Millon Clinical Multiaxial Inventory-III subtypes of opioid dependence: Validity and matching to behavioral therapies

Journal of Consulting and Clinical Psychology

Volumn 72, Issue 4, 2004, Pages 698-711

  Ball, Samuel A ^a   Nich, Charla ^a   Rounsaville, Bruce J ^a   Eagan, Dorothy ^a   Carroll, Kathleen M ^a  

^a YALE UNIVERSITY SCHOOL OF MEDICINE   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

NALTREXONE; OPIATE;

ADULT; ANTISOCIAL BEHAVIOR; ARTICLE; BEHAVIOR THERAPY; CLINICAL TRIAL; CONTROLLED CLINICAL TRIAL; CONTROLLED STUDY; DISEASE SEVERITY; DRUG DETOXIFICATION; FEMALE; HUMAN; MAJOR CLINICAL STUDY; MALE; MOOD DISORDER; NARCISSISM; OPIATE ADDICTION; OUTPATIENT; PATIENT COUNSELING; RANDOMIZED CONTROLLED TRIAL; RELAPSE; SYMPTOMATOLOGY; TREATMENT OUTCOME;

ADULT; BEHAVIOR THERAPY; COUNSELING; FEMALE; HUMANS; MALE; NALTREXONE; NARCOTICS; OPIOID-RELATED DISORDERS; PERSONALITY DISORDERS; PREDICTIVE VALUE OF TESTS; PREVALENCE; QUESTIONNAIRES; REPRODUCIBILITY OF RESULTS;

EID: 3342920810     PISSN: 0022006X     EISSN: None     Source Type: Journal    
DOI: 10.1037/0022-006X.72.4.698     Document Type: Article

References (72)

