How to choose the best screening instrument for personality disorder for your specific practice

2011 ◽  
Vol 26 (S2) ◽  
pp. 1019-1019
Author(s):  
S. Germans ◽  
G.L. Van Heck ◽  
P.P.G. Hodiamont
Keyword(s):  
Personality Disorder ◽  
Personality Disorders ◽  
Personality Assessment ◽  
Structured Interview ◽  
Screening Instrument ◽  
Mental Illnesses ◽  
Standardized Assessment ◽  
Short Version ◽  
Specific Practice ◽  
Neo Five Factor Inventory

IntroductionPersonality disorders (PD) are common in psychiatric services and can adversely affect the management and outcome of mental illnesses. Therefore assessment of the personality is an essential part of initial psychiatric examination. To diagnose a PD takes time and competence. A screening instrument in the diagnostic phase can be a solution.AimThe goal of the study was to provide clinicians a powerful screening tool for personality disorders that is ‘quick and dirty’.MethodNine screening instruments were studied in a prospective, observational, test development study with a random sample of Dutch psychiatric outpatients, using the SCID-II as the gold standard. There were three short questionnaires (Standardized Assessment of Personality- Abbreviated Scale (SAPAS), Iowa Personality Disorder Screen (IPDS), Short version of the SCID-II), three longer questionnaires (the SCID-II Personality Questionnaire, the NEO Five-Factor Inventory (NEO-FFI), Inventory of Interpersonal Problems (IIP-PD/C;) one short semi structured interview (Quick Personality Assessment Schedule (PAS-Q.) and two informant interviews (Standardised Assessment of personality (SAP), the Standardized Assessment of Personality- Abbreviated Scale for informants (SAPAS-INF)) involved.ResultsThe three short questionnaires and the semi structured interview were very useful for determining the presence/absence of PD. The other instruments can be used in particular situations for example to determine a specific PD or if the patient is not able to accomplish the test.ConclusionBefore deciding which screening instrument for PD is the best for your practice, you have to consider psychometric values as well as practical circumstances.

Inter-rater and temporal reliability of the Standardized Assessment of Personality and the influence of informant characteristics

1993 ◽  
Vol 23 (3) ◽  
pp. 779-786 ◽  
Author(s):  
J. A. Pilgrim ◽  
J. D. Mellers ◽  
H. A. Boothby ◽  
A. H. Mann
Keyword(s):  
Personality Disorder ◽  
Female Gender ◽  
Structured Interview ◽  
Standardized Assessment ◽  
Reliability Study ◽  
Rater Reliability ◽  
The Individual ◽  
Level Of Agreement ◽  
Temporal Reliability

SynopsisThe Standardized Assessment of Personality (SAP) is a short, semi-structured interview designed to be used with an informant of the patient. The informants of 52 patients were interviewed separately by two raters for an inter-rater reliability study. The overall level of agreement was excellent, kappa = 0·76, with a range between 0·60 and 0·82 for the individual categories of personality disorder. For a temporal reliability study, the relatives of 77 patients were interviewed. The overall level of agreement was good, kappa = 0·65, with a range between 0·54 and 0·79 for individual categories. Characteristics of informants whose reports were rated with greater levels of reliability were female gender and greater length of acquaintance with the patient.

scholarly journals Validation of the French version of the McLean Screening Instrument for Adolescent Borderline Personality Disorder (MSI-BPD)

2020 ◽  
Author(s):  
Bojan Mirkovic ◽  
Mario Speranza ◽  
Lionel Cailhol ◽  
Julien-Daniel Guelfi ◽  
Fernando Perez-Diaz ◽  
...  
Keyword(s):  
Borderline Personality Disorder ◽  
Personality Disorder ◽  
Psychometric Properties ◽  
High Sensitivity ◽  
High Specificity ◽  
Structured Interview ◽  
Screening Instrument ◽  
Borderline Personality ◽  
French Version ◽  
Low Sensitivity

