The interrater reliability of a Dutch version of the Structured Clinical Interview for DSM‐III‐R Personality Disorders

Arntz, Arnoud; Beijsterveldt, B. van; Hoekstra, Rense; Hofman, Annet; Eussen, Mart; Sallaerts, Steph J. M.

doi:10.1111/j.1600-0447.1992.tb10326.x

Cited by 76 publications

(40 citation statements)

References 13 publications

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Section: Discussioncontrasting

confidence: 95%

“…κ values based on categorical diagnoses in the present study were lower than those reported in a study of treatment-seeking patients [26], which may be a function of the samples used in each study. The base rate for PDs is higher in patient populations, so more variability in pathologic personality symptoms was probably found in the sample of Arntz et al [26]. Researchers have described this issue as the "base rate problem" of κ: "Kappa is influenced by the illness base rate, such that a few diagnostic disagreements have a more pronounced effect on reliability when the base rate is either very low or high" ( [13], p 226).…”

Section: Discussioncontrasting

confidence: 95%

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The interrater reliability of the Structured Interview for DSM-IV Personality

Jane

Pagan

Turkheimer

et al. 2006

Comprehensive Psychiatry

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We examined the joint interview interrater reliability of the Structured Interview for Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, Personality Disorders (SIDP-IV) in 433 non-treatment-seeking military recruits. Reliability was computed for the diagnosis of a specific personality disorder (PD) and for the number of PD criteria present, and computed using a dimensional score. Reliability increased when PDs were computed using dimensional scores rather than categorical scores. Avoidant and dependent PDs demonstrated the highest interrater reliability, whereas schizoid and schizotypal showed the lowest. This large sample allowed us to perform item-level analyses of the SIDP-IV. Interrater reliability for each of the PD criteria was generally more than 0.70, with the notable exception of criteria scored through observation only. Overall, the SIDP-IV demonstrated good reliability in a non-treatment-seeking population.

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Section: Discussioncontrasting

confidence: 95%

Section: Discussioncontrasting

confidence: 95%

The interrater reliability of the Structured Interview for DSM-IV Personality

Jane

Pagan

Turkheimer

et al. 2006

Comprehensive Psychiatry

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“…The inter-rater reliability ranged from 0.77 for the obsessive-compulsive PD to 0.82 for the avoidant PD. The overall Kappa was 0.80 [27] . These figures are comparable to the associations obtained in the study of Masthoff and Trompenaars, who found an overall Kappa of 0.87 for two well-trained and certified raters in a large sample of psychiatric outpatients [28] .…”

Section: Scid-iimentioning

confidence: 82%

Validation of two informant-based screening instruments for personality disorders in a psychiatric outpatient population

Heck

Hodiamont

Elshoff

et al. 2013

JHA

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Purpose: The predictive validity of two informant-based screening instruments for personality disorders (PDs), the Standardized Assessment of Personality (SAP) and a short eight-item version (SAPAS-INF), were studied in 103 Dutch psychiatric outpatients, using the SCID-II as the 'gold standard'.Methods: All patients and their informants were interviewed separately and independently by different interviewers who were unaware of the results in the other conditions.Results: According to the SCID-II, 66 patients had at least one personality disorder (PD). The SAP correctly classified 72% of all participants in the category PD present/absent. The sensitivity and specificity were 69% and 76%, respectively. The positive and negative predictive values were 84% and 58%. The SAPAS-INF, using a cut-off score of 3, correctly classified 70%; the sensitivity and specificity were 76% and 58%, respectively. The positive and the negative predictive values were 77% and 57%. Conclusion:These results show that the informant-based SAP as well as the shorter informant-based SAPAS-INF are adequate; though rather moderate screening instruments for identifying PD. The SAP and the SAPAS-INF, however, both performed worse than the SAPAS-SR, which is based on the patient's self-report. Therefore, it is concluded that the SAP or the SAPAS-INF can be used as a satisfactory screening instruments for the presence/absence of PD in those cases where patients themselves are unable to provide the required information.

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“…O'Boyle and Self, 1990;Skodol et al, 1991;Arntz et al, 1992b;Renneberg et al, 1992;First et al, 1995b;Dreessen and Arntz, 1998b;Arntz, 1999).…”

Section: Structured Clinical Interview For Dsm-iii-r Personality Disomentioning

confidence: 96%

“…All of them were experienced in diagnosing and treating psychotherapy patients and practised as therapists in the`Academic Section Behavior Therapy'. Five of them (AA, LD, MvR, WK, HvG) had participated in our SCID-II reliability studies which demonstrated good interrater reliabilities (Arntz et al, 1992b;Dreessen and Arntz, 1998b). The other five interviewers were trained extensively by doing joint interviews with several experienced interviewers who participated in our reliability studies.…”

Section: Scid-ii Interviewersmentioning

confidence: 99%

Personality disorders have no excessively negative impact on therapist-rated therapy process in the cognitive and behavioural treatment of Axis I anxiety disorders

Dreessen

Arntz

1999

Clin. Psychol. Psychother.

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The impact of DSM-III-R personality pathology on the Axis I therapy process was studied in 70 outpatients who received cognitive and/or behavioural therapy for an Axis I anxiety disorder. The Axis I therapy process was evaluated by the therapist. DSM-III-R personality pathology was assessed first by an independent rater using a semistructured interview (Structured Clinical Interview for DSM-III-R Personality Disorders (SCID-II)) and second by the therapist in the course of treatment. Results showed poor diagnostic agreement between SCID-and therapist-derived personality pathology. SCIDderived personality pathology was only weakly related to a dysfunctional Axis I therapy process, as reported by the therapist. Therapistderived personality pathology, on the contrary, was strongly related to a dysfunctional Axis I therapy process, as reported by the therapist. Possibly, therapists erroneously attributed Axis I therapy failure to assumed personality pathology. This is the first study on the impact of personality pathology, as assessed by an independent semi-structured interview, on the process of cognitive-behavioural therapy for Axis I anxiety disorders. The findings are consistent with studies that show no negative impact of personality pathology, as assessed by independent semi-structured interviews, on therapy outcome of Axis I anxiety disorders.

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The interrater reliability of a Dutch version of the Structured Clinical Interview for DSM‐III‐R Personality Disorders

Cited by 76 publications

References 13 publications

The interrater reliability of the Structured Interview for DSM-IV Personality

The interrater reliability of the Structured Interview for DSM-IV Personality

Validation of two informant-based screening instruments for personality disorders in a psychiatric outpatient population

Personality disorders have no excessively negative impact on therapist-rated therapy process in the cognitive and behavioural treatment of Axis I anxiety disorders

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