Predicting Treatment Attitudes and Behaviors Longitudinally among - - PowerPoint PPT Presentation

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Predicting Treatment Attitudes and Behaviors Longitudinally among - - PowerPoint PPT Presentation

May 21, 2023 607 likes •1k views

Predicting Treatment Attitudes and Behaviors Longitudinally among College Students with Depressive Symptoms on the MMPI-2-RF and MMPI-3 Nicole M. Morris, Paul B. Ingram, Brittney Golden, Sean Mitchell, & Sarah Victor Texas Tech University

slide-1
SLIDE 1

Predicting Treatment Attitudes and Behaviors Longitudinally among College Students with Depressive Symptoms on the MMPI-2-RF and MMPI-3

Nicole M. Morris, Paul B. Ingram, Brittney Golden, Sean Mitchell, & Sarah Victor Texas Tech University

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SLIDE 2

Psychotherapy and Treatment Outcomes

Psychotherapy is known to alleviate a wide array of mental health concerns. Barriers to treatment:

  • Initiation
  • Dropout
  • Poor engagement

These treatment barriers can be combatted by identifying traits:

  • Intention to seek
  • Stigma
  • Help-seeker attitudes
  • Use of treatment
slide-3
SLIDE 3

Lit Literatur ture Synthe thesis is

Mattson et al., 2012; Patel & Suhr, 2019; Tylicki et al., 2019

  • Poor alliance and non-readiness to terminate

Internalizing(EID, RCd, RC2, RC7, BRF)

  • Non-compliance, early termination, inactivity with homework, & lower functioning at termination

Externalizing(RC4, JCP, SUB, AGG, AGGR-r, DISC-r)

  • Treatment noncompletion in drug court

Psychoticism (RC8)

  • Noncompliance, inactivity with homework, & unsuccessful treatment

Interpersonal (RC3, IPP, DSF)

  • Poor alliance, non-compliance, & inactivity with homework

Somatic (RC1, RC3, MLS, HPC, NUC, COG)

slide-4
SLIDE 4

Current Study

  • Aim: To investigate the MMPI-2-RF/MMPI-3 substantive scale score associations with

treatment behaviors and attitudes

  • Investigated MMPI-2-RF/MMPI-3 scale score associations with:
  • Intention to seek treatment
  • Attitudes about mental health treatment
  • Other-related stigma
  • Self-stigma
  • Lifetime/recent use of treatment
slide-5
SLIDE 5

Methods

N = 152 N = 139 N = 134

MMPI-3 Final Sample:

Qualified and Attended:

Screened:

N = 327

MMPI-2-RF Final Sample:

  • Gender: ~70% women
  • Age: 18 to 26 (M = ~20.1, SD = 1.8).
  • Race: 77.0% - 86.6% White
  • PHQ-9 Scores:
  • Baseline: M = ~15.5; SD = ~4.0
  • Follow ups: M = ~21.3 SD = ~5.2
  • Lifetime suicide ideation: 59.7%
  • Lifetime suicide plan: 44 to 46%
  • Lifetime attempts: ~20.1%
  • Past 12-month Ideation: 27.3 - 38.6%
  • Past 12-month plan: 19.4 - 28.4%
  • Past 12-month attempt: 6.8 - 8.7%

MMPI-2-RF/MMPI-3 Samples Description:

slide-6
SLIDE 6

Instrumentation

  • Only at Baseline:
  • MMPI-2-RF-EX: Broadband measure of personality and psychopathology
  • Help Seeker Stereotypes Scale: Stereotypes about individuals who seek treatment (𝛽 = .93)
  • Baseline and all Followups:
  • Mental Health Seeking Intention Scale: Intention to seek mental health treatment (𝛽 = .89 to .94)
  • Mental Health Seeking Attitudes Scale: Beliefs about mental health treatment (𝛽 = .80 to .95)
  • Self-Stigma of Seeking Psychology Help Scale: Self-stigma of mental health treatment (𝛽 = .84 to .90)
slide-7
SLIDE 7

Clinically Relevant Associations

  • Statistically significant correlations
  • At least small in effect (+/- .15)
  • The pattern was maintained for at least 50% of the time points (2+ time points)

Tylicki, Martin-Fernandez, & Ben-Porath, 2019

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SLIDE 8

Internalizing Scales – MMPI-2-RF

Baseline Assessment (n = 139) 2-week Followup (n = 106) 4-week Followup (n = 105) 6-week Followup (n = 100)

Intent Attit. Other Stigma Self Stigma Life Tx Recent Tx Intent Attit. Self Stigma Recent Tx Intent Attit. Self Stigma Recent Tx Intent Attit. Self Stigma Recent Tx

EID

  • .07
  • .05

.12 .14 .20

  • .29

.07

  • .03

.06

  • .33

.02

  • .08

.06

  • .10
  • .11
  • .07

.08

  • .25

RC2

  • .06
  • .13

.02 .16 .17

  • .24

.05

  • .11

.14

  • .35

.00

  • .17

.15

  • .09
  • .17
  • .17

.17

  • .25

SUI

  • .01
  • .02

.14 .18 .20

  • .23

.02

  • .02

.06

  • .24
  • .02

.03 .01

  • .16
  • .11
  • .01

.12

  • .17

BRF .16 .12

  • .01
  • .02

.13

  • .15

.24 .10

  • .12
  • .05

.20 .04

  • .09

.03 .13 .08

  • .02

.03 INTR-r

  • .08
  • .13
  • .03

.12 .07

  • .12
  • .01
  • .08

.15

  • .33
  • .02
  • .09

.12

  • .18
  • .14
  • .08

.16

  • .25
slide-9
SLIDE 9

Internalizing Scales – MMPI-2-RF

Baseline Assessment (n = 139) 2-week Followup (n = 106) 4-week Followup (n = 105) 6-week Followup (n = 100)

