Assessment of Axis Ii Personality Disorders among Female Substance Abusers

1991 ◽  
Vol 68 (3_suppl) ◽  
pp. 1344-1346 ◽  
Author(s):  
Stephen F. Butler ◽  
Bernard Gaulier ◽  
Deborah Haller
Keyword(s):  
Personality Disorders ◽  
Substance Abusers ◽  
Self Report ◽  
Structured Interviews ◽  
Axis Ii ◽  
High Prevalence

16 female substance abusers were assessed for the presence of personality disorders using two structured interviews and two self-report questionnaires. Although high prevalence of personality disorders was detected by each instrument, there was little agreement among the four methods for assessing these disorders.

scholarly journals Countertransference feelings and personality disorders: A psychometric evaluation of a brief version of the Feeling Word Checklist (FWC-BV)

2020 ◽  
Author(s):  
Randi Breivik ◽  
Theresa Wilberg ◽  
Julie Evensen ◽  
Jan Ivar Røssberg ◽  
Hanne Sofie Dahl ◽  
...  
Keyword(s):  
Factor Analysis ◽  
Psychometric Properties ◽  
Personality Disorders ◽  
Psychometric Evaluation ◽  
Self Report ◽  
Personality Pathology ◽  
Axis Ii ◽  
Working Alliance Inventory ◽  
Dsm Iv ◽  
Coefficient Omega

Abstract Background The Feeling Word Checklist (FWC) is a self-report questionnaire designed to assess therapists’ countertransference (CT) feelings. The primary aim of the study was to evaluate the psychometric properties of a brief, 12-item version of the Feeling Word Checklist (FWC-BV). The second aim was to validate the factor structure by examining the associations between the FWC-BV factors, patients’ personality pathology and therapeutic alliance (TA). Methods Therapists at 13 different outpatient units within the Norwegian Network of Personality Disorders participated, and the study includes therapies for a large sample of patients ( N =2425) with personality pathology. Over a period of 2.5 years, therapists completed the FWC-BV for each patient in therapy every 6 months. Statistical methods included exploratory (EFA) and confirmatory (CFA) factor analysis. Internal consistency was estimated using Mc Donald’s coefficient Omega (ω t ). The Structured Clinical Interview for DSM-IV – Axis II (SCID II) and Mini International Neuropsychiatric Interview (MINI) were used as diagnostic instruments, and patient-rated TA was assessed using the Working Alliance Inventory (WAI-SR). Results Factor analyses revealed three clinically meaningful factors: Inadequate , Idealised and Confident . These factors had acceptable psychometric properties. Most notably, a number of borderline PD criteria correlated positively with the factors Inadequate and Idealised , and negatively with the factor Confident . All the factors correlated significantly with at least one of the WAI-SR subscales Conclusions The FWC-BV measures three clinically meaningful aspects of therapists’ CT feelings. This brief version of the FWC seems satisfactory for use in further research and in clinical contexts. Keywords: Countertransference, Feeling Word Checklist, factor analysis, personality disorder, psychometrics

scholarly journals MCMI-III Personality Disorders, Traits, and Profiles in Adult ADHD Outpatients

2018 ◽  
Vol 24 (6) ◽  
pp. 830-839
Author(s):  
Francesco Oliva ◽  
Chiara Mangiapane ◽  
Gabriele Nibbio ◽  
Alberto Portigliatti Pomeri ◽  
Giuseppe Maina
Keyword(s):  
Factor Analysis ◽  
Personality Disorder ◽  
Personality Traits ◽  
Personality Disorders ◽  
Adult Adhd ◽  
Diagnostic Interview ◽  
Self Report ◽  
Personality Profiles ◽  
Millon Clinical Multiaxial Inventory ◽  
High Prevalence

