Diagnostic Concordance of ICD-10 Personality and Comorbid Disorders: A Comparison of Standard Clinical Assessment and Structured Interviews in a Clinical Setting
- 1 August 2003
- journal article
- research article
- Published by SAGE Publications in Australian & New Zealand Journal of Psychiatry
- Vol. 37 (4), 484-491
- https://doi.org/10.1046/j.1440-1614.2003.01226.x
Abstract
Objective: The diagnosis of personality disorders is one of the most problematic areas in psychiatric diagnosis. Diagnoses are usually made by standard clinical interview, but they have poor reliability. The aim of this study was to compare the concordance in diagnosis between structured assessment tools and assessment as usual in a clinical setting. Method: Diagnosis of 33 patients on the International Personality Disorder Examination (IPDE) and the Mini International Neuropsychiatric Interview (MINI) was compared to diagnosis made by standard assessment through clinical interview. Results: There was poor concordance between structured measures and standard assessment by clinical interview, and poor levels of diagnostic sensitivity and specificity on standard assessment. Conclusion: Structured measures were more comprehensive, sensitive and specific in diagnosis than standard clinical assessment. Increased diagnostic accuracy is needed for effective understanding and treatment planning for personality disorders.Keywords
This publication has 17 references indexed in Scilit:
- Reconceptualizing personality disorder diagnosis in the DSM-V: The discriminant validity challenge.Clinical Psychology: Science and Practice, 1998
- The Mini International Neuropsychiatric Interview (MINI). A short diagnostic structured interview: reliability and validity according to the CIDIEuropean Psychiatry, 1997
- Recent Developments in the Clinical Assessment of Personality DisordersEuropean Journal of Psychological Assessment, 1995
- The International Personality Disorder ExaminationArchives of General Psychiatry, 1994
- Personality and personality disorders.Journal of Abnormal Psychology, 1994
- Categorical Versus Dimensional Classification: Implications from and For ResearchJournal of Personality Disorders, 1992
- Sex bias in the diagnosis of personality disorders: Conceptual and methodological issuesClinical Psychology Review, 1991
- Borderline Personality Disorder: A Review of Data on DSM-III-R DescriptionsJournal of Personality Disorders, 1991
- Cognitive-Behavioral Treatment of Chronically Parasuicidal Borderline PatientsArchives of General Psychiatry, 1991
- Personality Disorder Dimensional Models Proposed for DSM-IVJournal of Personality Disorders, 1991