OBJECTIVE Despite widespread use of the Minnesota Multiphasic Personality Inventory-2-Restructured Form (MMPI-2-RF), it is surprisingly understudied among adults with attention-deficit/hyperactivity disorder (ADHD). This is significant as ADHD is a frequent referral for neuropsychological evaluation; however, the core symptom of attention difficulty is a nonspecific sequela of many psychological disorders. This study aimed to characterize MMPI-2-RF profiles among adults with ADHD and examine the effect of comorbid psychopathology. METHOD A large, demographically diverse sample of 413 consecutive adults referred for neuropsychological evaluation to assist with differential diagnosis of ADHD who completed the MMPI-2-RF was examined. Profiles of the 145 patients diagnosed with ADHD-only were compared to 192 with ADHD and a comorbid psychological disorder and a 55-patient non-ADHD psychiatric comparison group. Among the ADHD-only group, profiles also were compared based on ADHD-presentation type (Predominantly Inattentive vs. Combined presentation). RESULTS The ADHD/psychopathology and psychiatric comparison groups scored higher than the ADHD-only group across nearly all scales with widespread clinical elevations. Conversely, the ADHD-only group displayed an isolated elevation on the Cognitive Complaints scale. Comparison between ADHD presentations revealed several small-moderate significant differences, the largest of which occurred on the Externalizing and Interpersonal scales. CONCLUSIONS Adults with ADHD alone, and no other psychopathology have a unique MMPI-2-RF profile characterized by isolated elevation on the Cognitive Complaints scale. These results support use of the MMPI-2-RF in assessment of adults with ADHD as it can help distinguish ADHD alone from ADHD/comorbid psychopathology and identify relevant psychiatric comorbidities that may be contributing to patients' inattention complaints.

中文翻译：

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患有注意力缺陷/多动症的成年人的明尼苏达多相人格量表 2 重组形式概况：检查共病精神病理学和多动症表现的影响。

目的 尽管明尼苏达多相人格量表 2 重组表 (MMPI-2-RF) 得到广泛使用，但令人惊讶的是，在患有注意力缺陷/多动障碍 (ADHD) 的成年人中，它的研究却很少。这一点很重要，因为 ADHD 经常被转诊进行神经心理学评估；然而，注意力困难的核心症状是许多心理障碍的非特异性后遗症。本研究旨在表征 ADHD 成人的 MMPI-2-RF 特征，并检查共病精神病理学的影响。方法 对 413 名连续完成 MMPI-2-RF 的成年人进行神经心理学评估，以协助 ADHD 的鉴别诊断。将 145 名仅诊断为 ADHD 的患者的资料与 192 名患有 ADHD 和共存心理障碍的患者以及 55 名非 ADHD 精神病患者进行比较。在仅患有 ADHD 的组中，还根据 ADHD 表现类型（主要是注意力不集中与组合表现）进行了比较。结果 ADHD/精神病理学组和精神病学对照组在几乎所有量表上的得分均高于仅 ADHD 组，且临床普遍升高。相反，仅患有多动症的组在认知投诉量表上表现出孤立的升高。ADHD 表现之间的比较揭示了一些小到中等的显着差异，其中最大的差异发生在外化和人际尺度上。结论 仅患有 ADHD 且没有其他精神病理学的成年人具有独特的 MMPI-2-RF 特征，其特征是认知主诉量表上的孤立升高。这些结果支持使用 MMPI-2-RF 评估成人 ADHD，因为它可以帮助区分单独的 ADHD 与 ADHD/合并症精神病理学，并识别可能导致患者注意力不集中的相关精神合并症。