Millon™ Behavioral Medicine Diagnostic (MBMD™)

Author(s): Theodore Millon, PhD, DSc, Michael Antoni, PhD, Carrie Millon, PhD, Sarah Minor, PhD, and Seth Grossman, PsyD

Assessment of psychosocial factors that may support or interfere with a chronically ill patient's course of medical treatment.

At a Glance:

  • Administration: Paper-and-pencil, CD or computer administration; Approx. 20–25 minutes (165 true/false items)
  • Qualification level: C,Q1-Level
  • Ages / Grades: 18-85
  • Norms: General medical norms based on 700 patients with a wide variety of medical conditions and Bariatric-specific norms based on more than 700 bariatric surgery candidates nationwide.

Product Summary

Overview

Theodore Millon, PhD Website

View the Bariatric Norms Interpretive Sample Report

A World of Information with One Test

The MBMD assessment helps provide a broader understanding of the personal reality that each patient faces. By helping identify psychosocial assets and liabilities that may affect an individual’s response to treatment, the MBMD test enables clinicians to develop tailored treatment recommendations.

Brief yet comprehensive, the MBMD inventory helps gather a range of information that it might otherwise require a battery of instruments to obtain. Two norm groups, one that includes a comprehensive sample of patients with chronic medical conditions, and one specific to bariatric surgery candidates, this contemporary test can help increase the likelihood of positive treatment outcomes and may thereby reduce the overall costs of care.

MBMD trial package

 

How to Use This Test


Psychologists, physicians, nurses and other professionals use the MBMD results to help:

  • Identify patients who may have significant psychiatric problems and recommend specific interventions
  • Pinpoint personal and social assets that may facilitate adjustment to physical limitations or lifestyle changes
  • Determine whether patients need more communication and support in order to comply with prescribed medical regimens
  • Structure post-treatment plans and self-care responsibilities in the context of the patient's social network

Key Features


  • NEW! The MBMD’s recently added bariatric norms can help determine a candidate’s psychological suitability for surgery, assist patients in making significant lifestyle changes, and prepare medical staff to respond to patients’ likely reactions following surgery.  
  • The MBMD’s broad normative sample permits the test’s use to be extended into sleep disorder centers, cancer treatment centers, cardiac rehabilitation programs, bariatric surgery departments, pain treatment centers, neurological rehabilitation units, military and veterans’ hospitals, primary care facilities and family medicine clinics.  
  • The Interpretive Report includes a one-page, tear-off Healthcare Provider Summary written in language medical professionals can readily understand, helping to facilitate communication between the psychologist and medical staff.  
  • The test’s 165 items require only 20–25 minutes to complete, helping to reduce patient resistance and fatigue.  
  • By enabling more effective treatment planning, the MBMD test may help decrease healthcare costs in clinics and hospitals through reduced assessment time, more efficient triage and decreased complications after major procedures.

Quick Facts


Administer To Individuals 18 years and older
Reading Level 6th grade
Completion Time Approx. 20–25 minutes (165 true/false items)
Formats Paper-and-pencil, CD or computer administration
Report Options Profile,
Interpretive (with Healthcare Provider Summary),
Interpretive with Bariatric Summary based on Bariatric Norms
Scoring Options Q™ Local Software
Mail-in Scoring Service
Hand Scoring
Fax-in Service
Scales 29 Content Scales grouped into 5 domains
3 Response Patterns
6 Negative Health Habits
Norm Groups General medical norms based on 700 patients with a wide variety of medical conditions and Bariatric-specific norms based on more than 700 bariatric surgery candidates nationwide.

