Descriptive Profiles of the MMPI-2-Restructured Form (MMPI-2-RF) across a National Sample of Four Veteran Affairs Treatment Settings

This investigation provides descriptive information on substantive scale scores from the Minnesota Multiphasic Personality Inventory-2-Restructured Form (MMPI-2-RF) across four common service locations within Veterans Affairs (VA): PTSD clinical team, individual substance use treatment, primary medical care, and residential polytrauma rehabilitation. Test protocols for these four service settings are drawn from a national sample of all MMPI-2-RF and converted MMPI-2 administrations between January 1, 2008 and May 31, 2015 using the VA Mental Health Assist system at any VA across the United States. Frequency of substantive scale elevation and descriptive findings are examined. Results of this investigation suggest that there are differences between VA service locations on the MMPI-2-RF substantive scales, the magnitude of difference depends on the substantive scale examined, and the pattern of elevation within service location follows common clinical concerns for the settings. Implications for the clinical use, and research with, the MMPI-2-RF within the VA and with the veteran population are discussed. The views expressed in this manuscript do not reflect those of the Department of Veteran Affairs or of the United States Government

Patterns of MMPI-2-Restructured Form (MMPI-2-RF) Validity Scale Scores Observed Across Veteran Affairs Settings

The purpose of this investigation is to provide descriptive information on veteran response styles for a variety of VA referral types using the Minnesota Multiphasic Personality Inventory (MMPI)-2- Restructured Form (MMPI-2-RF), which has well-supported protocol validity scales. The sample included 17,640 veterans who were administered the MMPI-2-RF between when it was introduced to the VA system in 2013 until May 31, 2015 at any VA in the United States. This study examines frequencies of protocol invalidity based on the MMPI-2-RF’s validity scales and provides comprehensive descriptive findings on validity scale scores within the VA. Three distinct trends can be seen. First, a majority of the sample did not elevate any of the validity scales beyond their recommended interpretive cut-scores, indicating that scores on the substantive scales would be deemed valid and interpretable in those cases. Second, elevation rates are higher for the overreporting scales in comparison to the underreporting and non-content-based invalid responding scales. Lastly, a majority of those with an elevation on one overreporting validity indicator also had an elevation on at least one other overreporting scale. Implications for practice and the utility of the MMPI-2-RF within the VA are discussed

Design and methods of the Longitudinal Eating Disorders Assessment Project research consortium for veterans

Introduction Military service members must maintain a certain body mass index and body fat percentage. Due to weight-loss pressures, some service members may resort to unhealthy behaviors that place them at risk for the development of an eating disorder (ED). Objectives To understand the scope and impact of EDs in military service members and veterans, we formed the Longitudinal Eating Disorders Assessment Project (LEAP) Consortium. LEAP aims to develop novel screening, assessment, classification, and treatment tools for veterans and military members with a focus on EDs and internalizing psychopathology. Methods We recruited two independent nationally representative samples of post-9/11 veterans who were separated from service within the past year. Study 1 was a four-wave longitudinal survey and Study 2 was a mixed-methods study that included surveys, structured-clinical interviews, and qualitative interviews. Results Recruitment samples were representative of the full population of recently separated veterans. Sample weights were created to adjust for sources of non-response bias to the baseline survey. Attrition was low relative to past studies of this population, with only (younger) age predicting attrition at 1-week follow-up. Conclusions We expect that the LEAP Consortium data will contribute to improved information about EDs in veterans, a serious and understudied problem

Self concept and psychological health : Are they related to sex role identity?

M.S. University of Kansas, Counseling 1984 vi, 103 leaves ; 29 cm.This study investigated the relationship of sex role, as measured by the Bem Sex Role Inventory, and measures of self concept, satisfaction with self concept, psychological health, and personality integration, as measured by the Tennessee Self Concept Scale. One hundred and fifty three college age students were tested. There was no significant difference for subjects scores attributed to sex or sex type by sex interaction. A statistically significant difference in measures of self concept, satisfaction with self concept, and psychological health was found among ·sex types. A rank order effect was noted with androgynous individuals scoring highest followed by masculine, feminine, and undifferentiated, respectively, for each of the three variables. Scores on measures of personality integration reflected no significant statistical differences in regards to sex, sex type, or sex by sex type interaction

Red-Shouldered Hawk Nest Site Selection in North-Central Minnesota

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Suicide Attempts and Self-Inflicted Injury Among a National Cohort of Veterans with Post-Traumatic Stress Disorder and Traumatic Brain Injury

Background: Suicide rates are on the rise globally. Many suicide completers are previous attempters. Risk identification of attempters will provide an opportunity for prompt and targeted intervention towards suicide prevention. The aim of this study was to determine the incidence of suicide attempt and self-inflicted injury (SASI), and its associations with deployment-related PTSD and/or TBI and attempted suicide among a large national cohort of Veterans deployed pre and post-9/11 2001 who received care from the Veterans Health Administration (VHA) between 1998 - 2014. Methods: Clinical data from over 1,400 VHA establishments provided by the Veterans Administrations Informatics and Computing Infrastructure (VINCI) were used for descriptive and Cox regression analyses. Results: There were 1,327,604 patients in the study - PTSD only (1,121,818), TBI only (100,033), both PTSD and TBI (105,753). The incidence of SASI in the entire cohort was 351 per 100,000 person years; PTSD only (323), TBI only (181), both PTSD and TBI (835). Compared to TBI only group, the adjusted risk for SASI was higher in the PTSD only group (HR=1.129; 95% CI =1.063 - 1.200) and much higher in those with both PTSD and TBI (HR=2.283; 95% CI =2.136 - 2.441). The risk of SASI was higher if they were younger than 50 years, divorced or separated, non-Hispanic females, homeless, suffered adult abuse and neglect, had substance use, generalized anxiety and antisocial personality disorders, and if they were in the Pre-9/11 service period. Proportion of people attempting suicide increased every year post-diagnosis of PTSD and/or TBI. Conclusion: We recommend prioritizing resources to prevent suicide among at risk groups