Abstract Background: The study examines the psychometric properties of the French version of the McLean Screening Instrument for Borderline Personality Disorder (MSI-BPD) created by M. Zanarini to screen borderline personality disorder in clinical and non-clinical populations.Method: In this multicentric longitudinal study from the European Network on Borderline Personality Disorder, a sample of 84 adolescent patients from five psychiatric centres and 85 matched controls without psychiatric comorbidity completed the MSI-BPD, French version, and were interviewed with the Structured Interview for DSM-IV Personality (SIDP-IV), in order to assess the presence or absence of borderline personality disorder.Results: The MSI-BPD showed excellent internal consistency (α = 0.87 [0.84;0.90]). Compared to the semi-structured reference interview (SIDP-IV), the MSI-BPD showed substantial congruent validity (AUC = 0.93, CI 95%: 0.90 - 0.97). The optimal cut-off point in the present study was 5 or more, as it had relatively high sensitivity (0.87) and specificity (0.85). In our sample, the cut-off point (7 or more) proposed by the original developers of the MSI-BPD showed high specificity (0.95) but low sensitivity (0.63).Conclusions: The French version of the MSI-BPD is now available, and its psychometric properties are satisfactory. The French version of the MSI-PBD can be used as a screening tool for borderline personality disorder, for clinical purposes or in research studies.

scholarly journals The distinction between personality disorder and mental illness

2002 ◽  
Vol 180 (2) ◽  
pp. 110-115 ◽  
Author(s):  
R. E. Kendell
Keyword(s):  
Mental Illness ◽  
Personality Disorder ◽  
Mental Disorder ◽  
Personality Disorders ◽  
Preventive Detention ◽  
Genetic Evidence ◽  
Mental Illnesses ◽  
Unresolved Issue ◽  
Basic Information ◽  
The Uk

BackgroundProposals by the UK Government for preventive detention of people with ‘dangerous severe personality disorders' highlight the unresolved issue of whether personality disorders should be regarded as mental illnesses.AimsTo clarify the issue by examining the concepts of psychopathy and personality disorder, the attitudes of contemporary British psychiatrists to personality disorders, and the meaning of the terms ‘mental illness'and ‘mental disorder’.MethodThe literature on personality disorder is assessed in the context of four contrasting concepts of illness or disease.ResultsWhichever of the four concepts or definitions is chosen, it is impossible to conclude with confidence that personality disorders are, or are not, mental illnesses; there are ambiguities in the definitions and basic information about personality disorders is lacking.ConclusionsThe historical reasons for regarding personality disorders as fundamentally different from mental illnesses are being undermined by both clinical and genetic evidence. Effective treatments for personality disorders would probably have a decisive influence on psychiatrists' attitudes.

Gender-related distribution of personality disorders in a sample of patients with panic disorder

2001 ◽  
Vol 16 (3) ◽  
pp. 173-179 ◽  
Author(s):  
G. Barzega ◽  
G. Maina ◽  
S. Venturello ◽  
F. Bogetto
Keyword(s):  
Personality Disorder ◽  
Panic Disorder ◽  
Personality Disorders ◽  
Structured Interview ◽  
Dependent Personality Disorder ◽  
Dependent Personality ◽  
Co Morbidity ◽  
Related Distribution ◽  
Axis I ◽  
Dsm Iv

SummaryObjectiveWe examined gender differences in the frequency of DSM-IV personality disorder diagnoses in a sample of patients with a diagnosis of panic disorder (PD).MethodOne hundred and eighty-four outpatients with a principal diagnosis of PD (DSM-IV) were enrolled. All patients were evaluated with a semi-structured interview to collect demographic and clinical data and to generate Axis I and Axis II diagnoses in accordance with DSM-IV criteria.ResultsMales were significantly more likely than females to meet diagnoses for schizoid and borderline personality disorder. Compared to males, females predominated in histrionic and cluster C diagnoses, particularly dependent personality disorder diagnoses. A significant interaction was found between female sex and agoraphobia on personality disorder (PD) distribution.ConclusionsMale PD patients seem to be characterized by more severe personality disorders, while female PD patients, particularly with co-morbid agoraphobia, have higher co-morbidity rates with personality disorders belonging to the ‘anxious-fearful cluster’.

