Skip to main content
Log in

Scale 8 Elevations on the MMPI-2 among Women Survivors of Childhood Sexual Abuse: Evaluating Posttraumatic Stress, Depression, and Dissociation as Predictors

  • Published:
Journal of Family Violence Aims and scope Submit manuscript

Abstract

This paper investigated elevations on Scale 8 of the Minnesota Multiphasic Personality Inventory-2 (MMPI-2) in women survivors of childhood sexual abuse (CSA) in order to assess whether symptoms of posttraumatic stress disorder, depression, or dissociation account for such elevations. Participants were 73 women seeking outpatient treatment for CSA after-effects at a university-based community mental health center. A stepwise multiple regression analysis was conducted, including measures of commonly reported symptoms in CSA survivors: depression, posttraumatic stress, and dissociation. Regression analyses revealed that the Beck Depression Inventory (BDI) and Dissociative Experiences Scale (DES) accounted for the most variance in Scale 8 scores (59%), with the BDI as the best predictor. The Impact of Event Scale (IES) did not predict Scale 8 scores significantly above that achieved by the model above. Cross-validation results indicated good generalizability. Results suggest that depression and dissociation contribute most to scores on Scale 8. Implications of these findings for the clinical and empirical use of the MMPI-2 with CSA survivors are discussed.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others

REFERENCES

  • American Psychiatric Association (1987). Diagnostic and Statistical Manual of Mental Disorders (3rd ed. Rev.). Washington, DC, Author.

    Google Scholar 

  • Armstrong, J. (1995). Psychological assessment. In Spira, J. L., and Yalom, I. D. (eds.), Treating Dissociative Identity Disorder (pp. 3–37). San Francisco, Josey-Bass Publishers.

    Google Scholar 

  • Beck, A. T., Steer, R. A., and Garbin, M. G. (1988). Psychometric properties of the Beck Depression Inventory: Twenty-five years of evaluation. Clin. Psychol. Rev. 8: 77–100.

    Google Scholar 

  • Beck, A. T., Ward, C. H., Mendelson, M., Mock, J., and Erbaugh, J. (1961). An inventory for measuring depression. Archiv. Gen. Psychia. 4: 561–571.

    Google Scholar 

  • Beitchman, J. H., Zucker, K. J., Hood, J. E., daCosta, G. A., Akman, D., and Cassavia, E. (1992). A review of the long-term effects of child sexual abuse. Child Abuse Neg. 16: 101–118.

    Google Scholar 

  • Belkin, D. S., Greene, A. F., Rodrigue, J. R., and Boggs, S. R. (1994). Psychopathology and history of sexual abuse. J. Inter. Viol. 9: 535–547.

    Google Scholar 

  • Bernstein, E. M., and Putnam, F. W. (1986). Development, reliability, and validity of a dissociation scale. J. Nerv. Ment. Dis. 174: 727–735.

    Google Scholar 

  • Bliss, E. L. (1984). A symptom profile of patients with multiple personalities, including MMPI results. J. Nerv. Ment. Dis. 172: 197–202.

    Google Scholar 

  • Briere, J. (1997). Psychological Assessment of Adult Posttraumatic States. Washington, DC, American Psychological Association.

    Google Scholar 

  • Briere, J., and Elliott, D. M. (1997). Psychological assessment of interpersonal victimization effects in adults and children. Psychotherapy 34: 353–364.

    Google Scholar 

  • Browne, A., and Finkelhor, D. (1986). Impact of child sexual abuse: Review of the research. Psychol. Bul. 99: 66–77.

    Google Scholar 

  • Butcher, J. N., Dahlstrom, W. G., Graham, J. R., Tellegen, A., and Kaemmer, B. (1989). Manual for the Administration and Scoring of the MMPI-2. Minneapolis, University of Minnesota Press.

    Google Scholar 

  • Butcher, J. N., and Williams, C. L. (1992). Essentials of MMPI-2 and MMPI-A Interpretation. Minneapolis, University of Minnesota Press.

    Google Scholar 

  • Carlin, A. S., and Ward, N. G. (1992). Subtypes of psychiatric inpatient women who have been sexually abused. J. Nerv. Ment. Dis. 180: 392–397.

