Psychometric Properties of the Persian Version of Millon Clinical Multiaxial Inventory-IV (MCMI-IV)
Objective: Millon Clinical Multiaxial Inventory (MCMI) is one of the most widely used clinical tools in research studies and clinical settings. MCMI was revised 4 times and its last version was published in 2015. All previous versions of MCMI have been translated to Persian and validated and have been frequently used by Iranian clinicians or researchers. Thus, this study provides the Persian version of the last version of this popular inventory for clinical or research purposes. Method: The participants of this psychometric study were selected by combining purposeful and convenience sampling methods among inpatients and outpatients who referred to Roozbeh hospital from 2018 to 2019. After data screening by statistical methods and Validity Scales based on MCMI-IV profile, 400 participants’ profiles were analyzed to estimate the psychometric properties of the Persian Version of MCMI-IV. MCMI-IV, the Structured Clinical Interview for DSM-5 (SCID-5), and the Brief Symptoms Inventory (BSI) were used for clinical data gathering. Content Validity Ratio (CVR), Correlational Coefficients, Kappa Agreement, Spearman Brown Coefficient, and Cronbach Alpha were performed for data analysis.
Results: According to the results of data analysis, the psychometric properties for MCMI-IV were estimated as follows: the content validity index (CVI, 0.29 to 0.99), criterion validity (0.13 to 0.40), convergent validity (-0.35 to 0.72), The Cronbach’s alpha for the personality scales was 0.48 to 0.90, the Spearman-Brown coefficient was from 0.49 to 0.90, and test-retest reliability was from 0.51 to 0.86.
Conclusion: The psychometric properties of the Persian version of MCMI-IV, including validity and reliability indexes, are appropriate and in line with the findings of its original version.
2. Regier DA, Kuhl EA, Kupfer DJ. The DSM-5: Classification and criteria changes. World Psychiatry. 2013;12(2):92-8.
3. Clark LA, Cuthbert B, Lewis-Fernández R, Narrow WE, Reed GM. Three Approaches to Understanding and Classifying Mental Disorder: ICD-11, DSM-5, and the National Institute of Mental Health's Research Domain Criteria (RDoC). Psychol Sci Public Interest. 2017;18(2):72-145.
4. Grossman SD. Millon's Evolutionary Model of Personality Assessment: A Case for Categorical/Dimensional Prototypes. J Pers Assess. 2015;97(5):436-45.
5. Choca JP, Grossman SD. Evolution of the Millon Clinical Multiaxial Inventory. J Pers Assess. 2015;97(6):541-9.
6. Millon T. The MCMI provides a good assessment of DSM-III disorders: the MCMI-II will prove even better. J Pers Assess. 1985;49(4):379-91.
7. Millon T. Personality disorders: Conceptual distinctions and classification issues. 1994.
8. Millon T, Davis RD, Millon C. MCMI-III Manual: National Computer Systems; 1997.
9. Millon T. Millon Clinical Multiaxial Inventory-III [Manual Second Edition]. Bloomington, MN: Pearson Assessments; 1997.
10. Millon T, Grossman S, Millon C. MCMI-IV: Pearson; 2015.
11. Widiger TA, Williams JB, Spitzer RL, Frances A. The MCMI as a measure of DSM-III. J Pers Assess. 1985;49(4):366-78.
12. Rossi G, van der Ark LA, Sloore H. Factor analysis of the Dutch-language version of the MCMI-III. J Pers Assess. 2007;88(2):144-57.
13. Cuevas L, García LF, Aluja A, García Ó. Exploratory and confirmatory factorial structure of the MCMI-III Personality Disorders: Overlapping versus non-overlapping scales. Eur J Psychiatry. 2008;22(2):59-68.
14. Chegini Maryam, Delavar Ali, Banafsheh G. Psychometric Characteristics of Millon Clinical Multiaxial Inventory-III. QUARTERLY JOURNAL OF PSYCHOLOGY (TABRIZ UNIVERSITY). 2013;8(29):135-62.
15. Sarabi P, Sadeghi K. The degree agreement of Millon Clinical Multiaxial Inventory - 3 With Personality Inventory (SCID-II) in the diagnosis of personality disorders. Rooyesh-e-Ravanshenasi. 2019;7(10):131-46.
