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Clinical diagnosis and SCID-II assessment of DSM-III-R personality disorders

Fridell, Mats LU and Hesse, Morten (2006) In European Journal of Psychological Assessment 22(2). p.104-108
Abstract
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-H 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... (More)
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-H 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. (Less)
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author
and
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
assessment, personality disorder, substance abusers, SCID-II
in
European Journal of Psychological Assessment
volume
22
issue
2
pages
104 - 108
publisher
Hogrefe & Huber Publishers
external identifiers
  • wos:000237830700006
  • scopus:33646080104
ISSN
2151-2426
DOI
10.1027/1015-5759.22.2.104
language
English
LU publication?
yes
id
63f81b75-2f63-46d9-b395-01e1e264e214 (old id 693192)
date added to LUP
2016-04-01 11:46:44
date last changed
2020-01-12 08:35:33
@article{63f81b75-2f63-46d9-b395-01e1e264e214,
  abstract     = {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-H 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.},
  author       = {Fridell, Mats and Hesse, Morten},
  issn         = {2151-2426},
  language     = {eng},
  number       = {2},
  pages        = {104--108},
  publisher    = {Hogrefe & Huber Publishers},
  series       = {European Journal of Psychological Assessment},
  title        = {Clinical diagnosis and SCID-II assessment of DSM-III-R personality disorders},
  url          = {http://dx.doi.org/10.1027/1015-5759.22.2.104},
  doi          = {10.1027/1015-5759.22.2.104},
  volume       = {22},
  year         = {2006},
}