    Google Scholar 

  • Carlson, E. B., and Armstrong, J. (1994). The diagnosis and assessment of dissociative disorders. In Lynn, S. J., and Rhue, J. W. (eds.), Dissociation: Clinical and Theoretical Perspectives (pp. 159–174). The Guilford Press, New York.

    Google Scholar 

  • Elhai, J. D., Flitter, J. M. K., Gold, S. N., and Sellers, A. H. (1998, November). MMPI-2 cluster analysis: Women survivors of childhood sexual abuse. Poster session presented at the 14th Annual Meeting of the International Society for Traumatic Stress Studies, Washington, DC.

  • Follette, W. C., Naugle, A. E., and Follette, V. M. (1997). MMPI-2 profiles of adult women with child sexual abuse histories: Cluster-analytic findings. J. Cons. Clin. Psychol. 65: 858–866.

    Google Scholar 

  • Gold, S. N., Hughes, D. M., and Swingle, J. M. (1996). Characteristics of childhood sexual abuse among female survivors in therapy. Child Abuse Neg. 20: 323–335.

    Google Scholar 

  • Greene, R. L. (1991). The MMPI-2/MMPI: An Interpretive Manual. Boston, Allyn & Bacon.

    Google Scholar 

  • Gregg, G. R., and Parks, E. D. (1995). Selected Minnesota Multiphasic Personality Inventory-2 scales for identifying women with a history of sexual abuse. J. Nerv. Ment. Dis. 183: 53–56.

    Google Scholar 

  • Griffith, P. L., Myers, R. W., Cusick, G. M., and Tankersley, M. J. (1997). MMPI-2 profiles of women differing in sexual abuse history and orientation. J. Clin. Psychol. 53: 791–800.

    Google Scholar 

  • Hathaway, S. R., and McKinley, J. C. (1943). Minnesota Multiphasic Personality Schedule. Minneapolis, University of Minnesota Press.

    Google Scholar 

  • Horowitz, M., Wilner, N., and Alvarez, W. (1979). Impact of event scale: A measure of subjective stress. Psychosom. Med. 41: 209–218.

    Google Scholar 

  • Lundberg-Love, P. K., Marmion, S., Ford, K., Geffner, R., and Peacock, L. (1992). The long-term consequences of childhood incestuous victimization upon adult women's psychological symptomatology. J. Child Sex. Ab. 1: 81–102.

    Google Scholar 

  • Newman, E., Kaloupek, D. G., and Keane, T. M. (1996). Assessment of posttraumatic stress disorder in clinical and research settings. In Van der Kolk, B. A., McFarlane, A. C., and Weisaeth, L. (eds.), Traumatic Stress: The Effects of Overwhelming Experience on Mind, Body, and Society (pp. 242–275). New York, Guilford Press.

    Google Scholar 

  • Pitblado, C. B., and Sanders, B. (1991). Reliability and short-term stability of scores on the Dissociative Experiences Scale. In Braun, B. G., and Carlson, E. B. (eds.), Proceedings of the Eighth International Conference on Multiple Personality and Dissociative States. Chicago, Rush-Presbyterian.

    Google Scholar 

  • Scott, R. L., and Stone, D. A. (1986a). MMPI measures of psychological disturbance in adolescent and adult victims of father-daughter incest. J. Clin. Psychol. 42: 251–259.

    Google Scholar 

  • Scott, R. L., and Stone, D. A. (1986b). MMPI profile constellations in incest families. J. Cons. Clin. Psychol. 54: 364–368.

    Google Scholar 

  • Stevens, J. (1996). Applied Multivariate Statistics for the Social Sciences. Mahwah, NJ, Lawrence Erlbaum Associates.

    Google Scholar 

  • Zilberg, N. J., Weiss, D. S., and Horowitz, M. J. (1982). Impact of event scale: A cross-validation study and some empirical evidence supporting a conceptual model of stress response syndromes. J. Cons. Clin. Psychol. 50: 407–414.

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

About this article

Cite this article

Elhai, J.D., Gold, S.N., Mateus, L.F. et al. Scale 8 Elevations on the MMPI-2 among Women Survivors of Childhood Sexual Abuse: Evaluating Posttraumatic Stress, Depression, and Dissociation as Predictors. Journal of Family Violence 16, 47–57 (2001). https://doi.org/10.1023/A:1026576425986

Download citation

  • Issue Date:

  • DOI: https://doi.org/10.1023/A:1026576425986

Navigation