Comparison of a Diagnostic Checklist with a Structured Interview for the Assessment of DSM-III-R and ICD-10 Personality Disorders

The International Diagnostic Checklists for the assessment of the DSM-III-R and ICD-10 personality disorders (IDCL·P) were compared with a structured interview, the International Personality Disorder Examination (IPDE), using a balanced test-retest design with forty psychiatric inpatients. The resul...

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Bibliographic Details
Published inPsychopathology Vol. 27; no. 6; pp. 312 - 320
Main Authors Bronisch, T., Mombour, W.
Format Journal Article
LanguageEnglish
Published Basel, Switzerland Karger 1994
Subjects
Adult
Biological and medical sciences
Female
Humans
Interview, Psychological
Male
Medical sciences
Middle Aged
Observer Variation
Original Paper
Patient Admission
Personality Assessment - statistics & numerical data
Personality Disorders - classification
Personality Disorders - diagnosis
Personality Disorders - psychology
Psychiatric Status Rating Scales - statistics & numerical data
Psychology. Psychoanalysis. Psychiatry
Psychometrics
Psychometrics. Diagnostic aid systems
Psychopathology. Psychiatry
Reproducibility of Results
Techniques and methods
Human
Test validation
Validity
Evaluation scale
Clinical interview
Psychometrics
Diagnosis
Comparative study
Personality disorder
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Summary:The International Diagnostic Checklists for the assessment of the DSM-III-R and ICD-10 personality disorders (IDCL·P) were compared with a structured interview, the International Personality Disorder Examination (IPDE), using a balanced test-retest design with forty psychiatric inpatients. The results, using pairwise k for the calculation of agreement, were as follows: any personality disorder versus no personality disorder 0.52 for DSM-III-R diagnoses and 0.75 for ICD-10 diagnoses. The range for the single personality disorders diagnosed at least five times was from ––0.07 to 0.71 for DSM-III-R diagnoses and from 0.38 to 0.68 for ICD-10 diagnoses. Only for DSM-III-R diagnoses do figures exist from three other studies comparing two structured interviews with each other. The results of all four studies suggest that 60% of the variance in personality disorder diagnoses represents variance not attributable to the patients, which is scientifically unacceptable.
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SourceType-Scholarly Journals-1
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ISSN:0254-4962
1423-033X
DOI:10.1159/000284889