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The Millon Behavioral Medicine Diagnostic (MBMD™)

by Theodore Millon, Ph.D., Michael Antoni, Ph.D., Carrie Millon, Ph.D., Sarah Meagher, Ph.D., and Seth Grossman, Psy.D. (2001)

The MBMD was developed to aid clinicians, including health, rehabilitation, and clinical psychologists, primary-care physicians, nurse practitioners, and consulting psychiatrists who work with physically ill and behavioral medicine patients. This test should aid in the psychological understanding of these patients and to facilitate the steps required to formulate and accurate treatment and management plan.

Structure and Scales

 

Response Patterns:  Gauges distorting response tendencies in the patient’s self-report
 

X      Disclosure

 Inclination of patient to hesitate sharing information about oneself
  Y     Desirability Inclination of patient to present a favorable image of oneself
  Z     Debasement Inclination of patient to present a problematic image of oneself

Negative Health Habits: Gauges recent or current problematic behaviors affecting health
 

       Alcohol

 Assesses presence and extent of alcohol consumption
         Drug   Assesses presence and extent of illicit drug use/dependencies
         Eating Assesses presence and extent of abnormalities in eating
         Caffeine Assesses presence and extent of caffeine consumption
 

       Inactivity

 Assesses deficit of regular physical exercise
 

       Smoking

 Assesses presence and extent of smoking behaviors

Psychiatric Indications: Identifies psychiatric comorbidities that may affect health management
 

AA     Anxiety - Tension

 Presence and extent of anxiety symptoms
  BB     Depression Presence and extent of depressive symptoms
  CC     Cognitive Dysfunction Presence and extent of confused or distorted thinking
  DD     Emotional Lability Presence and extent of inconsistent emotional factors
  EE     Guardedness Presence and extent of pathological suspiciousness 

Coping Styles:  DSM personality styles which reflect ways of dealing with life stress and illness
 

1         Introversive Style          

A nonclinical Schizoid personality style
  2A     Inhibited Style A nonclinical Avoidant personality style
  2B     Dejected Style A nonclinical Depressive personality style  
  3        Cooperative Style A nonclinical Dependent personality style
  4        Sociable Style A nonclinical Histrionic personality style
  5        Confident Style A nonclinical Narcissistic personality style
  6A     Nonconforming Style A nonclinical Antisocial personality style                  
  6B     Forceful Style A nonclinical Sadistic personality style
  7        Respectful Style A nonclinical Compulsive personality style
  8A     Oppositional Style A nonclinical Negativistic personality style            
  8B     Denigrated Style A nonclinical Masochistic personality style

Stress Moderators:   Scales identify attitudes and relationships that may affect health care
 

A     Illness Apprehension

Assesses excessive focus on potential bodily dysfunctions
  B     Functional Deficits Assesses ability to conduct activities of daily living
  C     Pain Sensitivity  Assesses the presence and intensity of physical pain
  D     Social Isolation Assesses familial and non-familial sources of emotional support
  E     Future Pessimism  Assesses outlook toward future, especially health recovery
  F     Spiritual Absence Assesses spiritual support for dealing with life stressors

Treatment Prognostics:  Scales identify patient characteristics that may influence treatment outcome
 

G     Interventional Fragility

 Anticipates likelihood of decompensatory reaction to treatment
  H     Medication Abuse Anticipates risk for rejection or addiction to prescribed regimens
  I     Information Discomfort Anticipates willingness to share and to be receptive to personal health data
  J     Utilization Excess Anticipates excessive desire for medical resources (beyond those warranted)
  K     Problematic Compliance Anticipates likelihood of adherence to medical regimen

Management Guide:  Scales identify problems that may call for behavioral interventions
 

L     Adjustment Difficulties

 Anticipates the presence of psychological complications
  M     Psych Referral Anticipates likelihood of needing pharmacologic or psychosocial therapy

In 2006, a special clinical summary for patients who are being evaluated for bariatric surgery will be added to the basic MBMD narrative report for psychologists and surgeons with these patients.

Ordering the MBMD™:

The MBMD and all Millon instruments are available through Pearson Assessments at 1-800-627-7271 (voice) or 1-800-632-9011 (fax).

 

"Millon," M-PACI," "MACI," "MAPI," "MBHI," "MBMD," "MCMI-II," and "MCMI-III" are trademarks and "MIPS" is a registered trademark of DICANDRIEN, INC.

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