1. Aldenderfer, M. S., & Blashfield, R. K. (1984). Cluster analysis. In M. S. Lewis-Beck (Ed.), Quantitative applications in the social sciences (Sage University Paper Series 07-044). Beverly Hills, CA: Sage University.
2. American Psychiatric Association. (1994). Diagnostic and statistical manual of mental disorders (4th ed.). Washington, DC: Author.
3. Ball, S. A. (1996). Type A and B alcoholism: Applicability across sub-populations and treatment settings. Alcohol Health and Research World, 20, 30-35.
4. Ball, S. A., Rounsaville, B. J., Tennen, H., & Kranzler, H. R. (2001). Reliability of personality disorder symptoms and personality traits in substance dependent inpatients. Journal of Abnormal Psychology, 110, 341-352.
5. Barnes, G. E., Murray, R. P., Patton, D., Bentler, P. M., & Anderson, R. E. (2000). The addiction-prone personality. New York: Plenum.
6. Bartsch, T. W., & Hoffman, J. J. (1985). A cluster analysis of Millon Clinical Multiaxial Inventory profiles: More about taxonomy of alcohol subtypes. Journal of Clinical Psychology, 41, 707-713.
7. Beck, A. T. (1978). Beck Depression Inventory. New York: Psychological Corporation.
8. Beck, A. T., Steer, R. A., & Garbin, M. G. (1988). Psychometric properties of the Beck Depression Inventory: Twenty-five years of evaluation. Clinical Psychology Review, 8, 77-100.
9. Bickel, W. K., Amass, L., Higgins, S. T., Badger, G. J., & Esch, R. A. (1997). Effects of adding behavioral treatment to opioid detoxification with buprenorphine. Journal of Consulting and Clinical Psychology, 65, 803-810.
10. Bovasso, G. B., Alterman, A. I., Cacciolo, J. S., & Cook, T. G. (2001). Predictive validity of the Addiction Severity Index's composite scores in the assessment of 2-year outcomes in a methadone maintenance population. Psychology of Addictive Behaviors, 15, 171-176.
11. Brooner, R. K., Kidorf, M., King, V. L., & Stoller, K. (1998). Preliminary evidence of good treatment response in antisocial drug abusers. Drug and Alcohol Dependence, 49, 249-260.
12. Bryer, J. B., Martines, K. A., & Dignan, M. A. (1990). Millon Clinical Multiaxial Inventory Alcohol Abuse and Drug Abuse scales and the identification of substance-abuse patients. Psychological Assessment, 4, 438-441.
13. Budney, A. J., & Higgins, S. T. (1998). A community reinforcement plus vouchers approach. Treating cocaine addiction: Therapy manuals for drug addiction. Rockville, MD: National Institute on Drug Abuse, U.S. Department of Health and Human Services.
14. Budney, A. J., Higgins, S. T., Radonovich, K. J., & Novy, P. L. (2000). Adding voucher-based incentives to coping skills and motivation enhancement improves outcomes during treatment for marijuana dependence. Journal of Consulting and Clinical Psychology, 68, 1051-1061.
15. Cacciola, J. S., Alterman, A. I., & Rutherford, M. J. (1995). Treatment response and problem severity of antisocial substance abusers. Journal of Nervous and Mental Disease, 183, 166-171.
16. Cacciola, J. S., Rutherford, M. J., Alterman, A. I., McKay, J. R., & Snider, E. C. (1996). Personality disorders and treatment outcome in methadone maintenance patients. Journal of Nervous and Mental Disease, 184, 234-239.
17. Calsyn, D. A., Fleming, C., Wells, E. A., & Saxon, A. J. (1996). Personality disorder subtypes among opiate addicts in methadone maintenance. Psychology of Addictive Behaviors, 10, 3-8.
18. Calsyn, D. A., & Saxon, A. J. (1990). Personality disorder subtypes among cocaine and opioid addicts using the Millon Clinical Multiaxial Inventory. The International Journal of the Addictions, 25, 1037-1049.
19. Carroll, K. M. (1998). A cognitive-behavioral approach. Treating cocaine addiction: Therapy manuals for drug addiction. Rockville, MD: National Institute on Drug Abuse, U.S. Department of Health and Human Services.
20. Carroll, K. M., Ball, S. A., Nich, C., O'Connor, P. G., Eagan, D., Frankforter, T. L., Triffleman, E. G., Shi, J., & Rounsaville, B. J. (2001). Targeting behavioral therapies to enhance naltrexone treatment of opioid dependence: Efficacy of contingency management and significant other involvement. Archives of General Psychiatry, 58, 755-761.
21. Carroll, K. M., Rounsaville, B. J., Gordon, L. T., Nich, C., Jatlow, P. M., Bisighini, R. M., & Gawin, F. H. (1994). Psychotherapy and pharmacotherapy for ambulatory cocaine abusers. Archives of General Psychiatry, 51, 177-187.
22. Cornish, J. W., Metzger, D., Woody, G. E. Wilson, D., McLellan, A. T., Vandergrift, B., & O'Brien, C. P. (1997). Naltrexone pharmacotherapy for opioid dependent federal probationers. Journal of Substance Abuse Treatment, 14, 529-534.
23. Craig, R. J. (1988). A psychometric study of the prevalence of DSM-III personality disorders among treated opiate addicts. International Journal of the Addictions, 23, 115-124.