16. Sharifi AA, Molavi H, Namdari K. The Validity of MCMI-III (Millon, ) Scales. Knowledge and Reaserch in Applied Psychology. 2017;0(34):27-38.
17. Khajeh Mogehi N. Preliminary preparation of Persian form of Millon Clinical Multiaxial Inventory II(MCMI-II) in Tehran. Iran: Iran University of Medical Science; 1993.
18. Craig RJ. Overview and current status of the Millon Clinical Multiaxial Inventory. J Pers Assess. 1999;72(3):390-406.
19. First MB. Structured clinical interview for the DSM (SCID). The encyclopedia of clinical psychology. 2014:1-6.
20. Mohammadkhani P, Forouzan AS, Hooshyari Z, Abasi I. Psychometric Properties of Persian Version of Structured Clinical Interview for DSM-5-Research Version (SCID-5-RV): A Diagnostic Accuracy Study. Iran J Psychiatry Behav Sci. 2020;14(2):e100930.
21. Derogatis LR, Melisaratos N. The Brief Symptom Inventory: an introductory report. Psychol Med. 1983;13(3):595-605.
22. Mohammadkhani P, Dobson KS, Amiri M, Ghafari FH. Psychometric properties of the Brief Symptom Inventory in a sample of recovered Iranian depressed patients. International journal of clinical and health psychology. 2010;10(3):541-51.
23. Rossi G, Derksen J. International Adaptations of the Millon Clinical Multiaxial Inventory: Construct Validity and Clinical Applications. J Pers Assess. 2015;97(6):572-90.
24. Sharifi HP. Principles of psychometric and psychological testing. Tehran: Roshd publisher. 2011.
25. Retzlaff P. MCMI-III diagnostic validity: bad test or bad validity study. J Pers Assess. 1996;66(2):431-7.
26. Karukivi M, Vahlberg T, Horjamo K, Nevalainen M, Korkeila J. Clinical importance of personality difficulties: diagnostically sub-threshold personality disorders. BMC Psychiatry. 2017;17(1):16.
27. Furnham A, Milner R, Akhtar R, De Fruyt F. A review of the measures designed to assess DSM-5 personality disorders. Psychology. 2014;5(14):1646.
28. Ward RK. Assessment and management of personality disorders. Am Fam Physician. 2004;70(8):1505-12.
29. Campbell DT, Fiske DW. Convergent and discriminant validation by the multitrait-multimethod matrix. Psychol Bull. 1959;56(2):81-105.
30. McCann JT. Guidelines for forensic application of the MCMI-III. Journal of Forensic Psychology Practice. 2002;2(3):55-69.
31. Robert JA, Ryan JJ, McEntyre WL, McFarland RS, Lips OJ, Rosenberg SJ. MCMI characteristics of DSM-III posttraumatic stress disorder in Vietnam veterans. J Pers Assess. 1985;49(3):226-30.
32. Craig RJ, Verinis JS, Wexler S. Personality characteristics of drug addicts and alcoholics on the Millon Clinical Multiaxial Inventory. J Pers Assess. 1985;49(2):156-60.
33. Tavakol M, Dennick R. Making sense of Cronbach's alpha. Int J Med Educ. 2011;2:53-5.
34. Eisinga R, Grotenhuis M, Pelzer B. The reliability of a two-item scale: Pearson, Cronbach, or Spearman-Brown? Int J Public Health. 2013;58(4):637-42.
35. Webb NM, Shavelson RJ, Haertel EH. 4 reliability coefficients and generalizability theory. Handbook of statistics. 2006;26:81-124.
36. Gibertini M, Retzlaff PD. Factor invariance of the Millon Clinical Multiaxial Inventory. J Psychopathol Behav Assess. 1988;10(1):65-74.
37. Doering S, Renn D, Höfer S, Rumpold G, Smrekar U, Janecke N, et al. [Validation of the "Assessment of DSM-IV Personality Disorders (ADP-IV)" Questionnaire]. Z Psychosom Med Psychother. 2007;53(2):111-28.
|Issue||Vol 16 No 1 (2021)|
|MCMI-IV Psychometric Properties Personality Disorders Reliability Validity|
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