Structured interview versus self-report test vantages for the assessment of personality pathology in cocaine dependence.
The study compared structured interview (SCID-II) and self-report test (MCMI-II) vantages for the detection and characterization of personality pathology among 144 urban, poor, cocaine-addicted individuals seeking outpatient treatment. Diagnostic agreement was inadequate for most disorders, and the instruments at best shared only modest common variance. Positive predictive power was poor for all MCMI-II scales, though negative predictive power was good to excellent. This lends support for the use of the MCMI-II as a screening measure to rule out Axis II disorders; however, confirmation of positive diagnoses will require follow-up interview assessment. Future development of self-report personality inventories for substance abusers should focus on controlling for the acute dysphoric effects of drug use and related dysfunction, expanding attention to Cluster B content domains, and incorporating more objective criteria for assessing paranoia and "odd/eccentric" traits.
Marlowe
D B
DB
Institute for Addictive Disorders, Allegheny University of the Health Sciences, Philadelphia, PA 19102-1192, USA.
Husband
S D
SD
Bonieskie
L M
LM
Kirby
K C
KC
Platt
J J
JJ
D000328:Adult; D000553:Ambulatory Care; D003042:Cocaine; D005260:Female; D006703:Ill-Housed Persons / Q000523:psychology; D006801:Humans; D008297:Male; D008875:Middle Aged; D009515:New Jersey; D010552:Personality Assessment / Q000706:statistics & numerical data*; D010554:Personality Disorders / Q000145:classification / Q000175:diagnosis* / Q000523:psychology; D010555:Personality Inventory / Q000706:statistics & numerical data*; D011203:Poverty / Q000523:psychology; D011594:Psychometrics; D015203:Reproducibility of Results; D019966:Substance-Related Disorders / Q000523:psychology* / Q000534:rehabilitation
D003042:Cocaine