24. Craig, R. J., Bivens, A., & Olson, R. (1997). MCMI-III derived typological analysis of cocaine and heroin addicts. Journal of Personality Assessment, 69, 583-595.
25. Craig, R. J., & Olson, R. E. (1990). MCMI comparisons of cocaine and heroin addicts. Journal of Clinical Psychology, 46, 231-237.
26. Craig, R. J., Verinis, J. S., & Wexler, W. (1985). Personality characteristics of drug addicts and alcoholics on the Millon Clinical Multiaxial Inventory. Journal of Personality Assessment, 49, 156-160.
27. Craig, R. J., & Weinberg, D. (1992a). Assessing alcoholics with the Millon Clinical Multiaxial Inventory: A review. Psychology of Addictive Behaviors, 6, 200-208.
28. Craig, R. J., & Weinberg, D. (1992b). Assessing drug abusers with the Millon Clinical Multiaxial Inventory: A review. Journal of Substance Abuse Treatment, 9, 249-255.
29. Donat, D. C. (1988). Millon Clinical Multiaxial Inventory (MCMI) clusters for alcohol abusers: Further evidence of validity and implications for medical psychotherapy. Medical Psychotherapy, 1, 41-50.
30. Donat, D. C., Walters, J., & Hume, A. (1991) Personality characteristics of alcohol dependent inpatients: Relationship of MCMI subtypes to self-reported drinking behavior. Journal of Personality Assessment, 57, 335-344.
31. Dubro, A. F., Wetzler, S., & Kahn, M. W. (1988). A comparison of three self-report inventories for the diagnosis of DSM-III personality disorders. Journal of Personality Disorders, 2, 256-266.
32. Fals-Stewart, W. (1992). Personality characteristics of substance abusers: An MCMI cluster typology of recreational drug users treated in a therapeutic community and its relationship to length of stay and outcome. Journal of Personality Assessment, 59, 515-527.
33. First, M. B., Spitzer, R. L. Gibbon, M., & Williams, J. B. W. (1995). Structured clinical interview for DSM-III (patient edition). Washington, DC: American Psychiatric Association.
34. Graham, J. R., & Strenger, V. E. (1988). MMPI characteristics of alcoholics: A review. Journal of Consulting and Clinical Psychology, 56, 197-205.
35. Greenstein, R. A., Fudala, P. J., & O'Brien, C. P. (1997). Alternative pharmacotherapies for opiate addiction. In J. H. Lowinsohn, P. Ruiz, R. B. Millman, & J. G. Langrod (Eds.), Comprehensive textbook of substance abuse (3rd ed., pp. 415-425). New York: Williams & Wilkins.
36. Haller, D. L., Miles, D. R., & Dawson, K. S. (2002). Psychopathology influences treatment retention among drug-dependent women. Journal of Substance Abuse Treatment, 23, 431-436.
37. Higgins, S. T., Alessi, S. M., & Dantona, R. L. (2002). Voucher-based incentives: A substance abuse treatment innovation. Addictive Behaviors, 27, 887-910.
38. Higgins, S. T., Delaney, D. D., Budney, A. J., Bickel, W. K., Hughes, J. R., Foerg, F., & Fenwick, J. W. (1991). A behavioral approach to achieving initial cocaine abstinence. American Journal of Psychiatry, 148, 1218-1224.
39. Jaffe, A. J., Rounsaville, B., Chang, G., Schottenfeld, R. S., Meyer, R. E., & O'Malley, S. S. (1996). Naltrexone, relapse prevention, and supportive therapy with alcoholics: An analysis of patient treatment matching. Journal of Consulting and Clinical Psychology, 64, 1044-1053.
40. Kadden, R. M., Cooney, N. L., Getter, H., & Litt, M. D. (1989). Matching alcoholics to coping skills or interactional treatments: Posttreatment results. Journal of Consulting and Clinical Psychology, 57, 698-704.
41. Kadden, R. M., Litt, M. D., Cooney, N. L., Kabela, E., & Getter, H. (2001). Prospective matching of alcoholic clients to cognitive-behavioral or interactional group therapy. Journal of Studies on Alcohol, 62, 359-369.
42. Kranzler, H. R., & Rounsaville, B. J. (Eds.) (1998). Dual diagnosis and treatment: Substance abuse and comorbid medical and psychiatric disorders. New York: Marcel Dekker.
43. Longabaugh, R., Rubin, A., Malloy, P., Beattie, M., Clifford, P. R., & Noel N. (1994). Drinking outcome of alcohol abusers diagnosed as antisocial personality disorder. Alcoholism: Clinical and Experimental Research, 18, 410-416.
44. Marsh, D. T., Stile, S. A., Stoughton, N. L., & Trout-Landen, B. L. (1988). Psychopathology of addiction: Comparative data from the MMPI and MCMI. American Journal of Drug and Alcohol Abuse, 14, 17-27.
45. Matano, R. A., Locke, K. D., & Schwartz, K. (1994). MCMI personality subtypes for male and female alcoholics. Journal of Personality Assessment, 63, 250-264.
46. Mayer, G. S., & Scott, K. J. (1988). An exploration of heterogeneity in an inpatient male alcoholic population. Journal of Personality Disorders, 2, 243-255.
47. McLellan, A. T., Kucher, H., Metzger, D., Peters, R., Smith, I., Grisson, G., Pettinati, H., & Argerious, M. (1992). The fifth edition of the Addiction Severity Index. Journal of Substance Abuse Treatment, 9, 199-213.
48. McLellan, A. T., Luborsky, L., Woody, G. E., O'Brien, C. P., & Druley, K. A. (1983). Predicting response to alcohol and drug abuse treatments: Role of psychiatric severity. Archives of General Psychiatry, 40, 620-625.