Use of the ICD-10 version of the Standardized Assessment of Personality to determine the prevalence of personality disorder in psychiatric in-patients

1990 ◽  
Vol 20 (4) ◽  
pp. 985-992 ◽  
Author(s):  
John Pilgrim ◽  
Anthony Mann
Keyword(s):  
Personality Disorder ◽  
Total Sample ◽  
International Classification Of Diseases ◽  
Structured Interview ◽  
Standardized Assessment ◽  
Classification Of Diseases ◽  
Icd 10 ◽  
One Year ◽  
First Admission

SynopsisThe Standardized Assessment of Personality (SAP) involves a short semi-structured interview with an informant. It was modified to accord with the 1987 draft of the tenth revision of the International Classification of Diseases (ICD-10) and used to assess the pre-morbid personality of first-admission patients in one London area over the period of one year. Of the 120 (84% of the total sample of first-admissions) patients included, 43 (36%) were found to satisfy the ICD-10 criteria for personality disorder and a further 17 (14%) to satisfy the criteria for personality trait accentuation.

scholarly journals Validation of the French version of the McLean Screening Instrument for Borderline Personality Disorder (MSI-BPD)

2020 ◽  
Author(s):  
Alexandra Pham-Scottez ◽  
Bojan Mirkovic ◽  
Lionel Cailhol ◽  
Julien-Daniel Guelfi ◽  
Fernando Perez-Diaz ◽  
...  
Keyword(s):  
Borderline Personality Disorder ◽  
Personality Disorder ◽  
Psychometric Properties ◽  
High Sensitivity ◽  
High Specificity ◽  
Structured Interview ◽  
Screening Instrument ◽  
Borderline Personality ◽  
French Version ◽  
Low Sensitivity

Abstract Background The study examines the psychometric properties of the French version of the McLean Screening Instrument for Borderline Personality Disorder (MSI-BPD) created by M. Zanarini to screen borderline personality disorder in clinical and non-clinical populations. Method In this multicentric longitudinal study from the European Network on Borderline Personality Disorder, a sample of 85 adolescent patients from five psychiatric centres and 85 matched controls without psychiatric comorbidity completed the MSI-BPD, French version, and were interviewed with the Structured Interview for DSM-IV Personality (SIDP-IV), in order to assess the presence or absence of borderline personality disorder. Results The MSI-BPD showed excellent internal consistency (α = 0.87 [0.84;0.90]). Compared to the semi-structured reference interview (SIDP-IV), the MSI-BPD showed substantial congruent validity (AUC = 0.93, CI 95%: 0.90 - 0.97). The optimal cut-off point in the present study was 5 or more as it had relatively high sensitivity (0.87) and specificity (0.85). In our sample, the cut-off point (7 or more) proposed by the original developers of the MSI-BPD showed high specificity (0.95) but low sensitivity (0.63). Conclusions The French version of the MSI-BPD is now available, and its psychometric properties are satisfactory. The French version of the MSI-PBD can be used as a screening tool for borderline personality disorder, for clinical purposes or in research studies.

scholarly journals Altered memory and affective instability in prisoners assessed for dangerous and severe personality disorder

2007 ◽  
Vol 190 (S49) ◽  
pp. s20-s26 ◽  
Author(s):  
Tim Kirkpatrick ◽  
Eileen Joyce ◽  
John Milton ◽  
Conor Duggan ◽  
Peter Tyrer ◽  
...  
Keyword(s):  
Borderline Personality Disorder ◽  
Personality Disorder ◽  
Personality Disorders ◽  
Personality Assessment ◽  
Visual Information ◽  
Memory Function ◽  
Borderline Personality ◽  
Memory Functioning ◽  
Affective Instability ◽  
Severe Personality Disorder

BackgroundPrevious studies of borderline personality disorder report neuropsychological impairments in several domains, including memory. No studies have compared memory functioning in high-risk prisoners with borderline personality disorder with similar prisoners with other personality disorders.AimsTo explore mnemonic impairments in prisoners undergoing personality assessment as part of the dangerous and severe personality disorder initiative or detained in a medium secure facility.MethodWe investigated memory function in 18 prisoners with borderline personality disorder and 18 prisoners with other personality disorders.ResultsPrisoners with borderline personality disorder exhibited a pattern of multi-modal impairments in the immediate and delayed recall of verbal and visual information, with some association with affective instability. These deficits were not associated with the severity of personality disturbance.ConclusionsThese data suggest that memory deficits have some specificity in relation to the constituent traits of borderline personality disorder and indicate that neuropsychological assessment may be a source of useful adjunctive information for distinguishing between the cognitive and psychological difficulties of individual prisoners.

