A Population Wide Analysis of MCMI-IV Symptom Validity Scales Administered in the Veterans Affairs Healthcare System.

Saved in:
Bibliographic Details
Title: A Population Wide Analysis of MCMI-IV Symptom Validity Scales Administered in the Veterans Affairs Healthcare System.
Authors: Shura, Robert D. (AUTHOR), Rine, Jordan V. (AUTHOR), Ingram, Paul B. (AUTHOR), Schroeder, Ryan W. (AUTHOR), Armistead-Jehle, Patrick (AUTHOR), Giromini, Luciano (AUTHOR)
Source: Journal of Personality Assessment. Jul/Aug2026, Vol. 108 Issue 4, p574-584. 11p.
Subjects: Test validity, Response styles (Examinations), Veterans affairs offices, Veterans, Psychological tests, Minnesota Multiphasic Personality Inventory, United States. Dept. of Veterans Affairs
Abstract: The Millon Clinical Multiaxial Inventory-IV (MCMI-IV) is a psychological assessment tool commonly used in Veteran Affairs (VA) settings. However, no research has examined the MCMI-IV symptom validity scales in the veteran population, where high rates of response bias can occur. This study examined convergent validity of the MCMI-IV scales to the Minnesota Multiphasic Personality Inventory-2-Restructured Form (MMPI-2-RF) validity measures, identified base rates of invalid MCMI-IV validity scores in the veteran population, and explored alternative cutoff scores. All MCMI-IVs administered in the VA (04/2019 − 08/2024, N = 6,466), using data from the Corporate Data Warehouse, were examined. MCMI-IV protocols were correlated with same day administrations of the MMPI-2-RF (n = 1,401) using Spearman's correlations. Disclosure and Debasement positively correlated with overreporting validity scales and negatively correlated with underreporting scales on the MMPI-2-RF, while Desirability showed the opposite pattern (all p <.001). Additionally, the Inconsistency scale positively correlated with MMPI-2-RF non-content validity scales. Less than 1% of MCMI-IV of protocols met the test manual's criteria for invalidity, a significant departure from invalid rates reported on other measures administered to veterans. Diagnostic accuracy analyses suggested new cutoff scores, specifically that overreporting be identified by X Disclosure base rate score (BRS) ≥ 87 and Z Debasement BRS ≥ 84, and underreporting identified by X Disclosure BRS ≤ 49 and Y Desirability BRS ≥ 74. Results suggest that while the MCMI-IV validity indices measure intended constructs, more optimal cutoffs are presented for the veteran population. [ABSTRACT FROM AUTHOR]
Copyright of Journal of Personality Assessment is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
FullText Text:
  Availability: 0
Header DbId: pbh
DbLabel: Psychology and Behavioral Sciences Collection
An: 194542282
AccessLevel: 6
PubType: Academic Journal
PubTypeId: academicJournal
PreciseRelevancyScore: 0
IllustrationInfo
Items – Name: Title
  Label: Title
  Group: Ti
  Data: A Population Wide Analysis of MCMI-IV Symptom Validity Scales Administered in the Veterans Affairs Healthcare System.
– Name: Author
  Label: Authors
  Group: Au
  Data: &lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Shura%2C+Robert+D%2E%22&quot;&gt;Shura, Robert D.&lt;/searchLink&gt; (AUTHOR)&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Rine%2C+Jordan+V%2E%22&quot;&gt;Rine, Jordan V.&lt;/searchLink&gt; (AUTHOR)&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Ingram%2C+Paul+B%2E%22&quot;&gt;Ingram, Paul B.&lt;/searchLink&gt; (AUTHOR)&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Schroeder%2C+Ryan+W%2E%22&quot;&gt;Schroeder, Ryan W.&lt;/searchLink&gt; (AUTHOR)&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Armistead-Jehle%2C+Patrick%22&quot;&gt;Armistead-Jehle, Patrick&lt;/searchLink&gt; (AUTHOR)&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Giromini%2C+Luciano%22&quot;&gt;Giromini, Luciano&lt;/searchLink&gt; (AUTHOR)
– Name: TitleSource
  Label: Source
  Group: Src
  Data: &lt;searchLink fieldCode=&quot;JN&quot; term=&quot;%22Journal+of+Personality+Assessment%22&quot;&gt;Journal of Personality Assessment&lt;/searchLink&gt;. Jul/Aug2026, Vol. 108 Issue 4, p574-584. 11p.
