The International Personality Disorder Examination
- 1 March 1994
- journal article
- clinical trial
- Published by American Medical Association (AMA) in Archives of General Psychiatry
- Vol. 51 (3), 215-224
- https://doi.org/10.1001/archpsyc.1994.03950030051005
Abstract
Background: One of the aims of the World Health Organization/Alcohol, Drug Abuse, and Mental Health Administration joint program on psychiatric diagnosis and classification is the development and standardization of diagnostic assessment instruments for use in clinical research worldwide. The International Personality Disorder Examination (IPDE) is a semistructured clinical interview compatible with the International Classification of Diseases, Tenth Revision, and the DMS-III-R classification systems. This is the first report of the results of a field trial to investigate the feasibility of using the IPDE to assess personality disorders worldwide. Methods: The IPDE was administered by 58 psychiatrists and clinical psychologists to 716 patients enrolled in clinical facilities at 14 participating centers in 11 countries in North America, Europe, Africa, and Asia. To determine interrater reliability, 141 of the IPDEs (20%) were independently rated by a silent observer. To determine temporal stability, 243 patients (34%) were reexamined after an average interval of 6 months. Results: The IPDE proved acceptable to clinicians and demonstrated an interrater reliability and temporal stability roughly similar to instruments used to diagnose the psychoses, mood, anxiety, and substance use disorders. Conclusion: It is possible to assess personality disorders with reasonably good reliability in different nations, languages, and cultures using a semistructured clinical interview that experienced clinicians find relevant, meaningful, and user-friendly.Keywords
This publication has 10 references indexed in Scilit:
- Are Current Self-Report and Interview Measures Adequate for Epidemiological Studies of Personality Disorders?Journal of Personality Disorders, 1992
- Categorical Versus Dimensional Classification: Implications from and For ResearchJournal of Personality Disorders, 1992
- The WHO/ADAMHA International Pilot Study of Personality Disorders: Background and PurposeJournal of Personality Disorders, 1991
- Trait-State Artifacts and the Diagnosis of Personality DisordersArchives of General Psychiatry, 1991
- The diagnostic interview for personality disorders: Interrater and test-retest reliabilityComprehensive Psychiatry, 1987
- The stability of diagnosis with an application to bipolar II disorderPsychiatry Research, 1986
- Long-term Reliability of Diagnosing Lifetime Major Depression in a Community SampleArchives of General Psychiatry, 1986
- Diagnosis and classification of mental disorders and alcohol- and drug-related problems: a research agenda for the 1980sPsychological Medicine, 1983
- Categorical and dimensional systems of personality diagnosis: A comparisonComprehensive Psychiatry, 1982
- Estimation of the reliability of ratingsPsychometrika, 1951