Hostname: page-component-745bb68f8f-lrblm Total loading time: 0 Render date: 2025-01-14T01:55:50.904Z Has data issue: false hasContentIssue false
  • English
  • Français

Assessment of DSM–III–R Personality Disorders by Self-Report Questionnaire: the Role of Informants and a Screening Test for Co-morbid Personality Disorders (STCPD)

Published online by Cambridge University Press:  02 January 2018

J. H. Dowson
J. H. Dowson*
Affiliation:
University of Cambridge Clinical School, Department of Psychiatry, Level E4, Addenbrooke's Hospital, Hills Road, Cambridge CB2 2QQ
Get access Rights & Permissions [Opens in a new window]

Abstract

A modified version of the revised Personality Diagnostic Questionnaire (PDQ–R), based on DSM–III–R personality disorders (PDs), was completed by 60 psychiatric patients. An informant's version was also completed by 60 relatives or friends nominated by each subject. Discrete DSM–III–R PDs were rare; the mean number of PDs per subject was 4.5. Cluster analysis showed that only antisocial PD was a basis for classification of patients, while most patients formed two groups which were mainly distinguished by quantitative differences related to the total scores of positive PD criteria. A shorter version of the questionnaire can be used as a screening test for co-morbid PDs (STCPD) which can predict the number of co-morbid DSM–III–R PDs. The total scores of positive PD criteria from the STCPD were usually (and significantly) higher than the corresponding scores from informants' questionnaires but when an informant's total score exceeded that of the patient, this indicated a subject's under-reporting.

Type
Papers
Information
The British Journal of Psychiatry , Volume 161 , Issue 3 , September 1992 , pp. 344 - 352
Copyright
Copyright © 1992 The Royal College of Psychiatrists 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