– Name: Subject
  Label: Subjects
  Group: Su
  Data: &lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Test+validity%22&quot;&gt;Test validity&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Response+styles+%28Examinations%29%22&quot;&gt;Response styles (Examinations)&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Veterans+affairs+offices%22&quot;&gt;Veterans affairs offices&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Veterans%22&quot;&gt;Veterans&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Psychological+tests%22&quot;&gt;Psychological tests&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Minnesota+Multiphasic+Personality+Inventory%22&quot;&gt;Minnesota Multiphasic Personality Inventory&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22United+States%2E+Dept%2E+of+Veterans+Affairs%22&quot;&gt;United States. Dept. of Veterans Affairs&lt;/searchLink&gt;
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: The Millon Clinical Multiaxial Inventory-IV (MCMI-IV) is a psychological assessment tool commonly used in Veteran Affairs (VA) settings. However, no research has examined the MCMI-IV symptom validity scales in the veteran population, where high rates of response bias can occur. This study examined convergent validity of the MCMI-IV scales to the Minnesota Multiphasic Personality Inventory-2-Restructured Form (MMPI-2-RF) validity measures, identified base rates of invalid MCMI-IV validity scores in the veteran population, and explored alternative cutoff scores. All MCMI-IVs administered in the VA (04/2019 − 08/2024, N = 6,466), using data from the Corporate Data Warehouse, were examined. MCMI-IV protocols were correlated with same day administrations of the MMPI-2-RF (n = 1,401) using Spearman&#39;s correlations. Disclosure and Debasement positively correlated with overreporting validity scales and negatively correlated with underreporting scales on the MMPI-2-RF, while Desirability showed the opposite pattern (all p &lt;.001). Additionally, the Inconsistency scale positively correlated with MMPI-2-RF non-content validity scales. Less than 1% of MCMI-IV of protocols met the test manual&#39;s criteria for invalidity, a significant departure from invalid rates reported on other measures administered to veterans. Diagnostic accuracy analyses suggested new cutoff scores, specifically that overreporting be identified by X Disclosure base rate score (BRS) ≥ 87 and Z Debasement BRS ≥ 84, and underreporting identified by X Disclosure BRS ≤ 49 and Y Desirability BRS ≥ 74. Results suggest that while the MCMI-IV validity indices measure intended constructs, more optimal cutoffs are presented for the veteran population. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
  Label:
  Group: Ab
  Data: &lt;i&gt;Copyright of Journal of Personality Assessment is the property of Taylor &amp; Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder&#39;s express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.&lt;/i&gt; (Copyright applies to all Abstracts.)
PLink https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=pbh&AN=194542282
RecordInfo BibRecord:
  BibEntity:
    Identifiers:
      – Type: doi
        Value: 10.1080/00223891.2025.2592958
    Languages:
      – Code: eng
        Text: English
    PhysicalDescription:
      Pagination:
        PageCount: 11
        StartPage: 574
    Subjects:
      – SubjectFull: Test validity
        Type: general
      – SubjectFull: Response styles (Examinations)
        Type: general
      – SubjectFull: Veterans affairs offices
        Type: general
      – SubjectFull: Veterans
        Type: general
      – SubjectFull: Psychological tests
        Type: general
      – SubjectFull: Minnesota Multiphasic Personality Inventory
        Type: general
      – SubjectFull: United States. Dept. of Veterans Affairs
        Type: general
    Titles:
      – TitleFull: A Population Wide Analysis of MCMI-IV Symptom Validity Scales Administered in the Veterans Affairs Healthcare System.
        Type: main
  BibRelationships:
    HasContributorRelationships:
      – PersonEntity:
          Name:
            NameFull: Shura, Robert D.
      – PersonEntity:
          Name:
            NameFull: Rine, Jordan V.
      – PersonEntity:
          Name:
            NameFull: Ingram, Paul B.
      – PersonEntity:
          Name:
            NameFull: Schroeder, Ryan W.
      – PersonEntity:
          Name:
            NameFull: Armistead-Jehle, Patrick
      – PersonEntity:
          Name:
            NameFull: Giromini, Luciano
    IsPartOfRelationships:
      – BibEntity:
          Dates:
            – D: 01
              M: 07
              Text: Jul/Aug2026
              Type: published
              Y: 2026
          Identifiers:
            – Type: issn-print
              Value: 00223891
          Numbering:
            – Type: volume
              Value: 108
            – Type: issue
              Value: 4
          Titles:
            – TitleFull: Journal of Personality Assessment
              Type: main
ResultId 1