DSM-IV and ICD-10 personality disorders: a comparison of a self-report questionnaire (DIP-Q) with a structured interview

1998 ◽  
Vol 13 (5) ◽  
pp. 246-253 ◽  
Author(s):  
H Ottosson ◽  
O Bodlund ◽  
L Ekselius ◽  
M Grann ◽  
L von Knorring ◽  
...  
Keyword(s):  
Personality Disorder ◽  
Healthy Volunteers ◽  
Personality Disorders ◽  
Intraclass Correlation ◽  
Structured Interview ◽  
Epidemiological Studies ◽  
Self Report ◽  
Expert Interview ◽  
Icd 10 ◽  
Dsm Iv

SummaryObjectiveDiagnosing personality disorders according to structured expert interviews is time-consuming and costly. For epidemiological studies, self-report instruments have several advantages. The DSM-IV and ICD-10 personality questionnaire (DIP-Q) is a selfreport questionnaire constructed to identify personality disorder according to DSM-IV and ICD-10.MethodsThe DIP-Q is validated vs a structured expert interview in a clinical sample of 138 individuals. In addition, prevalence rates yielded by DIP-Q among 136 healthy volunteers are assessed and compared to expected prevalence.ResultsFor DSM-IV the agreement for any personality disorder as measured by Cohen's Kappa was 0.61 and 0.56 for ICD-10. Overall sensitivity for any personality disorder was for DSM-IV 0.84 and for ICD-10 0.85. However, specificity was lower: 0.77 and 0.70, respectively. When dimensional scores between self-report and interview for each personality disorder were compared, the intraclass correlation for the DSMIV entities was 0.37–0.87 and for the ICD-10 entities 0.33–0.73. Among healthy volunteers the base rate of personality disorders was found to be 14%.ConclusionsDIP-Q can be used as a screening instrument for personality disorders according to DSM-IV and ICD-10. Self-report questionnaires such as DIP-Q will probably play an increasingly important role in future epidemiological studies.

The Nottingham Study of Neurotic Disorder: relationship between personality status and symptoms

1990 ◽  
Vol 20 (2) ◽  
pp. 423-431 ◽  
Author(s):  
P. Tyrer ◽  
N. Seivewright ◽  
B. Ferguson ◽  
S. Murphy ◽  
C. Darling ◽  
...  
Keyword(s):  
Personality Disorder ◽  
Personality Assessment ◽  
Psychiatric Patients ◽  
Structured Interview ◽  
Dysthymic Disorder ◽  
Behaviour Therapy ◽  
Personality Assessments ◽  
Neurotic Disorder ◽  
Severe Psychopathology ◽  
Apparent Influence

SynopsisTwo hundred and ten psychiatric patients with one of three DSM-III diagnoses, generalized anxiety disorder (N = 71), panic disorder (N = 74) or dysthymic disorder (N = 65), were included in a clinical trial in which diazepam, dothiepin or placebo tablets, cognitive and behaviour therapy, or a self-help package were given over ten weeks. Personality status was assessed independently using a structured interview, the Personality Assessment Schedule. One hundred and ninety-eight patients had personality assessments, 89% with a close informant. Thirty-six per cent had a personality disorder and these patients had more severe psychopathology than those with no personality disorder. Personality disorder was more common in patients with dysthymic disorder and this group responded less well to treatment. The category of personality disorder had no apparent influence on symptoms.

Adolf Hitler: a re-assessment of his personality status

1993 ◽  
Vol 10 (3) ◽  
pp. 148-151
Author(s):  
Desmond Henry ◽  
Dick Geary ◽  
Peter Tyrer
Keyword(s):  
Personality Disorder ◽  
Personality Assessment ◽  
Third Reich ◽  
Structured Interview ◽  
Adolf Hitler ◽  
Historical Figures ◽  
Icd 10 ◽  
Special Knowledge ◽  
The Third Reich ◽  
Personality Disturbance

AbstractObjective: The assessment of the personality status of Adolf Hitler using a structured interview schedule, the Personality Assessment Schedule, with two informants, one a psychiatrist with an interest in psychohistory and the other a historian with special knowledge of the Third Reich and Weimar Republic. Method: The Personality Assessment Schedule was given in two forms to the two informants at different times; on each occasion Hitler was assessed as he was in 1937. Results: There was considerable discrepancy between the ratings of the two informants, the historian recording less-personality disturbance in all areas of function, although correlations between the two sets of ratings were relatively high (R1 0.5-0.6), with rater bias accounting for the differences in severity. Both informants regarded Hitler as having a dissocial personality disorder (using the new ICD-10 criteria), but the psychiatrist's rating also scored the diagnosis of paranoid and histrionic personality disorders. Conclusions: Interview schedules which use informants to assess personality disorder can be of value in examining the personality status of historical figures.

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