Intent Attit. Other Stigma Self Stigma Life Tx Recent Tx Intent Attit. Self Stigma Recent Tx Intent Attit. Self Stigma Recent Tx Intent Attit. Self Stigma Recent Tx

EID

  • .07
  • .05

.12 .14 .20

  • .29

.07

  • .03

.06

  • .33

.02

  • .08

.06

  • .10
  • .11
  • .07

.08

  • .25

RC2

  • .06
  • .13

.02 .16 .17

  • .24

.05

  • .11

.14

  • .35

.00

  • .17

.15

  • .09
  • .17
  • .17

.17

  • .25

SUI

  • .01
  • .02

.14 .18 .20

  • .23

.02

  • .02

.06

  • .24
  • .02

.03 .01

  • .16
  • .11
  • .01

.12

  • .17

BRF .16 .12

  • .01
  • .02

.13

  • .15

.24 .10

  • .12
  • .05

.20 .04

  • .09

.03 .13 .08

  • .02

.03 INTR-r

  • .08
  • .13
  • .03

.12 .07

  • .12
  • .01
  • .08

.15

  • .33
  • .02
  • .09

.12

  • .18
  • .14
  • .08

.16

  • .25
slide-10
SLIDE 10

Internalizing Scales – MMPI-2-RF

Baseline Assessment (n = 139) 2-week Followup (n = 106) 4-week Followup (n = 105) 6-week Followup (n = 100)

Intent Attit. Other Stigma Self Stigma Life Tx Recent Tx Intent Attit. Self Stigma Recent Tx Intent Attit. Self Stigma Recent Tx Intent Attit. Self Stigma Recent Tx

EID

  • .07
  • .05

.12 .14 .20

  • .29

.07

  • .03

.06

  • .33

.02

  • .08

.06

  • .10
  • .11
  • .07

.08

  • .25

RC2

  • .06
  • .13

.02 .16 .17

  • .24

.05

  • .11

.14

  • .35

.00

  • .17

.15

  • .09
  • .17
  • .17

.17

  • .25

SUI

  • .01
  • .02

.14 .18 .20

  • .23

.02

  • .02

.06

  • .24
  • .02

.03 .01

  • .16
  • .11
  • .01

.12

  • .17

BRF .16 .12

  • .01
  • .02

.13

  • .15

.24 .10

  • .12
  • .05

.20 .04

  • .09

.03 .13 .08

  • .02

.03 INTR-r

  • .08
  • .13
  • .03

.12 .07

  • .12
  • .01
  • .08

.15

  • .33
  • .02
  • .09

.12

  • .18
  • .14
  • .08

.16

  • .25
slide-11
SLIDE 11

Externalizing Scales – MMPI-2-RF

Baseline Assessment (n = 139) 2-week Followup (n = 106) 4-week Followup (n = 105) 6-week Followup (n = 100)

Intent Attit. Other Stigma Self Stigma Life Tx Recent Tx Intent Attit. Self Stigma Recent Tx Intent Attit. Self Stigma Recent Tx Intent Attit. Self Stigma Recent Tx

RC4

  • .08
  • .21

.23 .08

  • .05

.01

  • .11
  • .19

.09

  • .20
  • .08
  • .20

.11 .07

  • .21
  • .19

.11

  • .08

JCP

  • .23
  • .15

.20 .08

  • .09
  • .07
  • .25
  • .13

.13

  • .22
  • .17
  • .10

.13 .04

  • .20
  • .06

.16

  • .12

Interpersonal Scales – MMPI-2-RF

Baseline Assessment (n = 139) 2-week Followup (n = 106) 4-week Followup (n = 105) 6-week Followup (n = 100)

Intent Attit. Other Stigma Self Stigma Life Tx Recent Tx Intent Attit. Self Stigma Recent Tx Intent Attit. Self Stigma Recent Tx Intent Attit. Self Stigma Recent Tx

RC3 .02

  • .17

.32 .19

  • .09
  • .10
  • .09
  • .28

.23 .00 .07

  • .16

.21 .07

  • .08
  • .13

.14 .07 DSF

  • .01
  • .18

.13 .20 .03

  • .05

.02

  • .26

.23

  • .04
  • .12
  • .25

.23

  • .01
  • .22
  • .24

.27 .01

slide-12
SLIDE 12

Externalizing Scales – MMPI-2-RF

Baseline Assessment (n = 139) 2-week Followup (n = 106) 4-week Followup (n = 105) 6-week Followup (n = 100)

Intent Attit. Other Stigma Self Stigma Life Tx Recent Tx Intent Attit. Self Stigma Recent Tx Intent Attit. Self Stigma Recent Tx Intent Attit. Self Stigma Recent Tx

RC4

  • .08
  • .21

.23 .08

  • .05

.01

  • .11
  • .19

.09

  • .20
  • .08
  • .20

.11 .07

  • .21
  • .19

.11

  • .08

JCP

  • .23
  • .15

.20 .08

  • .09
  • .07
  • .25
  • .13

.13

  • .22
  • .17
  • .10

.13 .04

  • .20
  • .06

.16

  • .12

Interpersonal Scales – MMPI-2-RF

Baseline Assessment (n = 139) 2-week Followup (n = 106) 4-week Followup (n = 105) 6-week Followup (n = 100)

Intent Attit. Other Stigma Self Stigma Life Tx Recent Tx Intent Attit. Self Stigma Recent Tx Intent Attit. Self Stigma Recent Tx Intent Attit. Self Stigma Recent Tx

