Gene/Protein Disease Symptom Drug Enzyme Compound
Pivot Concepts:   Target Concepts:
Query: UMLS:C0155339 (Brown)
 12,436 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

The Social Cognition and Object Relations Scale (SCORS), developed by Western, Lohr, Silk, Kerber, and Goodrich (1985), is a diagnostic instrument used to assess an array of psychological functioning by using clinical narratives such as the Thematic Apperception Test (TAT; Murray, 1943) stories. This study investigated the utility of the SCORS to differentiate between Diagnostic and Statistical Manual of Mental Disorders (4th ed. [DSM-IV]; American Psychiatric Association, 1994) antisocial personality disorder (ANPD), borderline personality disorder (BPD), narcissistic personality disorder (NPD), and Cluster C personality disorder (CPD). A sample of 58 patients was separated into four groups: ANPD (n = 9), BPD (n = 21; 18 with a primary BPD diagnosis and 3 with prominent borderline traits who met 4 of the 5 DSM-IV criteria necessary for a BPD diagnosis), NPD (n = 16; 8 with a primary NPD diagnosis and 8 with prominent narcissistic traits who met 4 of the 5 DSM-IV criteria necessary for a NPD diagnosis), and CPD (n = 12). These groups were then compared on the 8 SCORS variables by using 5 TAT cards (1, 2, 3BM, 4, and 13MF). Spearman-Brown correction for 2-way mixed effects model of reliability for the 8 SCORS variables ranged from .70 to .95. The results of categorical and dimensional analyses indicate that (a) SCORS variables can be used to differentiate ANPD, BPD, and NPD; (b) the BPD group scored significantly lower (greater maladjustment) than did the CPD group on certain variables; (c) the BPD group scored significantly lower (greater maladjustment) than did the NPD group on all 8 SCORS variables; (d) the ANPD group scored significantly lower than did the NPD group on certain variables; (e) certain variables were found to be empirically related to the total number of DSM-IV ANPD, BPD, and NPD criteria; and (f) certain variables were found to be empirically related to Minnesota Multiphasic Personality Inventory-2 (MMPI-2; Butcher, Dahlstrom, Graham, Tellegen, & Kaemmer, 1989) Personality disorder scales. The results of this study are discussed in terms of clinical utility, conceptual, and theoretical implications.
 ...
PMID:Use of the TAT in the assessment of DSM-IV cluster B personality disorders. 1068 53

We examined 8 data sets to determine whether it is possible to attain acceptable levels of internal consistency (coefficient alpha) reliability for the 4 Object Relations and Social Cognition scales (ORSC; Westen, Lohr, Silk, Kerber, & Goodrich, 1989) for the Thematic Apperception Test (TAT; Murray, 1943) when cards are considered as items in a scale. Number of cards used in the data sets ranged from 4 to 10, and the Spearman-Brown prophecy formula was applied to estimate the number of cards that would be required to attain alpha levels of different magnitudes. The two more structural subscales (Complexity of Representations and Understanding of Social Causality) have somewhat higher consistencies than the two more affective ones (Affect Tone and Capacity for Emotional Investment and Moral Standards). The results suggest that the use of 10 to 12 cards provides internal consistencies of alpha > or = .70 across each of the 4 ORSC scales.
 ...
PMID:Internal consistency of the object relations and social cognition scales for the Thematic Apperception Test. 1178 Oct 29