第四版米隆多軸臨床量表在台心理計量屬性初探

A Preliminary Investigation of the Psychometric Properties of the Millon Clinical Multiaxial Inventory-IV in Taiwan

王玠琦(Chieh-Chi Wang)

指導教授 ： 蘇文碩

高雄醫學大學/人文社會科學院/心理學系碩士班/碩士(2020年)

摘要

人格衡鑑是心理師用以了解個案困擾的重要管道，也是他們平時的主要業務，但台灣的實務界卻長期面臨缺乏堪用人格測驗的情況。米隆臨床多軸量表（Millon Clinical Multiaxial Inventory, MCMI）系列向來在心理衡鑑領域裡享有盛名，也是西方倚重的人格測驗。因此，本研究的主要目的在於探究中譯版MCMI-IV在台灣的適用性。本次研究資料由85位自願參與者所提供，其中「病患組」的39位受試者來自戴德森醫療財團法人嘉義基督教醫院精神科，「健康組」的46位受試者則來自高雄地區。所有受試者都必須依序填答MCMI-III、MCMI-IV、貝克憂鬱量表第二版（Beck Depression Inventory–II, BDI-II）、貝克焦慮量表（Beck Anxiety Inventory, BAI）。為取得再測信度資料，「健康組」需在間隔至少兩週後再次填寫MCMI-IV。經使用Pearson積差相關、獨立樣本t檢定，以及共變數分析所得到的結果顯示，MCMI-IV在台使用時擁有不錯的信度（量尺平均Cronbach’s α = .83；平均再測信度r = .68）。在效度方面，「病患組」在MCMI-IV與MCMI-III的概念對應和對立量尺之間均有顯著相關，同樣的結果也存在於他們在MCMI-IV和BAI及BDI-II的得分之間，然而「健康組」在少數MCMI-IV量尺的效度未獲得支持（失序、焦慮、創傷後壓力症）。此外，除了反社會型、酒精使用、藥物使用、妄想量尺以外，其餘21個MCMI-IV量尺皆可區分出「病患組」和「健康組」的差異。整體而言，當MCMI-IV使用對象為台灣精神病患時，其效度表現良好，但當對象轉換為身心健康者時，則少數量尺效度未獲支持。本次調查取得了支持MCMI-IV在台適用性的初步證據，這也是首次對中文化MCMI-IV心理計量屬性所進行的探查，未來仍需投入更多相關主題研究，藉以進一步檢視MCMI-IV在台使用時的效能。

關鍵字

米隆多軸臨床量表

並列摘要

Personality Assessment is a crucial technique adopted by psychologists to understand and articulate the concerns of their clients. It is also a major duty of a psychologist’s daily routine. However, it has been difficult to find an applicable personality test to achieve this goal in Taiwan. The Millon Clinical Multiaxial Inventory (MCMI) series have been well-known in the field of Psychological Assessment and frequently used in the Western. This study aimed to investigate the psychometric properties of the MCMI-IV in Taiwan. Eighty five participants were recruited for the present study. Among those, 39 psychiatric patients from the Ditmanson Medical Foundation Chia-Yi Christian Hospital were assigned to the Patient Group, and another 46 physically and mentally healthy participants from Kaohsiung City were assigned to the Control Group. All particiapnts were required to fill out the MCMI-III, MCMI-IV, Beck Depression Inventory-II (BDI-II) and Beck Anxiety Inventory (BAI). In order to acquire test-retest reliability coefficients for the MCMI-IV scales, the Control Group had to wait for at least two weeks to retake this test. Independent t test, Pesarsons correlation, and ANCOVA were utilized to analyze research data. The statistical outputs showed that MCMI-IV is considered a reliable test when used in Taiwan (average Cronbach’s α = .83; average test-retest reliability = .68). As for its validity, scores on the MCMI-IV scales in the Patient Group were significantly correlated with those on the MCMI-III scales that measure corresponding and opposite constructs. The same results were also found between the BAI, BDI, and MCMI-IV scales that assess anxiety and depression. However, validity of the MCMI-IV Turbulent, Anxiety, and Post-Traumatic Stress Disorder Scales was not supported in the Control Group. In addition, all MCMI-IV scales, except for the Antisocial, Alcohol Use, Drug Use, and Paranoid, could successfully distinguish the Patient Group from the Control Group. Overall, the MCMI-IV is considered valid when it is used in psychiatric patients in Taiwan. Yet, few MCMI-IV scales are not applicable to healthy individuals in Taiwan given that their constructs could not be validated. The study has obtained the preliminary and promising evidence that supports the adaptability of the MCMI-IV in Taiwan, and it is the first one that investigated the psychometric properties of the Chinese version of MCMI-IV. More research is needed to further examine the efficiency of the MCMI-IV in Taiwan.

並列關鍵字

Millon Clinical Multiaxial Inventory-IV

參考文獻

參考文獻

一、中文文獻

李雅文、楊蘊萍、姜長青（2010）。米隆臨床多軸問卷 (MCMI-III)中

文版的信效度研究。中國臨床心理學雜誌，1，11-13。

車先蕙、盧孟良、陳錫中、張尚文、李宇宙（2006）。中文版貝克焦慮量表之信效度。臺灣醫學，10(4)，447-454。