Applying the PAI Treatment Process Index to PAI-As Completed by Adolescents in a Residential Program

Assessment. 2022 Dec;29(8):1931-1941. doi: 10.1177/10731911211038061. Epub 2021 Aug 13.

Abstract

The Personality Assessment Inventory (PAI) Treatment Process Index (TPI) is a measure of treatment amenability based on an index of factors related to poor treatment outcomes (e.g., hostility, lack of social support, and poor impulse control). In this study, the formula used to calculate the TPI for the adult PAI was applied to PAI-Adolescent (PAI-As) protoocols completed by 372 adolescents (mean age: 16.8 years; 80% male) during a 22-week residential program for at-risk youth. The number of disciplinary infractions received during the program was used as an indicator of the participants' response to the program. Average PAI-A scale scores and TPI scores were higher than those previously reported for community samples, but lower than those found in clinical samples. TPI scores were positively associated with disciplinary infractions, particularly nonaggressive infractions, when controlling for demographic factors and other clinically relevant variables. Results suggest that the the TPI has relevance for adolescents completing the PAI-A.

Keywords: Personality Assessment Inventory; adolescents; institutional misconduct; treatment amenability; treatment outcomes.

MeSH terms

  • Adolescent
  • Adult
  • Antisocial Personality Disorder*
  • Female
  • Humans
  • Male
  • Personality Assessment*
  • Personality Disorders