 

Scales


Response Patterns
X - Disclosure
Y - Desirability
Z - Debasement

Negative Health Habits
Alcohol
Drugs
Eating
Caffeine
Inactivity
Smoking

Psychiatric Indicators
AA - Anxiety-Tension
BB - Depression
CC - Cognitive Dysfunction
DD - Emotional Lability
EE - Guardedness

Coping Styles
1 - Introversion
2A - Inhibited
2B - Dejected
3 - Cooperative
4 - Sociable
5 - Confident
6A - Nonconforming
6B - Forceful
7 - Respectful
8A - Oppositional
8B - Denigrated

Stress Moderators
A - Illness Apprehension
B - Functional Deficits
C - Pain Sensitivity
D - Social Isolation
E - Future Pessimism
F - Spiritual Absence

Treatment Prognostics
G - Interventional Fragility
H - Mediation Abuse
I - Information Discomfort
J - Utilization Excess
K - Problematic Compliance

Management Guide
L - Adjustment Difficulties
M - Psych Referral

Test Components
  • Response Patterns
    Help gauge distorted response tendencies in the patient's self-report
  • Negative Health Habits
    Help gauge recent or current problematic behaviors affecting health, such as Alcohol, Drug, Eating, Caffeine, Inactivity, and Smoking
  • Psychiatric Indications
    Help identify psychiatric comorbidities that may affect health management such as Anxiety-Tension, Depression, Cognitive Dysfunction, Emotional Lability, and Guardedness
  • Coping Styles
    Help identify patients' approaches to handling everyday problems, as well as their medical condition and major life stressors
  • Stress Moderators
    Help identify attitudes and resources that may affect health care such as Illness Apprehension, Social Isolation, Future Pessimism, Pain Sensitivity and Spiritual Absence.

Norms


The MBMD test now provides a choice of two normative samples. The general medical norms include a sample of more than 700 patients with a wide variety of medical conditions, including obesity, cancer, diabetes, HIV/AIDS, chronic pain, heart problems, neurological disorders, gastrointestinal complaints, gynecological problems, injuries and organ transplants. The bariatric norms are based on data collected from 711 prescreened bariatric surgery patients ages 19-68 from across the United States, including 585 females and 126 males with BMIs ranging from 31 to 84.

View a sample report based on bariatric norms.

Reliability


Both internal consistency and test-retest analyses were used to estimate the reliability of the MBMD scales. Using the entire sample, the following internal consistency coefficients were obtained: Psychiatric Indications (rtt = .76 to .89); Coping Styles (rtt = .54 to .85); Stress Moderators (rtt = .85 to .89); Treatment Prognostics (rtt = .47 to .80); and Management Guide (rtt = .77 to .79). The median internal consistency coefficient for all scales is rtt = .79.

Using a smaller sample (N = 41), test-retest reliability estimates were also obtained: Psychiatric Indications (rtt = .79 to .88); Coping Styles (rtt = .71 to .90); Stress Moderators (rtt = .78 to .92); Treatment Prognostics (rtt = .72 to .88); and Management Guide (rtt = .78 to .81). The median test-retest coefficient for all scales is rtt = .83.

Validity


Several approaches were used to validate the scales included on the MBMD assessment. First, an item sorting procedure was used that required several medical professionals to place the items into the scales for which they were initially written. Only items that were sorted correctly by the majority of the raters were retained on the test for further analysis.

Second, after the MBMD scales had been refined based on internal consistency considerations, scale scores were correlated with a variety of other measures that assessed similar content domains to each of the scales. For example, the MBMD Depression scale correlated at .87 with the BDI, and .58 with the BSI Depression scale. The MBMD Spiritual Absence scale correlated at .85 with the Systems of Belief Inventory (a frequently employed measure of spiritual beliefs).

Report Options


Profile Report (Product Number 51942)
Provides a graphic representation of the prevalence scores for all the content scales, plus a rating for the likelihood of a problem with the Response Patterns and Negative Health Habits.

View a sample Profile Report.

Interpretive Report With Healthcare Provider Summary
(Product Number 51941)

Provides a detailed narrative analysis of the patient’s reported strengths and weaknesses, a graphic representation of results and a convenient one-page Healthcare Provider Summary. The report also includes syntheses across scale domains, which integrate the results of the separate scales – in much the same way a clinician would integrate the results of several different tests or laboratory reports.

The Healthcare Provider Summary is a one-page report that provides healthcare professionals with a useful and concise summary of the patient's potential assets and weaknesses, and can be reviewed in a manner similar to that of medical lab reports.

View a sample Interpretive Report.

