title: Levels of psychopathology at hospital admission and discharge: the Million Clinical Multiaxial Inventory as a prognostic measure.
abstract: This study compares two pathological personality disorder scales and two severe clinical syndrome scales from the Millon Clinical Multiaxial Inventory in relation to clinical change from admission to discharge on the major dimensions of the Brief Psychiatric Rating Scale. For a sample of 52 inpatients, 17 with schizophrenia, 27 with major depression, and 8 with bipolar (manic) disorder, we investigated the prognostic utility of these Millon scales for identifying clinical improvement. Findings indicated that, while the Millon scales identified admission levels of psychopathology on three Brief Psychiatric Rating Scales, the Millon inventory predicted clinical improvement on only the brief rating of Thinking Disturbance. These findings are considered in light of prognosis as a clinical research question that is distinct from diagnostic discrimination and case identification.
authors.affiliation: Department of Psychology, Long Island University, Brookville, NY 11548.
authors.forename: M L
authors.initials: ML
authors.lastname: Silverstein
authors.forename: L
authors.initials: L
authors.lastname: Daniels
authors.forename: G G
authors.initials: GG
authors.lastname: Feldmar
mesh_terms: D000328:Adult; D001714:Bipolar Disorder / Q000523:psychology / Q000628:therapy; D003866:Depressive Disorder / Q000523:psychology / Q000628:therapy; D005260:Female; D006801:Humans; D008297:Male; D010343:Patient Admission; D010351:Patient Discharge; D010554:Personality Disorders / Q000523:psychology / Q000628:therapy*; D010555:Personality Inventory / Q000706:statistics & numerical data*; D011594:Psychometrics; D012559:Schizophrenia / Q000628:therapy; D012565:Schizophrenic Psychology