Minnesota Multiphasic Personality Inventory-2-Restructured Form Profiles Among Adults With Attention-Deficit/Hyperactivity Disorder: Examining the Effect of Comorbid Psychopathology and ADHD Presentation.

Autor:	Keezer RD; Department of Psychiatry, University of Illinois College of Medicine, Chicago, IL 60612, USA.; Department of Behavioral Health, Brooke Army Medical Center, San Antonio, TX 78234, USA.; School of Psychology, Counseling, and Family Therapy, Wheaton College, Wheaton, IL 60187, USA., Kamm JM; Department of Clinical Psychology, The Chicago School of Professional Psychology, Chicago, IL 60654, USA., Cerny BM; Department of Psychiatry, University of Illinois College of Medicine, Chicago, IL 60612, USA.; Department of Psychology, Illinois Institute of Technology, Chicago, IL 60616, USA., Ovsiew GP; Department of Psychiatry, University of Illinois College of Medicine, Chicago, IL 60612, USA., Resch ZJ; Department of Psychiatry, University of Illinois College of Medicine, Chicago, IL 60612, USA., Jennette KJ; Department of Psychiatry, University of Illinois College of Medicine, Chicago, IL 60612, USA., Soble JR; Department of Psychiatry, University of Illinois College of Medicine, Chicago, IL 60612, USA.; Department of Neurology, University of Illinois College of Medicine, Chicago, IL 60612, USA.
Jazyk:	angličtina
Zdroj:	Archives of clinical neuropsychology : the official journal of the National Academy of Neuropsychologists [Arch Clin Neuropsychol] 2023 Nov 22; Vol. 38 (8), pp. 1671-1682.
DOI:	10.1093/arclin/acad043
Abstrakt:	Objective: Despite widespread use of the Minnesota Multiphasic Personality Inventory-2-Restructured Form (MMPI-2-RF), it is surprisingly understudied among adults with attention-deficit/hyperactivity disorder (ADHD). This is significant as ADHD is a frequent referral for neuropsychological evaluation; however, the core symptom of attention difficulty is a nonspecific sequela of many psychological disorders. This study aimed to characterize MMPI-2-RF profiles among adults with ADHD and examine the effect of comorbid psychopathology. Method: A large, demographically diverse sample of 413 consecutive adults referred for neuropsychological evaluation to assist with differential diagnosis of ADHD who completed the MMPI-2-RF was examined. Profiles of the 145 patients diagnosed with ADHD-only were compared to 192 with ADHD and a comorbid psychological disorder and a 55-patient non-ADHD psychiatric comparison group. Among the ADHD-only group, profiles also were compared based on ADHD-presentation type (Predominantly Inattentive vs. Combined presentation). Results: The ADHD/psychopathology and psychiatric comparison groups scored higher than the ADHD-only group across nearly all scales with widespread clinical elevations. Conversely, the ADHD-only group displayed an isolated elevation on the Cognitive Complaints scale. Comparison between ADHD presentations revealed several small-moderate significant differences, the largest of which occurred on the Externalizing and Interpersonal scales. Conclusions: Adults with ADHD alone, and no other psychopathology have a unique MMPI-2-RF profile characterized by isolated elevation on the Cognitive Complaints scale. These results support use of the MMPI-2-RF in assessment of adults with ADHD as it can help distinguish ADHD alone from ADHD/comorbid psychopathology and identify relevant psychiatric comorbidities that may be contributing to patients' inattention complaints. (© The Author(s) 2023. Published by Oxford University Press. All rights reserved. For permissions, please e-mail: journals.permission@oup.com.)
Databáze:	MEDLINE
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