A comparison of the differential diagnostic efficiency of three personality disorder inventories

Abstract

This study was a comparison of the relative diagnostic efficiency of the Millon Clinical Multiaxial Inventory‐II, the MMPI Personality Disorder Scales, and the Personality Disorder Questionnaire‐Revised. The Structured Clinical Interview for DSM‐III‐R, Axis II was used as the criterion measure. The operating characteristics of all three objective instruments revealed a high rate of false‐positive diagnoses, but negative test results were generally valid. Each instrument was found to possess clinical utility in its ability to improve diagnostic efficiency over base rate predictions for most disorders. It is suggested that many of the psychometric limitations revealed in this study reflect the limitations of DSM‐III‐R, Axis II.

Personality Disorder in Adhd Part 1: Assessment of Personality Disorder in Adult Adhd Using Data from a Clinical trial of Oros Methylphenidate

“…Finally, 2 underlying measures of PD—WISPI-IV z scores and the number of SCID-II items endorsed— were significantly correlated. These findings are similar to previous reports, 23,32 which also found good interassessment agreement regarding the presence of PD.…”

Personality Disorder in Adhd Part 1: Assessment of Personality Disorder in Adult Adhd Using Data from a Clinical trial of Oros Methylphenidate

“…Finally, 2 underlying measures of PD—WISPI-IV z scores and the number of SCID-II items endorsed— were significantly correlated. These findings are similar to previous reports, 23,32 which also found good interassessment agreement regarding the presence of PD.…”

A comparison of self-report and interview diagnoses of DSM-III-R personality disorders

“…The amelioration of the agreement by including PDE probable demonstrates that the threshold dierences of dierent Axis II diagnostic instruments do play a role, even though not an exclusive one. In correspondence with other authors (Guthrie and Mobley, 1994;Soldz et al, 1993) a better agreement was found in predicting the absence of the diagnosis than its presence, PD self-report questionnaires yielding a high number of false positives but only a few false negatives. This is surprising viewing the classic self-report biases such as social desirability, acquiescence response styles etc.…”

Publications on personality disorders in Brazilian journals: a narrative review

“…The diagnostic for PDs is essential in a clinical assessment in mental health (Paris, 2015). However, the tools to be administered must have their psychometric properties verified, preferably in diagnostic accuracy studies (Guthrie, & Mobley, 1994;Parshall, 2013). Therefore, mental health clinicians in Brazil must be careful when administering the Brazilian version of SCID-II.…”

Personality Disorder in Adhd Part 1: Assessment of Personality Disorder in Adult Adhd Using Data from a Clinical trial of Oros Methylphenidate

“…Finally, 2 underlying measures of PD—WISPI-IV z scores and the number of SCID-II items endorsed— were significantly correlated. These findings are similar to previous reports, 23,32 which also found good interassessment agreement regarding the presence of PD.…”

A comparison of self-report and interview diagnoses of DSM-III-R personality disorders

“…The amelioration of the agreement by including PDE probable demonstrates that the threshold dierences of dierent Axis II diagnostic instruments do play a role, even though not an exclusive one. In correspondence with other authors (Guthrie and Mobley, 1994;Soldz et al, 1993) a better agreement was found in predicting the absence of the diagnosis than its presence, PD self-report questionnaires yielding a high number of false positives but only a few false negatives. This is surprising viewing the classic self-report biases such as social desirability, acquiescence response styles etc.…”

Publications on personality disorders in Brazilian journals: a narrative review

“…The diagnostic for PDs is essential in a clinical assessment in mental health (Paris, 2015). However, the tools to be administered must have their psychometric properties verified, preferably in diagnostic accuracy studies (Guthrie, & Mobley, 1994;Parshall, 2013). Therefore, mental health clinicians in Brazil must be careful when administering the Brazilian version of SCID-II.…”

Personality Disorder in Adhd Part 1: Assessment of Personality Disorder in Adult Adhd Using Data from a Clinical trial of Oros Methylphenidate

“…Finally, 2 underlying measures of PD—WISPI-IV z scores and the number of SCID-II items endorsed— were significantly correlated. These findings are similar to previous reports, 23,32 which also found good interassessment agreement regarding the presence of PD.…”

A comparison of self-report and interview diagnoses of DSM-III-R personality disorders

“…The amelioration of the agreement by including PDE probable demonstrates that the threshold dierences of dierent Axis II diagnostic instruments do play a role, even though not an exclusive one. In correspondence with other authors (Guthrie and Mobley, 1994;Soldz et al, 1993) a better agreement was found in predicting the absence of the diagnosis than its presence, PD self-report questionnaires yielding a high number of false positives but only a few false negatives. This is surprising viewing the classic self-report biases such as social desirability, acquiescence response styles etc.…”

Publications on personality disorders in Brazilian journals: a narrative review

“…The diagnostic for PDs is essential in a clinical assessment in mental health (Paris, 2015). However, the tools to be administered must have their psychometric properties verified, preferably in diagnostic accuracy studies (Guthrie, & Mobley, 1994;Parshall, 2013). Therefore, mental health clinicians in Brazil must be careful when administering the Brazilian version of SCID-II.…”