T. Bronisch et W. Mombour, COMPARISON OF A DIAGNOSTIC CHECKLIST WITH A STRUCTURED INTERVIEW FOR THE ASSESSMENT OF DSM-III-R AND ICD-10 PERSONALITY-DISORDERS, Psychopathology, 27(6), 1994, pp. 312-320
The International Diagnostic Checklists for the assessment of the DSM-
III-R and ICD-10 personality disorders (IDCL-P) were compared with a s
tructured interview, the International Personality Disorder Examinatio
n (IPDE), using a balanced test-retest design with forty psychiatric i
npatients. The results, using pairwise kappa for the calculation of ag
reement, were as follows: any personality disorder versus no personali
ty disorder 0.52 for DSM-III-R diagnoses and 0.75 for ICD-10 diagnoses
. The range for the single personality disorders diagnosed at least fi
ve times was from -0.07 to 0.71 for DSM-III-R diagnoses and from 0.38
to 0.68 for ICD-10 diagnoses. Only for DSM-III-R diagnoses do figures
exist from three other studies comparing two structured interviews wit
h each other. The results of all four studies suggest that 60% of the
variance in personality disorder diagnoses represents variance not att
ributable to the patients, which is scientifically unacceptable.