American Psychiatric Association (1980) Diagnostic and Statistical Manual of Mental Disorders (3rd edn) (DSM–III). Washington, DC: APA.Google Scholar
American Psychiatric Association (1987) Diagnostic and Statistical Manual of Mental Disorders (3rd edn, revised) (DSM–III–R). Washington, DC: APA.Google Scholar
Angus, L. E. & Marziali, E. (1988) A comparison of three measures for the diagnosis of borderline personality disorder. American Journal of Psychiatry, 145, 1453–1454.Google Scholar
Bartko, J. J. & Carpenter, W. T. (1976) On the methods and theory of reliability. Journal of Nervous and Mental Disease, 163, 307–317.Google Scholar
Black, D. W., Yates, W. R., Noyes, R., et al (1989a) DSM–III personality disorder in obsessive-compulsive study volunteers. a controlled study. Journal of Personality Disorders, 3, 58–62.Google Scholar
Black, D. W., Yates, W. R., Reich, J. H., et al (1989b) DSM–III personality disorder in bariatric clinic patients. Annals of Clinical Psychiatry, 1, 33–37.Google Scholar
Casey, P. R. & Tyrer, P. (1990) Personality disorder and psychiatric illness in general practice. British Journal of Psychiatry, 156, 261–265.Google Scholar
Cohen, J. (1960) A coefficient of agreement for nominal scales. Educational and Psychological Measurement, 20, 37–46.CrossRefGoogle Scholar
Craig, R. J. (1988) A psychometric study of the prevalence of DSM–III personality disorders among treated opiate addicts. International Journal of the Addictions, 23, 115–124.Google Scholar
Dubro, A. F., Wetzler, S. & Kahn, M. W. (1988) A comparison of self-report questionnaires for the diagnosis of DSM–III personality disorders. Journal of Personality Disorders, 2, 256–266.Google Scholar
Fyer, M. R., Frances, A. J., Sullivan, T., et al (1988) Comorbidity of borderline personality disorder. Archives of General Psychiatry, 45, 348–352.Google Scholar
Gardner, M. J. & Altman, D. G. (eds) (1989) Statistics with Confidence. London: British Medical Journal.Google Scholar
Gartner, A. F., Marcus, R. N., Halmi, K., et al (1989) DSM–III–R personality disorders in patients with eating disorders. American Journal of Psychiatry, 146, 1585–1591.Google Scholar
Glantz, S. A. (1987) In Primer of Biostatistics, pp. 88–90. New York: McGraw-Hill.Google Scholar
Hogg, B., Jackson, H. J., Rudd, R. P., et al (1990) Diagnosing personality disorders in recent-onset schizophrenia. Journal of Mental Disease, 178, 194–199.CrossRefGoogle ScholarPubMed
Hurt, S. W., Hyler, S. E., Frances, A., et al (1984) Assessing borderline personality disorder with self-report, clinical interview, or semistructured interview. American Journal of Psychiatry, 141, 1228–1231.Google Scholar
Hyler, S. E., Rieder, R. O., Williams, J. B. W., et al (1988) The personality diagnostic questionnaire: development and preliminary results. Journal of Personality Disorders, 2, 229–237.CrossRefGoogle Scholar
Hyler, S. E., Rieder, R. O., Williams, J. B. W., et al (1989) A comparison of clinical and self-report diagnoses of DSM–III personality disorders in 552 patients. Comprehensive Psychiatry, 30, 170–178.Google Scholar
Hyler, S. E., Skodol, A. E., Kellman, D. H., et al (1990) Validity of the personality diagnostic questionnaire – revised: comparison with two structured interviews. American Journal of Psychiatry, 147, 1043–1048.Google Scholar
Kass, F., Skodol, A. E., Charles, E., et al (1985) Scaled ratings of DSM–III personality disorders. American Journal of Psychiatry, 142, 627–630.Google Scholar
Landis, J. R. & Koch, G. G. (1977) The measurement of observer agreement for categorical data. Biometrics, 33, 159–174.Google Scholar
Mardia, K. V., Kent, J. T. & Bibby, J. M. (1979) Multivariate Analysis. London: Academic Press.Google Scholar
Mavissakalian, M. & Hamann, M. S. (1986) DSM–III personality disorder in agoraphobia. Comprehensive Psychiatry, 27, 471–479.Google Scholar
Mavissakalian, M. & Hamann, M. S. (1988) Correlates of DSM–III personality disorder in panic disorder and agoraphobia. Comprehensive Psychiatry, 29, 535–544.Google Scholar
Mavissakalian, M., Hamann, M. S. Jones, B. (1990) A comparison of DSM–III personality disorders in panic/agoraphobia and obsessive-compulsive disorders. Comprehensive Psychiatry, 31, 238–244.Google Scholar
Morey, L. C. (1988a) Personality disorders in DSM–III and DSM–III–R: convergence, coverage, and internal consistency. American Journal of Psychiatry, 145, 573–577.Google ScholarPubMed
Morey, L. C. (1988b) The categorical representation of personality disorder: a cluster analysis of DSM–III–R personality features. Journal of Abnormal Psychology, 97, 314–321.Google Scholar
Nestadt, G., Romanoski, A. J., Chahal, R., et al (1990) An epidemiological study of histrionic personality disorder. Psychological Medicine, 20, 413–422.Google Scholar
Norusis, M. J. (1988) SPSS/PC+ Advanced Statistics™ V2.0 for the IBM PC/XT/AT and PS/2. Chicago: SPSS, Inc.Google Scholar
Pfohl, B., Coryell, W., Zimmerman, M., et al (1987) Prognostic validity of self-report and interview measures of personality disorder in depressed inpatients. Journal of Clinical Psychiatry, 48, 468–472.Google Scholar
Reich, J. H. (1989) Update on instruments to measure DSM–III and DSM–III–R personality disorders. Journal of Nervous and Mental Disease, 177, 366–370.Google Scholar
Reich, J. H. (1990) Effect of DSM–III personality disorders on outcome of tricyclic antidepressant-treated nonpsychotic outpatients with major or minor depressive disorder. Psychiatry Research, 32, 175–181.Google Scholar
Reich, J. H., Nduaguba, M. & Yates, W. (1988) Age and sex distribution of DSM–III personality cluster traits in a community population. Comprehensive Psychiatry, 29, 298–303.Google Scholar
Reich, J. H. & Troughton, E. (1988) Frequency of DSM–III personality disorders in patients with panic disorder: comparison with psychiatric and normal control subjects. Psychiatry Research, 26, 89–100.Google Scholar
Reich, J. H., Boerstler, H., Yates, W., et al (1989a) Utilization of medical resources in persons with DSM–III personality disorders in a community sample. International Journal of Psychiatry in Medicine, 19, 1–9.Google Scholar
Reich, J. H., Yates, W. & Nduaguba, M. (1989b) Prevalence of DSM–III personality disorders in the community. Social Psychiatry and Psychiatric Epidemiology, 24, 12–16.Google Scholar
Standage, K. (1989) Structured interviews and the diagnosis of personality disorders. Canadian Journal of Psychiatry, 34, 906–912.Google Scholar
Stangl, D., Ppohl, B., Zimmerman, M., et al (1985) A structured interview for the DSM–III personality disorders. Archives of General Psychiatry, 42, 591–596.Google Scholar
Tyrer, P. J. (1987) Measurement of abnormal personality: a review. Journal of the Royal Society of Medicine, 80, 637–639.Google Scholar
Tyrer, P. J. (1988a) Personality Disorders. London: Wright.Google ScholarPubMed
Tyrer, P. J. (1988b) What's wrong with DSM–III personality disorders? Journal of Personality Disorders, 2, 281–291.CrossRefGoogle Scholar
Tyrer, P. J. (1989) Clinical importance of personality disorder. Current Opinion in Psychiatry, 2, 240–243.Google Scholar
Widiger, T. A. & Frances, A. (1987) Interviews and inventories for the measurement of personality disorders. Clinical Psychology Review, 7, 49–75.Google Scholar
Widiger, T. A., Frances, A., Spitzer, R. L., et al (1988) The DSM–III–R personality disorders: an overview. American Journal of Psychiatry, 145, 786–795.Google Scholar
Yager, J., Landsverk, J., Edelstein, C. K., et al (1989) Screening for axis II personality disorders in women with bulimic eating disorders. Psychosomatics, 30, 255–262.Google Scholar
Zanarini, M. C., Frankenburg, F. R., Chaunsey, D. L., et al (1987) The diagnostic interview for personality disorders: interrater and test–retest reliability. Comprehensive Psychiatry, 28, 467–480.CrossRefGoogle ScholarPubMed
Zimmerman, M. & Coryell, W. (1989) DSM–III personality disorder diagnoses in a nonpatient sample. Archives of General Psychiatry, 46, 682–689.Google Scholar
Zimmerman, M. & Coryell, W. (1990) Diagnosing personality disorders in the community. Archives of General Psychiatry, 47, 527–531.CrossRefGoogle ScholarPubMed
Submit a response

eLetters

No eLetters have been published for this article.