RC3 .02

  • .17

.32 .19

  • .09
  • .10
  • .09
  • .28

.23 .00 .07

  • .16

.21 .07

  • .08
  • .13

.14 .07 DSF

  • .01
  • .18

.13 .20 .03

  • .05

.02

  • .26

.23

  • .04
  • .12
  • .25

.23

  • .01
  • .22
  • .24

.27 .01

slide-13
SLIDE 13

Externalizing Scales – MMPI-2-RF

Baseline Assessment (n = 139) 2-week Followup (n = 106) 4-week Followup (n = 105) 6-week Followup (n = 100)

Intent Attit. Other Stigma Self Stigma Life Tx Recent Tx Intent Attit. Self Stigma Recent Tx Intent Attit. Self Stigma Recent Tx Intent Attit. Self Stigma Recent Tx

RC4

  • .08
  • .21

.23 .08

  • .05

.01

  • .11
  • .19

.09

  • .20
  • .08
  • .20

.11 .07

  • .21
  • .19

.11

  • .08

JCP

  • .23
  • .15

.20 .08

  • .09
  • .07
  • .25
  • .13

.13

  • .22
  • .17
  • .10

.13 .04

  • .20
  • .06

.16

  • .12

Interpersonal Scales – MMPI-2-RF

Baseline Assessment (n = 139) 2-week Followup (n = 106) 4-week Followup (n = 105) 6-week Followup (n = 100)

Intent Attit. Other Stigma Self Stigma Life Tx Recent Tx Intent Attit. Self Stigma Recent Tx Intent Attit. Self Stigma Recent Tx Intent Attit. Self Stigma Recent Tx

RC3 .02

  • .17

.32 .19

  • .09
  • .10
  • .09
  • .28

.23 .00 .07

  • .16

.21 .07

  • .08
  • .13

.14 .07 DSF

  • .01
  • .18

.13 .20 .03

  • .05

.02

  • .26

.23

  • .04
  • .12
  • .25

.23

  • .01
  • .22
  • .24

.27 .01

slide-14
SLIDE 14

Externalizing Scales – MMPI-2-RF

Baseline Assessment (n = 139) 2-week Followup (n = 106) 4-week Followup (n = 105) 6-week Followup (n = 100)

Intent Attit. Other Stigma Self Stigma Life Tx Recent Tx Intent Attit. Self Stigma Recent Tx Intent Attit. Self Stigma Recent Tx Intent Attit. Self Stigma Recent Tx

RC4

  • .08
  • .21

.23 .08

  • .05

.01

  • .11
  • .19

.09

  • .20
  • .08
  • .20

.11 .07

  • .21
  • .19

.11

  • .08

JCP

  • .23
  • .15

.20 .08

  • .09
  • .07
  • .25
  • .13

.13

  • .22
  • .17
  • .10

.13 .04

  • .20
  • .06

.16

  • .12

Interpersonal Scales – MMPI-2-RF

Baseline Assessment (n = 139) 2-week Followup (n = 106) 4-week Followup (n = 105) 6-week Followup (n = 100)

Intent Attit. Other Stigma Self Stigma Life Tx Recent Tx Intent Attit. Self Stigma Recent Tx Intent Attit. Self Stigma Recent Tx Intent Attit. Self Stigma Recent Tx

RC3 .02

  • .17

.32 .19

  • .09
  • .10
  • .09
  • .28

.23 .00 .07

  • .16

.21 .07

  • .08
  • .13

.14 .07 DSF

  • .01
  • .18

.13 .20 .03

  • .05

.02

  • .26

.23

  • .04
  • .12
  • .25

.23

  • .01
  • .22
  • .24

.27 .01

slide-15
SLIDE 15

Externalizing Scales – MMPI-2-RF

Baseline Assessment (n = 139) 2-week Followup (n = 106) 4-week Followup (n = 105) 6-week Followup (n = 100)

Intent Attit. Other Stigma Self Stigma Life Tx Recent Tx Intent Attit. Self Stigma Recent Tx Intent Attit. Self Stigma Recent Tx Intent Attit. Self Stigma Recent Tx

RC4

  • .08
  • .21

.23 .08

  • .05

.01

  • .11
  • .19

.09

  • .20
  • .08
  • .20

.11 .07

  • .21
  • .19

.11

  • .08

JCP

  • .23
  • .15

.20 .08

  • .09
  • .07
  • .25
  • .13

.13

  • .22
  • .17
  • .10

.13 .04

  • .20
  • .06

.16

  • .12

Interpersonal Scales – MMPI-2-RF

Baseline Assessment (n = 139) 2-week Followup (n = 106) 4-week Followup (n = 105) 6-week Followup (n = 100)

Intent Attit. Other Stigma Self Stigma Life Tx Recent Tx Intent Attit. Self Stigma Recent Tx Intent Attit. Self Stigma Recent Tx Intent Attit. Self Stigma Recent Tx

RC3 .02

  • .17

.32 .19

  • .09
  • .10
  • .09
  • .28

.23 .00 .07

  • .16

.21 .07

  • .08
  • .13

.14 .07 DSF

  • .01
  • .18

.13 .20 .03

  • .05

.02

  • .26

.23

  • .04
  • .12
  • .25

.23

  • .01
  • .22
  • .24

.27 .01

slide-16
SLIDE 16

Externalizing Scales – MMPI-2-RF

Baseline Assessment (n = 139) 2-week Followup (n = 106) 4-week Followup (n = 105) 6-week Followup (n = 100)

Intent Attit. Other Stigma Self Stigma Life Tx Recent Tx Intent Attit. Self Stigma Recent Tx Intent Attit. Self Stigma Recent Tx Intent Attit. Self Stigma Recent Tx

