Dimensiones factoriales del cuestionario de Millon (MCMI-II) en adictos a sustancias

  1. Pedrero Pérez, Eduardo José
  2. López Durán, Ana
  3. Fernández del Río, Elena
Journal:
Psicothema

ISSN: 0214-9915

Year of publication: 2012

Volume: 24

Issue: 4

Pages: 661-667

Type: Article

More publications in: Psicothema

Abstract

The Millon Clinical Multiaxial Inventory II is a widely used questionnaire for the assessment of personality in clinical settings, especially in addictive behaviors. The aim of this study is to determine the underlying factorial structure of the MCMI-II in a sample of 1,106 drug-dependents who seek treatment. All participants completed the MCMI-II and the TCI-R. Multivariate exploratory factor analysis was performed. The results show that, in the MCMI-II, there is a main part that assesses symptoms of recent onset associated with the Axis I disorders, a scale that explores autolytic ideation, two scales that explore issues related to the use of alcohol and other drugs, two scales that assess normal personality traits, and seven scales that explore dysfunctional personality traits. Although the objective of the MCMI-II is the assessment of personality, the results indicate that the largest part of the questionnaire assesses not necessarily stable conditions and which have appeared recently. The scales measuring dysfunctional personality traits are combined to account for disorders without a clear match to the theory of reference. We conclude that, when using the MCMI-II with diagnostic purposes, one should consider the presence of unstable conditions that could artifactually increase the prevalence rates and the coexistence of personality disorders and addictive behaviors.

