Interrater Reliability of the Structured Clinical Interview for the <i>DSM–5</i> Alternative Model of Personality Disorders Module i: Level of Personality Functioning Scale

Christensen, Tore Buer; Paap, Muirne C. S.; Arnesen, Marianne; Koritzinsky, Karoline Hillestad; Nysæter, Tor Erik; Eikenaes, Ingeborg; Selvik, Sara Germans; Walther, Kristoffer Lygren; Torgersen, Svenn; Bender, Donna S.; Skodol, Andrew E.; Kvarstein, Elfrida Hartveit; Pedersen, Geir; Hummelen, Benjamin

doi:10.1080/00223891.2018.1483377

Cited by 45 publications

(49 citation statements)

References 59 publications

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“…In addition, the interviewer had access to the original referral, which provided brief background information about the patient. Interrater reliability measured by use of video was very good: intraclass correlation coefficients for the four domains ranged from 0.89 to 0.95, while with a test-retest design, these coefficients ranged from 0.59 to 0.80 (Buer Christensen et al, 2018).…”

Section: Methodsmentioning

confidence: 94%

Evaluation of Diagnostic Thresholds for Criterion A in the Alternative DSM-5 Model for Personality Disorders

Christensen

Hummelen

Paap

et al. 2019

Journal of Personality Disorders

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The Level of Personality Functioning Scale (LPFS) of the Alternative DSM-5 Model for Personality Disorders (AMPD) was formulated to assess the presence and severity of personality disorders (PDs). Moderate impairment (Level 2) in personality functioning, as measured by the LPFS, was incorporated into the AMPD as a diagnostic threshold for PD in Criterion A of the general criteria, as well as for the "any two areas present" rule for assigning a specific PD diagnosis. This study represents the first evaluation of the diagnostic decision rules for Criterion A, in a clinical sample (N = 282). The results indicate that an overall diagnostic threshold for PDs should be used with caution because it may not identify all DSM-IV PDs. The "any two areas present" rule proved to be a reasonable alternative, although this finding should be interpreted with caution because the LPFS does not measure the disorder-specific A criteria.

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Section: Methodsmentioning

confidence: 94%

Evaluation of Diagnostic Thresholds for Criterion A in the Alternative DSM-5 Model for Personality Disorders

Christensen

Hummelen

Paap

et al. 2019

Journal of Personality Disorders

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“…Accordingly, one of the aforementioned self‐report measures may be employed in a large representative population (Stage 1) followed by structured interviews for impairments in self‐ and interpersonal functioning (Stage 2) with those respondents who are most likely to have a PD. Such “Stage 2” assessment may be carried out using the Structured Clinical Interview for DSM‐5 Alternative Model of Personality Disorders (SCID‐AMPD Module I) or the Semi‐Structured Interview for Personality Functioning DSM–5 (STiP 5.1) …”

Section: Discussionmentioning

confidence: 99%

Prevalence and structure of self‐other problems in SAPAS screening for personality disorder in a National Sample

Bach

Kongerslev

Simonsen

2019

Personality & Mental Health

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Aim -This study investigated the prevalence and factorial structure of personality disorder features in the general community measured with the self-report form of the Standardized Assessment of Personality -Abbreviated Scale (SAPAS-SR). Method -SAPAS-SR was administered to a Danish national community sample (N = 50,326; 53% women). The hierarchical latent structure was examined using exploratory factor analyses (EFA) for one to three levels.Results -We found that 11.3% of the community sample fulfilled the estimated screening criteria for a personality disorder, which was slightly higher for woman and younger people. As hypothesized, a two-factor model corresponded to aspects of self (e.g., being a worrier) and others (e.g., having difficulty making and keeping friends), whereas a three-factor model corresponded to trait domains of negative affectivity, detachment, and externalization. Conclusion -These findings suggest that personality disorder features play a significant role for at least one out of ten individuals in the Danish general community. Such features are primarily organized in a pattern of selfand interpersonal functioning, which is consistent with the conceptualization of core personality dysfunction in the DSM-5 Alternative Model of Personality Disorders and the ICD-11 Classification of Personality Disorders.

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“…Additionally, nine participants from the research project “An Examination of the DSM‐5 Level of Personality Functioning Scale in a Representative Clinical Sample” (Buer Christensen et al, ), who had agreed to be contacted at a later stage for additional research purposes, were approached. They received written information about our research project through their therapists.…”

Section: Methodsmentioning

confidence: 99%

Struggling to be a person: Lived experience of avoidant personality disorder

et al. 2019

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Objective: To better understand the subjective lived experience of persons diagnosed with avoidant personality disorder (AVPD).Methods: Persons with an AVPD (N = 15) were interviewed twice with semistructured qualitative interviews and analyzed through interpretative-phenomenological analysis.Persons with first-hand experience of AVPD were included in the research process.Results: The superordinate theme, "struggling to be a person," encompassed two main themes. The first, "fear and longing," incorporated the subthemes "longing for connection," "dreading to get close" and "being alone, for better or for worse." The second main theme, "a doubting self," included the subthemes "feeling insecure" and "searching for a sense of self." Conclusions: The findings shed light on how the reflexive selves of people with AVPD might struggle with sensemaking, sense of agency, and identity. This study underscores how impaired tacit knowledge of social behavior can hamper the process of being a person in relation to others. K E Y W O R D S avoidant personality disorder, qualitative research, sense of self, service-user involvement, subjective lived experience

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Interrater Reliability of the Structured Clinical Interview for the DSM–5 Alternative Model of Personality Disorders Module i: Level of Personality Functioning Scale

Cited by 45 publications

References 59 publications

Evaluation of Diagnostic Thresholds for Criterion A in the Alternative DSM-5 Model for Personality Disorders

Evaluation of Diagnostic Thresholds for Criterion A in the Alternative DSM-5 Model for Personality Disorders

Prevalence and structure of self‐other problems in SAPAS screening for personality disorder in a National Sample

Struggling to be a person: Lived experience of avoidant personality disorder

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