RC4

  • .08
  • .21

.23 .08

  • .05

.01

  • .11
  • .19

.09

  • .20
  • .08
  • .20

.11 .07

  • .21
  • .19

.11

  • .08

JCP

  • .23
  • .15

.20 .08

  • .09
  • .07
  • .25
  • .13

.13

  • .22
  • .17
  • .10

.13 .04

  • .20
  • .06

.16

  • .12

Interpersonal Scales – MMPI-2-RF

Baseline Assessment (n = 139) 2-week Followup (n = 106) 4-week Followup (n = 105) 6-week Followup (n = 100)

Intent Attit. Other Stigma Self Stigma Life Tx Recent Tx Intent Attit. Self Stigma Recent Tx Intent Attit. Self Stigma Recent Tx Intent Attit. Self Stigma Recent Tx

RC3 .02

  • .17

.32 .19

  • .09
  • .10
  • .09
  • .28

.23 .00 .07

  • .16

.21 .07

  • .08
  • .13

.14 .07 DSF

  • .01
  • .18

.13 .20 .03

  • .05

.02

  • .26

.23

  • .04
  • .12
  • .25

.23

  • .01
  • .22
  • .24

.27 .01

slide-17
SLIDE 17

Externalizing Scales – MMPI-2-RF

Baseline Assessment (n = 139) 2-week Followup (n = 106) 4-week Followup (n = 105) 6-week Followup (n = 100)

Intent Attit. Other Stigma Self Stigma Life Tx Recent Tx Intent Attit. Self Stigma Recent Tx Intent Attit. Self Stigma Recent Tx Intent Attit. Self Stigma Recent Tx

RC4

  • .08
  • .21

.23 .08

  • .05

.01

  • .11
  • .19

.09

  • .20
  • .08
  • .20

.11 .07

  • .21
  • .19

.11

  • .08

JCP

  • .23
  • .15

.20 .08

  • .09
  • .07
  • .25
  • .13

.13

  • .22
  • .17
  • .10

.13 .04

  • .20
  • .06

.16

  • .12

Interpersonal Scales – MMPI-2-RF

Baseline Assessment (n = 139) 2-week Followup (n = 106) 4-week Followup (n = 105) 6-week Followup (n = 100)

Intent Attit. Other Stigma Self Stigma Life Tx Recent Tx Intent Attit. Self Stigma Recent Tx Intent Attit. Self Stigma Recent Tx Intent Attit. Self Stigma Recent Tx

RC3 .02

  • .17

.32 .19

  • .09
  • .10
  • .09
  • .28

.23 .00 .07

  • .16

.21 .07

  • .08
  • .13

.14 .07 DSF

  • .01
  • .18

.13 .20 .03

  • .05

.02

  • .26

.23

  • .04
  • .12
  • .25

.23

  • .01
  • .22
  • .24

.27 .01

slide-18
SLIDE 18

Externalizing Scales – MMPI-2-RF

Baseline Assessment (n = 139) 2-week Followup (n = 106) 4-week Followup (n = 105) 6-week Followup (n = 100)

Intent Attit. Other Stigma Self Stigma Life Tx Recent Tx Intent Attit. Self Stigma Recent Tx Intent Attit. Self Stigma Recent Tx Intent Attit. Self Stigma Recent Tx

RC4

  • .08
  • .21

.23 .08

  • .05

.01

  • .11
  • .19

.09

  • .20
  • .08
  • .20

.11 .07

  • .21
  • .19

.11

  • .08

JCP

  • .23
  • .15

.20 .08

  • .09
  • .07
  • .25
  • .13

.13

  • .22
  • .17
  • .10

.13 .04

  • .20
  • .06

.16

  • .12

Interpersonal Scales – MMPI-2-RF

Baseline Assessment (n = 139) 2-week Followup (n = 106) 4-week Followup (n = 105) 6-week Followup (n = 100)

Intent Attit. Other Stigma Self Stigma Life Tx Recent Tx Intent Attit. Self Stigma Recent Tx Intent Attit. Self Stigma Recent Tx Intent Attit. Self Stigma Recent Tx

RC3 .02

  • .17

.32 .19

  • .09
  • .10
  • .09
  • .28

.23 .00 .07

  • .16

.21 .07

  • .08
  • .13

.14 .07 DSF

  • .01
  • .18

.13 .20 .03

  • .05

.02

  • .26

.23

  • .04
  • .12
  • .25

.23

  • .01
  • .22
  • .24

.27 .01

slide-19
SLIDE 19

Externalizing Scales – MMPI-2-RF

Baseline Assessment (n = 139) 2-week Followup (n = 106) 4-week Followup (n = 105) 6-week Followup (n = 100)

Intent Attit. Other Stigma Self Stigma Life Tx Recent Tx Intent Attit. Self Stigma Recent Tx Intent Attit. Self Stigma Recent Tx Intent Attit. Self Stigma Recent Tx

RC4

  • .08
  • .21

.23 .08

  • .05

.01

  • .11
  • .19

.09

  • .20
  • .08
  • .20

.11 .07

  • .21
  • .19

.11

  • .08

JCP

  • .23
  • .15

.20 .08

  • .09
  • .07
  • .25
  • .13

.13

  • .22
  • .17
  • .10

.13 .04

  • .20
  • .06

.16

  • .12

Interpersonal Scales – MMPI-2-RF

Baseline Assessment (n = 139) 2-week Followup (n = 106) 4-week Followup (n = 105) 6-week Followup (n = 100)

Intent Attit. Other Stigma Self Stigma Life Tx Recent Tx Intent Attit. Self Stigma Recent Tx Intent Attit. Self Stigma Recent Tx Intent Attit. Self Stigma Recent Tx