Bibliographic References

  • Bernstein, I.H., y Teng, G. (1989). Factoring items and factoring scales are different: Spurious evidence for multidimensionality due to item categorization. Psychological Bulletin, 105, 467-477.
  • Besteiro, J., Lemos, S., Muñiz, J., García, E., y Álvarez, M. (2007). Dimensiones de los trastornos de personalidad en el MCMI-II. International Journal of Clinical and Health Psychology, 7, 295-306.
  • Besteiro, J.L., Lemos, S., Muñiz, J., García-Cueto, E., Inda, M., Paíno y Roces, M. (2004). Validez de constructo de los trastornos de la personalidad del DSM-IV. International Journal of Clinical and Health Psychology, 4, 255-269.
  • Calsyn, D.A., Wells, E.A., Fleming, C., y Saxon, A.J. (2000). Changes in Millon Clinical Multiaxial Inventory among opiate addicts as a function of retention in methadone maintenance treatment and recent drug use. American Journal of Drug and Alcohol Abuse, 26, 297-309.
  • Casares-López, M.J., González-Menéndez, A., Torres-Lobo, M., Secades-Villa, R., Fernández-Hermida, J.R., y Álvarez, M.M. (2010). Compa ración del perfil psicopatológico y adictivo de dos muestras de adictos en tratamiento: en prisión y en comunidad terapéutica. International Journal of Clinical and Health Psychology, 10, 225-243.
  • Choca, J.P. (1999). Evolution of Millon's personality prototypes. Journal of Personality Assessment, 72, 353-364.
  • Cloninger, C.R. (1999). The Temperament and Character Inventory-Revised. St Louis, MO: Center for Psychobiology of Personality, Washington University.
  • Craig, R.J., y Olson, R. (1998). Stability of the MCMI-III in a substanceabusing inpatient sample. Psychological Reports, 83, 1273-1274.
  • Fernández del Río, E., López, A., y Becoña, E. (2010). Trastornos de personalidad y abstinencia del consumo de tabaco en un tratamiento psicológico para dejar de fumar. Psicothema, 22, 357-362.
  • Fernández-Montalvo, J., y Echeburúa, E. (2006a). Juego patológico y trastornos de personalidad: un estudio piloto con el MCMI-II. Psicothema, 18, 453-458.
  • Fernández-Montalvo, J., y Echeburúa, E. (2006b). Uso y abuso de los autoinformes en la evaluación de los trastornos de personalidad. Revista de Psicopatología y Psicología Clínica, 11, 1-12.
  • Grant, B.F., Chou, S.P., Goldstein, R.B., Huang, M.P.H.B., Stinson, F.S., Saha, T.D.,... Ruan, W.J. (2008). Prevalence, correlates, disability, and comorbidity of DSM-IV borderline personality disorder: Results from the wave 2 National Epidemiologic Survey on Alcohol and Related Conditions. Journal of Clinical Psychiatry, 69, 533-545.
  • Kiers, H.A.L. (1994). Simplimax: A oblique rotation to an optimal target with simple structure. Psychometrika, 59, 567-579.
  • Lenzenweger, M.F. (1999). Stability and change in personality disorder features. The longitudinal study of personality disorders. Archives of General Psychiatry, 56, 1009-1015.
  • López, A., y Becoña, E. (2006). Patrones y trastornos de personalidad en personas con dependencia de la cocaína en tratamiento. Psicothema, 18, 577-582.
  • Lorenzo-Seva, U., y Ferrando, P.J. (2006). FACTOR: A computer program to fit the exploratory factor analysis model. Behavioral Research Methods, Instruments and Computers, 38, 88-91.
  • Mardia, K.V. (1970). Measures of multivariate skewnees and kurtosis with applications. Biometrika, 57, 519-530.
  • Millon, T. (1999a). MCMI-II. Inventario clínico multiaxial de Millon-II. Manual. Adaptación española de A. Ávila-Espada (Dir.), F. Jiménez Gómez (Coord.) y cols. Madrid: TEA.
  • Millon, T. (1999b). Reflections on Psychosynergy: A model for integrating science, theory, classification, assessment, and therapy. Journal of Personality Assessment, 72, 437-456.
  • Millon, T., y Davis, R. (1998). Trastornos de la personalidad. Más allá del DSM-IV. Barcelona: Masson (original publicado en 1995).
  • Millon, T., y Green, C. (1989). Interpretive guide to the Millon Clinical Multiaxial Inventory (MCMI-II). En Newmark, C.S. (Ed.), Major psychological assessment instruments, vol. 2 (pp. 5-43). Needham Heights, MA: Allyn & Bacon.
  • Muthén, B., y Kaplan D. (1992). A comparison of some methodologies for the factor analysis of non-normal Likert variables: A note on the size of the model. British Journal of Mathematical and Statistical Psychology, 45, 19-30.
  • Nadeau, L., Landry, M., y Racine, S. (1999). Prevalence of personality disorders among clients in treatment for addiction. Canadian Journal of Psychiatry, 44, 592-596.
  • OEDT (2009). Observatorio Europeo de las Drogas y las Toxicomanías. Informe anual: el problema de la drogodependencia en Europa. Luxemburgo: Oficina de Publicaciones de la Unión Europea.
  • Ortiz-Tallo, M., Cardenal, V., Ferragut, M., y Cerezo, M.V. (2011). Personalidad y síndromes clínicos: un estudio con el MCMI-III basado en una muestra española. Revista de Psicopatología y Psicología Clínica, 16, 44-59.
  • Pedrero-Pérez, E.J. (2009a). Dimensiones de los trastornos de personalidad en el MCMI-II en adictos a sustancias en tratamiento. Adicciones, 21, 29-38.
  • Pedrero-Pérez, E.J. (2009b). TCI-R-67: versión abreviada del TCI-R de Cloninger. Proceso de creación y administración a una muestra de adictos a sustancias en tratamiento. Trastornos Adictivos, 11, 12-23.
  • Pedrero-Pérez, E.J., López-Durán, A., y Olivar-Arroyo, A. (2006). El trastorno negativista de la personalidad y su relación con el abuso de sustancias. Trastornos Adictivos, 8, 22-41.
  • Pedrero-Pérez, E.J., López-Durán, A., y Olivar-Arroyo, Á. (2011). Addiction: Frontal personality change but not personality disorder comorbidity implications for treatment of addictive disorders. En Jordan, M.E. (ed.), Personality traits theory, testing and influences (pp. 1-36). New York: Nova Publishers.
  • Perea-Baena, J.M., Oña-Compan, S., y Ortiz-Tallo, M. (2009). Diferencias de rasgos clínicos de personalidad en el mantenimiento de la abstinencia y recaídas en tratamiento del tabaquismo. Psicothema, 21, 39-44.
  • Ravndal, E., y Vaglum, P. (2010). The Millon Clinical Multiaxial Inventory II: Stability over time? A seven-year follow-up study of substance abusers in treatment. European Addiction Research, 16, 146-151.
  • Sanz, J. (2007). Algunos problemas con la utilización de la adaptación española del Inventario Clínico Multiaxial de Millon-II (MCMI-II) con fines diagnósticos. Clínica y Salud, 18, 287-304.
  • Sonne, S.C., y Brady, K.T. (1998). Diagnosis of personality disorders in cocaine dependent individuals. The American Journals on Addictions, 7, 1-6.
  • Svrakic, D.M., Draganic, S., Hill, K., Bayon, C., Przybeck, T.R., y Cloninger, C.R. (2002). Temperament, character, and personality disorders: Etiologic, diagnostic, treatment issues. Acta Psychiatrica Scandinavica, 106, 189-195.
  • Ten Berge, J.M.F., y Kiers, H.A.L. (1991). A numerical approach to the exact and the approximate minimum rank of a covariance matrix. Psychometrika, 56, 309-315.
  • Timmerman, M.E., y Lorenzo-Seva, U. (2011). Dimensionality assessment of ordered polytomous items with parallel analysis. Psychological Methods, 16, 209-220.
  • Verheul, R. (2001). Co-morbidity of personality disorders in individuals with substance use disorders. European Psychiatry, 16, 274-282.
  • Wagner, T., Krampe, H., Stawicki, S., Reinhold, J., Jahn, H., y Mahlke, K.,... Ehrenreich, H. (2004). Substantial decrease of psychiatric comorbidity in chronic alcoholics upon integrated outpatient treatment-results of a prospective study. Journal of Psychiatric Research, 38, 619-635.
  • Widiger, T.A. (1999). Millon's dimensional polarities. Journal of Personality Assessment, 72, 365-389.
  • Widiger, T.A., Livesley, W.J., y Clark, L.A. (2009). An integrative dimensional classification of personality disorder. Psychological Assessment, 21, 243-255.