Objective: To assess prevalence of personality traits and disorders according to Millon’s evolution-based model and to identify the most representative personality profiles among adult ADHD outpatients. Method: Personality traits and disorders were evaluated using the Millon Clinical Multiaxial Inventory–III (MCMI-III) and an exploratory factor analysis (EFA) in a consecutive sample of adult ADHD outpatients ( N = 70) diagnosed by the Adult ADHD Self-Report Scale–version 1.1 (ASRS-v1.1) and the Diagnostic Interview for ADHD in Adults (DIVA 2.0). Results: More than half of our sample (57.1%) showed at least one personality disorder (PD). The most prevalent PDs were paranoid, schizotypal and negativistic (18.6% for all three PDs), depressive (17.1%), and sadistic (11.4%). No patient had a borderline PD. The EFA identified three personality profiles (“sadistic-antisocial-negativistic,” “masochistic-depressive-dependent-avoidant,” and “antihistrionic-schizoid”). Conclusion: High prevalence of PDs among adult ADHD patients was confirmed. The personality profiles seemed to reflect the persistence of ADHD and related childhood comorbidities in adulthood.

A personality disorders prevalence study among inpatients with mood disorders, psychoactive substance use disorders and anxiety disorders

2000 ◽  
Vol 9 (1) ◽  
pp. 36-44 ◽  
Author(s):  
Maria Grazia Marinangeli ◽  
Giancarlo Butti ◽  
Antonella Scinto ◽  
Loredana Di Cicco ◽  
Artemis Kalyvoka ◽  
...  
Keyword(s):  
Personality Disorders ◽  
Mood Disorders ◽  
Clinical Sample ◽  
Psychiatric Inpatients ◽  
Self Report ◽  
Exact Nature ◽  
Obsessive Compulsive ◽  
Axis Ii ◽  
Axis I Disorders ◽  
Axis I

SummaryObjective- The aim of this study was to asses type and prevalence of Personality Disorders (PDs) and their patterns of comorbidity with Axis I disorders in a sample of psychiatric inpatients.Setting- The sample consisted of 300 subjects admitted to a psychiatric unit on a voluntary bases for an index episode. The study was conducted over a period of 12 months, from 1.11.1997 to 31.10.1998.Main outcome measures- The Italian version of SCID-II-PQ (Structured Clinical Interview for DSM-III-R personality disorders, with Personality Questionnaire-PQ- a self report questionnaire).Results- More than half the patients had at least one personality disorder. The mean of disorders per patient was 2.83±1.93 (±SD). The most prevalent Axis II disorders were Borderline PD (30.7%), Obsessive-compulsive PD (30.7%) and Avoidant PD (25.3%). Women were significantly more likely than men to meet criteria for Dependent PD and Avoidant PD. Man showed significantly more frequently than women Antisocial PD. Significant associations (p<0.05) were found for comorbidity of Mood Disorders and Avoidant PD, and for Psicoactive Use Disorders and Antisocial PD.Conclusions- Our study confirms the high prevalence of PDs in psychiatric inpatients and showes some interesting associations between Axis I and Axis II disorders. These results can't be generalized to outpatients because our clinical sample involved mainly severely ill inpatients, but they raise questions about the exact nature of PDs and of the relationship with Axis I disorders. Further research involving outpatients and general population is needed to examine factors that could affect development and course of Personality Disorders.

scholarly journals Countertransference feelings and personality disorders: A psychometric evaluation of a brief version of the Feeling Word Checklist (FWC-12)

2019 ◽  
Author(s):  
Randi Breivik ◽  
Theresa Wilberg ◽  
Julie Evensen ◽  
Jan Ivar Røssberg ◽  
Hanne Sofie Dahl ◽  
...  
Keyword(s):  
Factor Analysis ◽  
Personality Disorder ◽  
Psychometric Properties ◽  
Personality Disorders ◽  
Psychometric Evaluation ◽  
Self Report ◽  
Personality Pathology ◽  
Axis Ii ◽  
Working Alliance Inventory ◽  
Dsm Iv