RC3 .02

  • .17

.32 .19

  • .09
  • .10
  • .09
  • .28

.23 .00 .07

  • .16

.21 .07

  • .08
  • .13

.14 .07 DSF

  • .01
  • .18

.13 .20 .03

  • .05

.02

  • .26

.23

  • .04
  • .12
  • .25

.23

  • .01
  • .22
  • .24

.27 .01

slide-20
SLIDE 20

Externalizing Scales – MMPI-2-RF

Baseline Assessment (n = 139) 2-week Followup (n = 106) 4-week Followup (n = 105) 6-week Followup (n = 100)

Intent Attit. Other Stigma Self Stigma Life Tx Recent Tx Intent Attit. Self Stigma Recent Tx Intent Attit. Self Stigma Recent Tx Intent Attit. Self Stigma Recent Tx

RC4

  • .08
  • .21

.23 .08

  • .05

.01

  • .11
  • .19

.09

  • .20
  • .08
  • .20

.11 .07

  • .21
  • .19

.11

  • .08

JCP

  • .23
  • .15

.20 .08

  • .09
  • .07
  • .25
  • .13

.13

  • .22
  • .17
  • .10

.13 .04

  • .20
  • .06

.16

  • .12

Interpersonal Scales – MMPI-2-RF

Baseline Assessment (n = 139) 2-week Followup (n = 106) 4-week Followup (n = 105) 6-week Followup (n = 100)

Intent Attit. Other Stigma Self Stigma Life Tx Recent Tx Intent Attit. Self Stigma Recent Tx Intent Attit. Self Stigma Recent Tx Intent Attit. Self Stigma Recent Tx

RC3 .02

  • .17

.32 .19

  • .09
  • .10
  • .09
  • .28

.23 .00 .07

  • .16

.21 .07

  • .08
  • .13

.14 .07 DSF

  • .01
  • .18

.13 .20 .03

  • .05

.02

  • .26

.23

  • .04
  • .12
  • .25

.23

  • .01
  • .22
  • .24

.27 .01

slide-21
SLIDE 21

Somatic Scales – MMPI-2-RF

Baseline Assessment (n = 139) 2-week Followup (n = 106) 4-week Followup (n = 105) 6-week Followup (n = 100)

Intent Attit. Other Stigma Self Stigma Life Tx Recent Tx Intent Attit. Self Stigma Recent Tx Intent Attit. Self Stigma Recent Tx Intent Attit. Self Stigma Recent Tx

MLS

  • .09
  • .05

.08 .08 .14

  • .24
  • .07
  • .12

.09

  • .38
  • .09
  • .08

.07

  • .13
  • .11
  • .12

.06

  • .23
  • .

9

slide-22
SLIDE 22

Somatic Scales – MMPI-2-RF

Baseline Assessment (n = 139) 2-week Followup (n = 106) 4-week Followup (n = 105) 6-week Followup (n = 100)

Intent Attit. Other Stigma Self Stigma Life Tx Recent Tx Intent Attit. Self Stigma Recent Tx Intent Attit. Self Stigma Recent Tx Intent Attit. Self Stigma Recent Tx

MLS

  • .09
  • .05

.08 .08 .14

  • .24
  • .07
  • .12

.09

  • .38
  • .09
  • .08

.07

  • .13
  • .11
  • .12

.06

  • .23
  • .

9

slide-23
SLIDE 23

Internalizing Scales – MMPI-3

Baseline Assessment (n = 134) 2-week Followup (n = 101) 4-week Followup (n = 98) 6-week Followup (n = 93)

Intent Attit. Other Stigma Self Stigma Life Tx Recent Tx Intent Attit. Self Stigma Recent Tx Intent Attit. Self Stigma Recent Tx Intent Attit. Self Stigma Recent Tx

EID

  • .09
  • .04

.11 .17 .20

  • .20
  • .06

.09 .08

  • .33
  • .16

.02 .13

  • .05
  • .17
  • .15

.17

  • .21

RC2

  • .16
  • .03

.04 .17 .14

  • .12
  • .13

.06 .16

  • .29
  • .25

.01 .21 .01

  • .23
  • .19

.23

  • .17

RC7 .04 .08 .04 .04 .07

  • .05

.05 .21

  • .04
  • .04

.09 .26

  • .06

.02 .09 .10

  • .09

.00 HLP

  • .04
  • .01

.12 .20 .05

  • .11
  • .04
  • .01

.14 .05

  • .24
  • .07

.19 .05

  • .22
  • .23

.26

  • .06
slide-24
SLIDE 24

Internalizing Scales – MMPI-3

Baseline Assessment (n = 134) 2-week Followup (n = 101) 4-week Followup (n = 98) 6-week Followup (n = 93)

Intent Attit. Other Stigma Self Stigma Life Tx Recent Tx Intent Attit. Self Stigma Recent Tx Intent Attit. Self Stigma Recent Tx Intent Attit. Self Stigma Recent Tx

EID

  • .09
  • .04

.11 .17 .20

  • .20
  • .06

.09 .08

  • .33
  • .16

.02 .13

  • .05
  • .17
  • .15

.17

  • .21

RC2

  • .16
  • .03

.04 .17 .14

  • .12
  • .13

.06 .16

  • .29
  • .25

.01 .21 .01

  • .23
  • .19

.23

  • .17

RC7 .04 .08 .04 .04 .07

  • .05

.05 .21

  • .04
  • .04

.09 .26

  • .06

.02 .09 .10

  • .09

.00 HLP

  • .04
  • .01

.12 .20 .05

  • .11
  • .04
  • .01

.14 .05

  • .24
  • .07

.19 .05

  • .22
  • .23

.26

  • .06
slide-25
SLIDE 25

Internalizing Scales – MMPI-3

Baseline Assessment (n = 134) 2-week Followup (n = 101) 4-week Followup (n = 98) 6-week Followup (n = 93)