Interpretive Report With Bariatric Summary Based on Bariatric Norms
Provides a detailed narrative analysis of the patient’s reported strengths and weaknesses. One-page Bariatric Summary categorizes the patient’s information, normed on more than 700 bariatric surgical patients, and provides probabilistic judgments in areas of presurgical intervention, patient behavior, postsurgical outlook, and postsurgical care. The report also includes a graphic representation of results and a narrative syntheses across scale domains, integrating results of individual scales.

View a sample Interpretive Report based on bariatric norms.

Scoring Options


Q™ Local Software - Enables you to score assessments, report results, and store and export data on your computer.

Mail-in Scoring Service - Specially designed answer sheets are mailed to us for processing within 24–48 hours of receipt and returned via regular mail.

Hand Scoring - Administer assessments on answer sheets and score them quickly yourself with an answer key.

Fax-in Service - Tests completed on paper-and-pencil faxed-in sheets

- Allows you to score the assessments at your site.


Research & Resources

FAQs

View a list of commonly asked questions regarding the Millon™ Behavioral Medicine Diagnostic (MBMD™) products.

Details & Pricing

Products


Millon™ Behavioral Medicine Diagnostic (MBMD™)
QtyCodeNamePrice
00995MBMD Hand-Scoring Reorder Kit - Includes 50 answer sheets, 50 worksheets and 50 profile forms.$155.00
00996MBMD Hand-Scoring Starter Kit - Includes MBMD manual, hand-scoring user's guide, 10 test booklets, 50 answer sheets, 50 worksheets, 50 profile forms and answer keys.$355.00
00997MBMD Mail-in Starter Kit with Interpretive Reports - Includes MBMD manual, 3 answer sheets and 1 softcover test booklet: all materials necessary to conduct 3 assessments and receive interpretive reports using the mail-in scoring service.$128.00
00998Q Local/MBMD Starter Kit with Interpretive Reports - Includes MBMD manual, 3 answer sheets with test items, and 3 Q Local Administrations (Does not include Q Local software.)$120.00

Administration Materials


MBMD Test Booklets
QtyCodeNamePrice
51931MBMD Test Booklets - Softcover. Pkg. of 10$21.50

MBMD Manual
QtyCodeNamePrice
51940MBMD Manual - (required)$55.50

MBMD Audio Compact Disc
QtyCodeNamePrice
52003MBMD Audio Compact Disc - (administration time: 45 min.)$54.50

MBMD Bariatric Summary Manual Supplement
QtyCodeNamePrice
52010MBMD Bariatric Summary Manual Supplement$13.25

Scoring/Reporting: Q Local

QtyCodeNamePrice

Q Local/MBMD Reports
QtyCodeNamePrice
51941Q Local/MBMD Interpretive Reports - (Price per administration)
51942Q Local/MBMD Profile Reports - (Price per administration)

Q Local/MBMD Answer Sheets
QtyCodeNamePrice
51929Q Local/MBMD Answer Sheets - Pkg. of 25. Test items included.

Pearson Scoring Services


MBMD Fax-In Answer Sheets
QtyCodeNamePrice
51969MBMD Fax-In Answer Sheets - Pkg. of 25. Test items included. Note: At the time a completed answer sheet is faxed in, the report cost will be invoiced.
52004MBMD Pre-paid Fax-In Answer Sheets - Price includes answer sheets with test items and fax-in scoring service for one report.

MBMD Fax-In Scoring Service
QtyCodeNamePrice
21066MBMD Fax-In Scoring Service - Includes scoring of MBMD fax-in answer sheet for interpretive report and fax return within 2 hours. Test items included.

MBMD Mail-In Reports
QtyCodeNamePrice
51925MBMD Mail-In Profile Reports - Price includes answer sheet and scoring. Test items included.
51927MBMD Mail-In Interpretive Reports - Price includes answer sheet and scoring. Test items included.

Spanish Materials


MBMD Spanish Materials
QtyCodeNamePrice
51930Spanish Q Local / MBMD Answer Sheets - Pkg. of 25. Test items included.
51932Spanish MBMD test booklet - Sold individually.$5.75
52002Spanish Audio CD$54.50
51928Spanish MBMD mail-in Interpretive Answer Sheets - Sold individually, price includes scoring and test booklet.Test items included.
51926Spanish MBMD mail-in Profile Answer Sheets - Sold individually, price includes scoring and test booklet. Test items included.