A caution on the use of the MMPI K-correction in research on psychosomatic medicine.

Robert R. McCrae, Paul T. Costa, W. Grant Dahlstrom, John C. Barefoot, Ilene C. Siegler, R B Williams

Psychosomatic Medicine · 1989 · 56 citations · 15 references

Concepts

TL;DR

The MMPI K scale is widely used to screen for invalid responses and to adjust substantive scale scores for defensiveness. In a normal volunteer sample, K‑correction reduced correlations between MMPI clinical scales and the Cook‑Medley Hostility scale with NEO‑PI self‑reports and peer ratings, and in a medical sample, uncorrected HO scores better predicted potential hostility than K‑corrected scores; additionally, in a prospective mortality study of lawyers, uncorrected HO predicted all‑cause mortality while K‑corrected scores did not, suggesting that the K scale may reflect substantive traits rather than defensiveness and should be used cautiously, especially in research with psychiatrically normal subjects.

Abstract

The MMPI K scale is widely used to screen for invalid responses and to adjust substantive scale scores for defensiveness. In a normal volunteer sample, correlations of MMPI clinical scales and the Cook-Medley Hostility (HO) scale with self-reports and peer ratings on the NEO Personality Inventory (NEO-PI) were decreased rather than increased by K-correction. Similarly, in a medical sample, structured interview-based ratings of Potential for Hostility were better predicted by uncorrected HO scores than by K-corrected HO scores. Finally, in a prospective study of mortality among lawyers, uncorrected HO scores were a significant predictor of all-cause mortality; K-corrected scores were not. The data suggest that, under some circumstances, the K scale may measure substantive traits rather than defensiveness, and should be used and interpreted with caution. Its use is probably contraindicated for most research on psychiatrically normal subjects.

References

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