فهرست مطالب مرضیه نوروزپور

Disruptive and conduct behaviors are the most common conditions used to help adolescent patients refer to mental health clinics for counseling. The prevalence of this disorder is increasing and it is necessary to concentrate on this topic. The comorbidity of conduct disorder (CD) with other emotional and behavioral problems is common. One of the comorbidity disorders for which contradictory results are reported is attention deficit hyperactivity disorder (ADHD). Several studies have demonstrated the comorbidity of these two disorders in patients with a younger age of onset, more severe symptoms, and more stable disease. Hence, this study determines the prognostic value of the Minnesota multiphasic personality inventory adolescent-restructured form (MMPI-A-RF) for CDs and investigates the effect of comorbidities, such as ADHD.

The sample of the present comparative casual study consisted of 295 adolescents who were selected by purposeful sampling, based on the current and the Kiddie schedule for affective disorder and schizophrenia-present and lifetime for school-age children (6-18 years old) and the final version of the MMPI-A-RF questionnaire. The Mean±SD of all the MMPI-A-RF scores were compared among three groups of patients with CD (n=40), patients with a comorbid diagnosis of conduct disorder and ADHD (n=68 people), and patients with other psychiatric disorders (mood and anxiety disorders). Analysis of variance was used to determine the significance of differences among the three groups. If the deviations were significant, the Games–Howell post hoc test was used to inspect differences between the groups.

The comparison of CD and CD+ADHD patients with other disorders revealed meaningful differences in almost all the indicators related to externalizing problems. The CD+ADHD group had markedly greater scores on the scales of antisocial behaviors (P<0.001), aggressive-revised personality (P<0.001), and conduct problems (P<0.001) compared to the CD group and other psychiatric disorders group.

The results are consistent with the background and revealed more severe symptoms and more functional degradation in the CD+ADHD group compared to the CD and other psychiatric disorders group. This subgroup can have different risk symptoms, clinical courses, and drug responses. MMPI-A-RF can supply valuable information about the comorbidity of psychiatric disorders.

Considering the important role of identity formation in adolescents and the ensuing problems that can pave the way for psychopathology in the next developmental stages, the present study attempts to study the personality profile of teenagers in different identity statuses using Minnesota Multiphasic Personality Inventory-Adolescent (MMPI-A) The current study employs a cross-sectional ex-post facto method. All high-school and pre-university level students in Tehran constituted the population of the present study. Multi-stage clustering method was used for sampling. The population of the study comprised of 506 students (273 female and 276 male students) who were selected randomly from four districts of Tehran. They were asked to answer the questions of Minnesota Multiphasic Personality Inventory-Adolescent. The obtained data were analyzed by SPSS version 18 and descriptive statistics. The mean scores for all subscales in all identity statuses and in all areas proved to be normal. Only the paranoia subscale in female students who were in Identity moratorium status was in gray area (T scores between 60 and 65). Although it is not clinically significant, it may lead to some potential problems. Our findings showed that the personality profile of the population in identity statuses of Identity foreclosure, Identity moratorium, and Identity diffusion were normal. As predicted by Archer (2005), this test (MMPI-A) can distinguish between normal and pathological ranges considering identity crises issues in adolescents and the problems they commonly deal with.