Intent Attit. Other Stigma Self Stigma Life Tx Recent Tx Intent Attit. Self Stigma Recent Tx Intent Attit. Self Stigma Recent Tx Intent Attit. Self Stigma Recent Tx

EID

  • .09
  • .04

.11 .17 .20

  • .20
  • .06

.09 .08

  • .33
  • .16

.02 .13

  • .05
  • .17
  • .15

.17

  • .21

RC2

  • .16
  • .03

.04 .17 .14

  • .12
  • .13

.06 .16

  • .29
  • .25

.01 .21 .01

  • .23
  • .19

.23

  • .17

RC7 .04 .08 .04 .04 .07

  • .05

.05 .21

  • .04
  • .04

.09 .26

  • .06

.02 .09 .10

  • .09

.00 HLP

  • .04
  • .01

.12 .20 .05

  • .11
  • .04
  • .01

.14 .05

  • .24
  • .07

.19 .05

  • .22
  • .23

.26

  • .06
slide-26
SLIDE 26

Internalizing Scales – MMPI-3

Baseline Assessment (n = 134) 2-week Followup (n = 101) 4-week Followup (n = 98) 6-week Followup (n = 93)

Intent Attit. Other Stigma Self Stigma Life Tx Recent Tx Intent Attit. Self Stigma Recent Tx Intent Attit. Self Stigma Recent Tx Intent Attit. Self Stigma Recent Tx

EID

  • .09
  • .04

.11 .17 .20

  • .20
  • .06

.09 .08

  • .33
  • .16

.02 .13

  • .05
  • .17
  • .15

.17

  • .21

RC2

  • .16
  • .03

.04 .17 .14

  • .12
  • .13

.06 .16

  • .29
  • .25

.01 .21 .01

  • .23
  • .19

.23

  • .17

RC7 .04 .08 .04 .04 .07

  • .05

.05 .21

  • .04
  • .04

.09 .26

  • .06

.02 .09 .10

  • .09

.00 HLP

  • .04
  • .01

.12 .20 .05

  • .11
  • .04
  • .01

.14 .05

  • .24
  • .07

.19 .05

  • .22
  • .23

.26

  • .06
slide-27
SLIDE 27

Internalizing Scales – MMPI-3

Baseline Assessment (n = 134) 2-week Followup (n = 101) 4-week Followup (n = 98) 6-week Followup (n = 93)

Intent Attit. Other Stigma Self Stigma Life Tx Recent Tx Intent Attit. Self Stigma Recent Tx Intent Attit. Self Stigma Recent Tx Intent Attit. Self Stigma Recent Tx

EID

  • .09
  • .04

.11 .17 .20

  • .20
  • .06

.09 .08

  • .33
  • .16

.02 .13

  • .05
  • .17
  • .15

.17

  • .21

RC2

  • .16
  • .03

.04 .17 .14

  • .12
  • .13

.06 .16

  • .29
  • .25

.01 .21 .01

  • .23
  • .19

.23

  • .17

RC7 .04 .08 .04 .04 .07

  • .05

.05 .21

  • .04
  • .04

.09 .26

  • .06

.02 .09 .10

  • .09

.00 HLP

  • .04
  • .01

.12 .20 .05

  • .11
  • .04
  • .01

.14 .05

  • .24
  • .07

.19 .05

  • .22
  • .23

.26

  • .06
slide-28
SLIDE 28

Externalizing Scales – MMPI-3

Baseline Assessment (n = 134) 2-week Followup (n = 101) 4-week Followup (n = 98) 6-week Followup (n = 93)

Intent Attit. Other Stigma Self Stigma Life Tx Recent Tx Intent Attit. Self Stigma Recent Tx Intent Attit. Self Stigma Recent Tx Intent Attit. Self Stigma Recent Tx

RC4

  • .22
  • .10

.17 .02

  • .13

.03

  • .20
  • .16

.03

  • .21
  • .14
  • .09

.09 .09

  • .12
  • .19

.08

  • .09

JCP

  • .21
  • .24

.22 .09

  • .16
  • .13
  • .21
  • .24

.14

  • .16
  • .14
  • .21

.16 .04

  • .10
  • .24

.20

  • .11

IMP

  • .08
  • .01

.21 .17

  • .04

.06

  • .08
  • .01

.16

  • .04
  • .24
  • .01

.26 .17

  • .11
  • .02

.22 .16

Interpersonal Scales – MMPI-3

Baseline Assessment (n = 134) 2-week Followup (n = 101) 4-week Followup (n = 98) 6-week Followup (n = 93)

Intent Attit. Other Stigma Self Stigma Life Tx Recent Tx Intent Attit. Self Stigma Recent Tx Intent Attit. Self Stigma Recent Tx Intent Attit. Self Stigma Recent Tx

FML

  • .18
  • .10

.12 .12 .02 .03

  • .18
  • .10

.15 .02

  • .13

.07 .08

  • .05
  • .13
  • .10

.18

  • .11

CYN

  • .21
  • .01

.31 .20

  • .15
  • .13
  • .21
  • .01

.24

  • .15
  • .10

.11 .19 .07

  • .15
  • .15

.18 .08

slide-29
SLIDE 29

Externalizing Scales – MMPI-3

Baseline Assessment (n = 134) 2-week Followup (n = 101) 4-week Followup (n = 98) 6-week Followup (n = 93)

Intent Attit. Other Stigma Self Stigma Life Tx Recent Tx Intent Attit. Self Stigma Recent Tx Intent Attit. Self Stigma Recent Tx Intent Attit. Self Stigma Recent Tx