Abstract Background The Feeling Word Checklist (FWC) is a self-report questionnaire designed to measure therapists’ countertransference (CT) feelings. The primary aim of the study was to evaluate the psychometric properties of a brief version of the Feeling Word Checklist comprising twelve feeling words (FWC-12). The second aim was to validate the factor structure by examining the associations between the FWC-12 factors, patients’ personality pathology and therapeutic alliance (TA). Methods Therapists at 13 different outpatient units within the Norwegian Network of Personality Disorders completed the FWC-12 every 6 months during the course of treating a patient with a personality disorder (PD), over a period of up to 2.5 years. A large sample of patients with personality pathology participated in the study. The data were analysed with exploratory (EFA) and confirmatory (CFA) factor analysis. Internal consistency was estimated using Cronbach’s alpha. The Structured Clinical Interview for DSM-IV – Axis II (SCID II) and Mini International Neuropsychiatric Interview (MINI) were used as diagnostic instruments, and patient-rated TA was assessed using the Working Alliance Inventory (WAI-SR). Results Factor analyses revealed three clinically meaningful factors: Inadequate, Idealised and Confident. These factors had acceptable psychometric properties. Most notably, a number of borderline PD criteria correlated positively with the factors Inadequate and Idealised, and negatively with the factor Confident. All the factors correlated significantly with at least one of the WAI-SR subscales. Conclusions The FWC-12 measures three clinically meaningful aspects of therapists’ CT feelings. This brief version of the FWC seems satisfactory for use in further research and in clinical contexts. Keywords: Countertransference, Feeling Word Checklist, factor analysis, personality disorder, psychometrics

Clinical Diagnosis and SCID-II Assessment of DSM-III-R Personality Disorders

2006 ◽  
Vol 22 (2) ◽  
pp. 104-108 ◽  
Author(s):  
Mats Fridell ◽  
Morton Hesse
Keyword(s):  
Personality Disorder ◽  
Personality Disorders ◽  
Clinical Diagnosis ◽  
Antisocial Personality Disorder ◽  
Substance Abusers ◽  
Semistructured Interview ◽  
Antisocial Personality ◽  
Structured Interviews ◽  
Clinical Diagnoses ◽  
Diagnostic Concordance

Aim: To assess the diagnostic concordance of SCID-II and clinicians' estimation of DSM-III-R personality disorders of substance abusers. Method: Clinical diagnoses of substance abusers in inpatient treatment were compared with SCID-II diagnoses (N = 138). Findings: The overall prevalence of personality disorder was 79% for clinical diagnosis and 80% for SCID-II diagnosis. Substantial agreement was found for borderline personality disorder, and moderate agreement was found for presence of any personality disorder, and antisocial personality disorder. All other disorders had slight to fair agreement. Antisocial personality disorder was overdiagnosed by clinical diagnosis but schizotypal, obsessive-compulsive, passive-aggressive, and masochistic personality disorders were reported more often by SCID-II. Selecting only the primary clinical diagnosis and omitting additional clinical diagnoses, reduced agreement with SCID-II diagnoses. Implications: Clinical diagnosis and structured interviews are not interchangeable, and produce somewhat different profiles of diagnoses for a group of substance abusers, but the two methods for diagnosing personality disorders converge for the two most common personality disorders in substance abusers. Rare and less-known diagnoses tend to be underreported whereas common and well-known disorders tend to be slightly overdiagnosed by clinical diagnosis as compared with a semistructured interview, especially if only one clinical diagnosis is noted.

PERSONALITY DISORDERS AND SOCIAL FUNCTIONING IN DEPRESSED PATIENTS

2000 ◽  
Vol 28 (2) ◽  
pp. 163-175 ◽  
Author(s):  
S. Kool ◽  
J. Dekker ◽  
I. Duijsens ◽  
F. De Jonghe ◽  
P. De Jong ◽  
...  
Keyword(s):  
Major Depression ◽  
Personality Disorders ◽  
Social Functioning ◽  
Rating Scale ◽  
Demographic Characteristics ◽  
Self Report ◽  
Axis Ii ◽  
Depressed Patients ◽  
The Social ◽  
Significant Difference