49. McMahon, R. C., Kelley, A., & Kouzekanani, K. (1993). Personality and coping style in the prediction of dropout from treatment for cocaine abuse. Journal of Personality Assessment, 61, 147-155.
50. McMahon, R. C., Malow, R. M., & Penedo, F. J. (1998). Substance abuse problems, psychiatric severity, and HIV risk in Millon Clinical Multiaxial Inventory-II personality subgroups. Psychology of Addictive Behaviors, 12, 3-13.
51. Messina, N., Farabee, D., & Rawson, R. (2003). Treatment responsivity of cocaine-dependent patients with antisocial personality disorder to cognitive-behavioral and contingency management interventions. Journal of Consulting and Clinical Psychology, 71, 320-329.
52. Miller, W. R., & DelBoca, F. K. (1994). Measurement of drinking behavior using the Form 90 family of instruments. Journal of Studies on Alcohol, 12 (Suppl.), 112-118.
53. Millon, T. (1994). The Millon Clinical Multiaxial Inventory (3rd ed.). Minneapolis, MN: National Computer Systems.
54. Millon, T. (1999). Personality-guided therapy. New York: Wiley.
55. Millon, T., & Davis, R. D. (1996). Disorders of personality: DSM-IV and beyond. New York: Wiley.
56. O'Connor, P. G., Carroll, K. M., Shi, J. M., Schottenfeld, R. S., Kosten, T. R., & Rounsaville, B. J. (1995). Primary care based ambulatory opioid detoxification: Results of a clinical trial. Journal of General Internal Medicine, 10, 255-260.
57. O'Connor, P. G., Waugh, M. E., Carroll, K. M., Diakogiannis, I. A., Schottenfeld, R. S., & Rounsaville, B. J. (1997). A randomized trial of three methods of primary-care based outpatient opioid detoxification. Annals of Internal Medicine, 127, 526-530.
58. Petry, N. M., Martin, B., Cooney, J. L., & Kranzler, H. R. (2000). Give them prizes, and they will come: Contingency management for treatment of alcohol dependence. Journal of Consulting and Clinical Psychology, 68, 250-257.
59. Piersma, H. L. (1987). The MCMI as a measure of DSM-III axis II diagnoses: An empirical comparison. Journal of Clinical Psychology, 43, 478-483.
60. Preston, K. L., Silverman, K., Umbricht, A., DeJesus, A., Montoya, I. D., & Schuster, C. R. (1999). Improvement in naltrexone treatment compliance with contingency management. Drug and Alcohol Dependence, 54, 127-135.
61. Repko, G. R., & Cooper, R. (1985). The diagnosis of personality disorder: A comparison of MMPI profile, Millon inventory, and clinical judgment in a workers' compensation population. Journal of Clinical Psychology, 41, 867-881.
62. Shaner, A., Roberts, L. J., Eckman, T. A., Tucker, D. E., Tsuang, J. W., Wilkins, J. N., & Mintz, J. (1997). Monetary reinforcement of abstinence from cocaine among mentally ill patients with cocaine dependence. Psychiatric Services, 48, 807-810.
63. Sigmon, S. C., Steingard, S., Badger, G. J., Anthony, S. L., & Higgins, S. T. (2000). Contingent reinforcement of marijuana abstinence among individuals with serious mental illness: A feasibility study. Experimental and Clinical Psychopharmacology, 8, 509-517.
64. Silverman, K., Higgins, S. T., Brooner, R. K., Montoya, I. D., Cone, E. J., Schuster, C., & Preston, K. L. (1996). Sustained cocaine abstinence in methadone maintenance patients through voucher-based reinforcement therapy. Archives of General Psychiatry, 53, 409-415.
65. Silverman, K., Wong, C., Umbricht-Schneiter, A., Montoya, I., Schuster, C., & Preston, K. (1998). Broad beneficial effects of cocaine abstinence reinforcement among methadone patients. Journal of Consulting and Clinical Psychology, 66, 811-824.
66. Stark, M. J., & Campbell, B. K. (1988). Personality, drug use and early attrition from substance abuse treatment. American Journal of Drug and Alcohol Abuse, 14, 475-485.
67. Torgersen, S., & Alnaes, R. (1990). The relationship between the MCMI personality scales and DSM-III Axis II. Journal of Personality Assessment, 55, 698-707.
68. Wetzler, S., & Dubro, A. (1990). Diagnosis of personality disorders by the Millon Clinical Multiaxial Inventory. The Journal of Nervous and Mental Disease, 178, 261-263.
69. Widiger, T., & Sanderson, C. (1987). The convergent and discriminant validity of the MCMI as a measure of DSM-III personality disorders. Journal of Personality Assessment, 51, 228-242.
70. Woody G., McLellan A. T., Luborsky, L., & O'Brien, C. P. (1985). Sociopathy and psychotherapy outcome. Archives of General Psychiatry, 42, 1081-1086.
71. Woody, G. E., McLellan, A. T., Luborsky, L., & O'Brien, C. P. (1995). Psychotherapy in community methadone programs: A validation study. American Journal of Psychiatry, 152, 1302-1308.
72. Woody, G. E., McLellan, A. T., Luborsky, L., O'Brien, C. P., Blaine, J., Fox, S., et al. (1984). Severity of psychiatric symptoms as a predictor of benefits from psychotherapy: The Veterans Administration-Penn Study. American Journal of Psychiatry, 141, 1172-1177.