RC4

  • .22
  • .10

.17 .02

  • .13

.03

  • .20
  • .16

.03

  • .21
  • .14
  • .09

.09 .09

  • .12
  • .19

.08

  • .09

JCP

  • .21
  • .24

.22 .09

  • .16
  • .13
  • .21
  • .24

.14

  • .16
  • .14
  • .21

.16 .04

  • .10
  • .24

.20

  • .11

IMP

  • .08
  • .01

.21 .17

  • .04

.06

  • .08
  • .01

.16

  • .04
  • .24
  • .01

.26 .17

  • .11
  • .02

.22 .16

Interpersonal Scales – MMPI-3

Baseline Assessment (n = 134) 2-week Followup (n = 101) 4-week Followup (n = 98) 6-week Followup (n = 93)

Intent Attit. Other Stigma Self Stigma Life Tx Recent Tx Intent Attit. Self Stigma Recent Tx Intent Attit. Self Stigma Recent Tx Intent Attit. Self Stigma Recent Tx

FML

  • .18
  • .10

.12 .12 .02 .03

  • .18
  • .10

.15 .02

  • .13

.07 .08

  • .05
  • .13
  • .10

.18

  • .11

CYN

  • .21
  • .01

.31 .20

  • .15
  • .13
  • .21
  • .01

.24

  • .15
  • .10

.11 .19 .07

  • .15
  • .15

.18 .08

slide-30
SLIDE 30

Externalizing Scales – MMPI-3

Baseline Assessment (n = 134) 2-week Followup (n = 101) 4-week Followup (n = 98) 6-week Followup (n = 93)

Intent Attit. Other Stigma Self Stigma Life Tx Recent Tx Intent Attit. Self Stigma Recent Tx Intent Attit. Self Stigma Recent Tx Intent Attit. Self Stigma Recent Tx

RC4

  • .22
  • .10

.17 .02

  • .13

.03

  • .20
  • .16

.03

  • .21
  • .14
  • .09

.09 .09

  • .12
  • .19

.08

  • .09

JCP

  • .21
  • .24

.22 .09

  • .16
  • .13
  • .21
  • .24

.14

  • .16
  • .14
  • .21

.16 .04

  • .10
  • .24

.20

  • .11

IMP

  • .08
  • .01

.21 .17

  • .04

.06

  • .08
  • .01

.16

  • .04
  • .24
  • .01

.26 .17

  • .11
  • .02

.22 .16

Interpersonal Scales – MMPI-3

Baseline Assessment (n = 134) 2-week Followup (n = 101) 4-week Followup (n = 98) 6-week Followup (n = 93)

Intent Attit. Other Stigma Self Stigma Life Tx Recent Tx Intent Attit. Self Stigma Recent Tx Intent Attit. Self Stigma Recent Tx Intent Attit. Self Stigma Recent Tx

FML

  • .18
  • .10

.12 .12 .02 .03

  • .18
  • .10

.15 .02

  • .13

.07 .08

  • .05
  • .13
  • .10

.18

  • .11

CYN

  • .21
  • .01

.31 .20

  • .15
  • .13
  • .21
  • .01

.24

  • .15
  • .10

.11 .19 .07

  • .15
  • .15

.18 .08

slide-31
SLIDE 31

Externalizing Scales – MMPI-3

Baseline Assessment (n = 134) 2-week Followup (n = 101) 4-week Followup (n = 98) 6-week Followup (n = 93)

Intent Attit. Other Stigma Self Stigma Life Tx Recent Tx Intent Attit. Self Stigma Recent Tx Intent Attit. Self Stigma Recent Tx Intent Attit. Self Stigma Recent Tx

RC4

  • .22
  • .10

.17 .02

  • .13

.03

  • .20
  • .16

.03

  • .21
  • .14
  • .09

.09 .09

  • .12
  • .19

.08

  • .09

JCP

  • .21
  • .24

.22 .09

  • .16
  • .13
  • .21
  • .24

.14

  • .16
  • .14
  • .21

.16 .04

  • .10
  • .24

.20

  • .11

IMP

  • .08
  • .01

.21 .17

  • .04

.06

  • .08
  • .01

.16

  • .04
  • .24
  • .01

.26 .17

  • .11
  • .02

.22 .16

Interpersonal Scales – MMPI-3

Baseline Assessment (n = 134) 2-week Followup (n = 101) 4-week Followup (n = 98) 6-week Followup (n = 93)

Intent Attit. Other Stigma Self Stigma Life Tx Recent Tx Intent Attit. Self Stigma Recent Tx Intent Attit. Self Stigma Recent Tx Intent Attit. Self Stigma Recent Tx

FML

  • .18
  • .10

.12 .12 .02 .03

  • .18
  • .10

.15 .02

  • .13

.07 .08

  • .05
  • .13
  • .10

.18

  • .11

CYN

  • .21
  • .01

.31 .20

  • .15
  • .13
  • .21
  • .01

.24

  • .15
  • .10

.11 .19 .07

  • .15
  • .15

.18 .08

slide-32
SLIDE 32

Externalizing Scales – MMPI-3

Baseline Assessment (n = 134) 2-week Followup (n = 101) 4-week Followup (n = 98) 6-week Followup (n = 93)

Intent Attit. Other Stigma Self Stigma Life Tx Recent Tx Intent Attit. Self Stigma Recent Tx Intent Attit. Self Stigma Recent Tx Intent Attit. Self Stigma Recent Tx

