer a useful contribution to the differential diagnosis of depressive, psychotic and bipolar disorder.

Type
Short communications
Copyright
Copyright © 2003 European Psychiatric Association

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Footnotes

1

Present address: Institute for Psychotherapy and Psychological Expertise, Venlo, The Netherlands.

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