There is a high level of comorbidity of personality disorders with major depression. Patients who suffer from both depression and an axis II disorder are, in general, more severely ill and ill for longer periods. The presence of personality disorders also has a negative influence on the social functioning of depressed patients, and it has emerged that certain demographic characteristics are present to a significant extent. This article presents the results of a study of 244 out-patients suffering from major depression. The issues addressed were: Firstly, which axis II disorders are found in this group and are there correlations with the demographic characteristics? Secondly, is there a relationship between individual axis II disorders and the severity of the depression and social functioning? It emerges that 60% of the patients with a Hamilton score of at least 14 have one or more axis II disorders according to the VKP self-report, and that 30% have three or more, with more than 50% in cluster C. It was found also that the schizoid and borderline personality disorders in particular are significantly linked to several demographic characteristics. The patients here are more often single and those with a lower level of education. Using the Hamilton Depression Rating Scale, little significant correlation was found between the presence of an axis II disorder and the severity of the depression. A significant difference was found using the Symptom Check List -90. In social functioning, the citizen role, the social role and the family role turn out to be correlated most significantly, as are the total number of impairments. In addition, the highest correlation is found particularly in cluster C, and the number of axis II disorders is almost always significantly related to the individual roles. The discussion turns to the influence of the measuring instruments used and to the composition of the population, as well as the clinical relevance of the diagnosis of axis II disorders and social functioning in patients with a major depression.

scholarly journals Countertransference feelings and personality disorders: A psychometric evaluation of a brief version of the Feeling Word Checklist (FWC-BV)

2020 ◽  
Author(s):  
Randi Breivik ◽  
Theresa Wilberg ◽  
Julie Evensen ◽  
Jan Ivar Røssberg ◽  
Hanne Sofie Dahl ◽  
...  
Keyword(s):  
Factor Analysis ◽  
Personality Disorder ◽  
Psychometric Properties ◽  
Personality Disorders ◽  
Psychometric Evaluation ◽  
Self Report ◽  
Personality Pathology ◽  
Axis Ii ◽  
Working Alliance Inventory ◽  
Coefficient Omega

Abstract Background The Feeling Word Checklist (FWC) is a self-report questionnaire designed to measure therapists’ countertransference (CT) feelings. The primary aim of the study was to evaluate the psychometric properties of a brief version of the Feeling Word Checklist (FWC-BV) comprising 12 feeling words. The second aim was to validate the factor structure by examining the associations between the FWC-BV factors, patients’ personality pathology and therapeutic alliance (TA). Methods Therapists at 13 different outpatient units within the Norwegian Network of Personality Disorders completed the FWC-BV every 6 months during the course of treating a patient with a personality disorder (PD), over a period of 2.5 years. A large sample of patients (N=2425) with personality pathology participated in the study. The data were analysed with exploratory (EFA) and confirmatory (CFA) factor analysis. Internal consistency was estimated using Mc Donald’s coefficient Omega (ωt). The Structured Clinical Interview for DSM-IV – Axis II (SCID II) and Mini International Neuropsychiatric Interview (MINI) were used as diagnostic instruments, and patient-rated TA was assessed using the Working Alliance Inventory (WAI-SR). Results Factor analyses revealed three clinically meaningful factors: Inadequate, Idealised and Confident. These factors had acceptable psychometric properties. Most notably, a number of borderline PD criteria correlated positively with the factors Inadequate and Idealised, and negatively with the factor Confident. All the factors correlated significantly with at least one of the WAI-SR subscales Conclusions The FWC-BV measures three clinically meaningful aspects of therapists’ CT feelings. This brief version of the FWC seems satisfactory for use in further research and in clinical contexts. Keywords: Countertransference, Feeling Word Checklist, factor analysis, personality disorder, psychometrics

Interest and limitations of projective techniques in the assessment of personality disorders

2000 ◽  
Vol 15 (S1) ◽  
pp. 11-14
Author(s):  
J.M. Petot
Keyword(s):  
Personality Disorders ◽  
Concurrent Validity ◽  
Thematic Apperception Test ◽  
Assessment Methods ◽  
Self Report ◽  
Structured Interviews ◽  
Indirect Methods ◽  
Projective Techniques ◽  
Thematic Apperception

SummaryAssessing personality disorders (PD) remains a difficult task because of persistent problems linked to concurrent validity of existing instruments, which are all structured interviews or self-report inventories. It has been advocated that indirect methods, projective techniques in particular, can strengthen PD assessment methods. The thematic apperception test (TAT) may be a significant adjuvant method of PD assessment.

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