RC4

  • .22
  • .10

.17 .02

  • .13

.03

  • .20
  • .16

.03

  • .21
  • .14
  • .09

.09 .09

  • .12
  • .19

.08

  • .09

JCP

  • .21
  • .24

.22 .09

  • .16
  • .13
  • .21
  • .24

.14

  • .16
  • .14
  • .21

.16 .04

  • .10
  • .24

.20

  • .11

IMP

  • .08
  • .01

.21 .17

  • .04

.06

  • .08
  • .01

.16

  • .04
  • .24
  • .01

.26 .17

  • .11
  • .02

.22 .16

Interpersonal Scales – MMPI-3

Baseline Assessment (n = 134) 2-week Followup (n = 101) 4-week Followup (n = 98) 6-week Followup (n = 93)

Intent Attit. Other Stigma Self Stigma Life Tx Recent Tx Intent Attit. Self Stigma Recent Tx Intent Attit. Self Stigma Recent Tx Intent Attit. Self Stigma Recent Tx

FML

  • .18
  • .10

.12 .12 .02 .03

  • .18
  • .10

.15 .02

  • .13

.07 .08

  • .05
  • .13
  • .10

.18

  • .11

CYN

  • .21
  • .01

.31 .20

  • .15
  • .13
  • .21
  • .01

.24

  • .15
  • .10

.11 .19 .07

  • .15
  • .15

.18 .08

slide-33
SLIDE 33

Externalizing Scales – MMPI-3

Baseline Assessment (n = 134) 2-week Followup (n = 101) 4-week Followup (n = 98) 6-week Followup (n = 93)

Intent Attit. Other Stigma Self Stigma Life Tx Recent Tx Intent Attit. Self Stigma Recent Tx Intent Attit. Self Stigma Recent Tx Intent Attit. Self Stigma Recent Tx

RC4

  • .22
  • .10

.17 .02

  • .13

.03

  • .20
  • .16

.03

  • .21
  • .14
  • .09

.09 .09

  • .12
  • .19

.08

  • .09

JCP

  • .21
  • .24

.22 .09

  • .16
  • .13
  • .21
  • .24

.14

  • .16
  • .14
  • .21

.16 .04

  • .10
  • .24

.20

  • .11

IMP

  • .08
  • .01

.21 .17

  • .04

.06

  • .08
  • .01

.16

  • .04
  • .24
  • .01

.26 .17

  • .11
  • .02

.22 .16

Interpersonal Scales – MMPI-3

Baseline Assessment (n = 134) 2-week Followup (n = 101) 4-week Followup (n = 98) 6-week Followup (n = 93)

Intent Attit. Other Stigma Self Stigma Life Tx Recent Tx Intent Attit. Self Stigma Recent Tx Intent Attit. Self Stigma Recent Tx Intent Attit. Self Stigma Recent Tx

FML

  • .18
  • .10

.12 .12 .02 .03

  • .18
  • .10

.15 .02

  • .13

.07 .08

  • .05
  • .13
  • .10

.18

  • .11

CYN

  • .21
  • .01

.31 .20

  • .15
  • .13
  • .21
  • .01

.24

  • .15
  • .10

.11 .19 .07

  • .15
  • .15

.18 .08

slide-34
SLIDE 34

Somatic Scales – MMPI-3

Baseline Assessment (n = 134) 2-week Followup (n = 101) 4-week Followup (n = 98) 6-week Followup (n = 93)

Intent Attit. Other Stigma Self Stigma Life Tx Recent Tx Intent Attit. Self Stigma Recent Tx Intent Attit. Self Stigma Recent Tx Intent Attit. Self Stigma Recent Tx

EAT

  • .14

.03 .09 .18 .06 .01

  • .14

.03 .16 .06

  • .25

.02 .14 .01

  • .26
  • .24

.19

  • .03
  • .

9

slide-35
SLIDE 35

Somatic Scales – MMPI-3

Baseline Assessment (n = 134) 2-week Followup (n = 101) 4-week Followup (n = 98) 6-week Followup (n = 93)

Intent Attit. Other Stigma Self Stigma Life Tx Recent Tx Intent Attit. Self Stigma Recent Tx Intent Attit. Self Stigma Recent Tx Intent Attit. Self Stigma Recent Tx

EAT

  • .14

.03 .09 .18 .06 .01

  • .14

.03 .16 .06

  • .25

.02 .14 .01

  • .26
  • .24

.19

  • .03
  • .

9

slide-36
SLIDE 36

Discussion – MMPI-2-RF

  • Negatively associated with intention to seek treatment
  • Negatively associated with recent use of treatment

Internalizing EID RC2 SUI BRF INTR-r

  • Negatively associated with positive treatment attitudes
  • Positively associated with other-related stigma

Externalizing RC4 JCP

  • None

Psychoticism

  • Negatively associated with positive attitudes about treatment
  • Positively associated with other & self-stigma

Interpersonal RC3 DSF

  • Negatively associated with recent treatment

Somatic MLS

slide-37
SLIDE 37

Discussion – MMPI-3

  • Negatively associated with intention to Seek Treatment
  • Negatively associated with attitudes about treatment
  • Positively associated with self stigma
  • Negatively associated with use of treatment recently

Internalizing EID RC2 RC7 HLP BRF INTR-r

  • Intention to seek treatment
  • Treatment attitudes
  • Other- and self- related stigma

Externalizing RC4 JCP IMP

  • None

Psychoticism

  • Negatively associated with intention to seek treatment
  • Positively associated with other- and self-related stigma

Interpersonal FML CYN

  • Negatively associated with intention to seek treatment

Somatic EAT

slide-38
SLIDE 38

Key Takeaways

  • Although small, these associations are larger relative to previous research and consistent with

people who are in treatment.

  • The MMPI-2-RF and the MMPI-3 have promise in assessing relevant treatment behaviors and
  • utcomes that would be helpful for clinicians to be aware of when seeing clients
  • Clinicians should take these associations into account to determine when to more specifically

work on therapeutic alliance, counter mental health attitudes, and work on self- and other- related stigma