Identification of Psychiatric Vulnerability: An Overview,
NAVAL HEALTH RESEARCH CENTER SAN DIEGO CALIF
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The history of prediction of psychiatric vulnerability in military populations is reviewed with special emphasis on the MMPI, CMI, SRE, and HOS. To illustrate one series of procedures in establishing the clinical significance of these tests, a prospective study of the HOS and SRE in about 6,000 Navy men and Marines was outlined. While the measures were statistically significant in predicting future ill populations, they failed to establish a homogeneous high risk group. This finding is not surprising considering the low base rate of significant illness, the problems of case definition, and the length of time between initial measurement and outcome.