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Objective: To examine whether socioeconomic status (SES), high school (HS) completion, IQ, and personality traits that predict delinquency in adolescence also could explain men's delinquency-related (Dq-r) mortality risk across the life span., Methods: Through a 60-year Social Security Death Index (SSDI) follow-up of 1812 men from Hathaway's adolescent normative Minnesota Multiphasic Personality Inventory (MMPI) sample, we examined mortality risk at various ages and at various levels of prior delinquency severity. We examined SES (using family rent level), HS completion, IQ, and MMPI indicators simultaneously as mortality predictors and tested for SES (rent level) interactions with IQ and personality., Results: We ascertained 418 decedents. Dq-r mortality peaked between ages 45 years to 64 years and continued through age 75 years, with high delinquency severity showing earlier and higher mortality risk. IQ and rent level failed to explain Dq-r mortality. HS completion robustly conferred mortality protection through ages 55 years and 75 years, explained IQ and rent level-related risk, but did not fully explain Dq-r risk. Dq-r MMPI scales, Psychopathic Deviate, and Social Introversion, respectively, predicted risk for and protection from mortality by age 75 years, explaining mortality risk otherwise attributable to delinquency. Wiggins' scales also explained Dq-r mortality risk, as Authority Conflict conferred risk for and Social Maladjustment and Hypomania conferred protection from mortality by age 75 years., Conclusions: HS completion robustly predicts mortality by ages 55 years and 75 years. Dq-r personality traits predict mortality by age 75 years, accounting, in part, for Dq-r mortality.

Patients with medical or social problems related to alcohol abuse or alcohol dependence frequently are seen in the health care delivery system. Direct and indirect screening methods are available, but contemporary data describing their combined effectiveness have not been reported. We determined the sensitivity of (a) an empirically derived, item-weighted, relatively "indirect" screening measure for alcohol misuse (the Common, Alcohol, Logistic [CAL] scale for the MMPI), (b) a "direct" approach to screening for alcohol misuse (the Self-Administered Alcohol Screening Test [SAAST]), and (c) their combined application. We obtained the responses to both measures from an archival sample of 361 medical patients (89 women, 272 men) who had been diagnosed with alcohol dependence by DSM-III-R criteria. The CAL scale and the SAAST both demonstrated high sensitivity. However, results favored the simultaneous use of a direct-in this study, the SAAST-and an indirect-in this study, the CAL scale-screening procedure.

We undertook this study to provide empirically derived interpretative recommendations for the MMPI-A Structural Summary through an evaluation of factor elevation patterns. We examined the frequency of single-factor, two-factor, and multifactor elevations in a clinical sample of 363 adolescents receiving inpatient, outpatient, or residential treatment. Two methods of determining factor elevation (a simple majority of scales and subscales within a specific factor with T-score elevations at critical level, versus the mean T score generated by all the scales and subscales for each factor) yielded comparable findings concerning the frequency of factor elevation, permitting reliance on the former, easier-to-use method to define elevation. The most salient two-factor co-elevations were the 3-7 (Disinhibition-Familial Alienation), 2-8 (Immaturity-Psychoticism), 1-5 (General Maladjustment-Health Concerns), and 2-7 (Immaturity-Familial Alienation) patterns. This study also examined whether factor pattern elevations varied as a function of age, gender, or diagnosis. Data analyses revealed no differences between younger (ages 13-14) and older (ages 15-18) adolescents on factor elevation as defined by the first criterion. However, significant differences were found between boys and girls on Factors 3 (Disinhibition) and 5 (Health Concerns). Results also indicated that a larger proportion of depressed adolescents obtained factor elevations on Factors 4 (Social Discomfort) and 5 (Health Concerns) compared to adolescents with conduct disorder diagnoses and other diagnoses. The findings of this study are discussed with reference to recommended procedures for using the Structural Summary in clinical assessment practice.