Skip to main content
Hauptrubriken
CME Facharzt-Training Webinare Zeitschriften Bücher e.Medpedia Podcast
Service
Jobbörse Info & Hilfe
Fachgebiete
Anästhesiologie Allgemeinmedizin Arbeitsmedizin Augenheilkunde Chirurgie Dermatologie Gynäkologie und Geburtshilfe HNO Innere Medizin Kardiologie Neurologie Onkologie und Hämatologie Orthopädie und Unfallchirurgie Pädiatrie Pathologie Psychiatrie Radiologie Rechtsmedizin Urologie Zahnmedizin
Themen
Typ-2-Diabetes und Adipositas Klimawandel und Gesundheit Neues aus dem Markt COVID-19 Praxis und Beruf Seltene Erkrankungen GOÄ & EBM Panorama
Sammlungen
Kasuistiken Algorithmen & Infografiken Blickdiagnosen Arthropedia FlapFinder (für Dermatochirurgen) Videos Kongressberichterstattung Medizin für Apothekerinnen und Apotheker Für Ärztinnen und Ärzte in Weiterbildung Für Medizinstudierende

Live-Webinar "Urologie und Sexualmedizin in der Praxis"

Häufige urologisch-sexualmedizinische Themen in der Praxis sind das Thema des MMW-Webinars am 5. Juni von 17.30 bis 19 Uhr. Konkret geht es um die Frage, wann bei Harnwegsinfektionen auf Antibiotika verzichtet werden kann, und um ein Update zur Therapie von Libido- und Potenzstörungen des Mannes. Der dritte Vortrag behandelt sexuell übertragbare Krankheiten. Stellen Sie Ihre Fragen an die Experten und sammeln Sie 2 CME-Punkte. Jetzt gleich anmelden!
Erweiterte Suche
Anmelden
nach oben
Psychiatric Quarterly
Erschienen in: Psychiatric Quarterly 1/2007

01.03.2007 | Original Paper

The Personality Disorders Institute/Borderline Personality Disorder Research Foundation Randomized Control Trial for Borderline Personality Disorder: Reliability of Axis I and II Diagnoses

verfasst von: Kenneth L. Critchfield, Ph.D., Kenneth N. Levy, Ph.D., John F. Clarkin, Ph.D.

Erschienen in: Psychiatric Quarterly | Ausgabe 1/2007

Einloggen, um Zugang zu erhalten

Abstract

The Personality Disorder Institute/Borderline Personality Disorder Research Foundation randomized control trial (PDI/BPDRF RCT) is a randomized control trial comparing three treatments for borderline personality disorder (BPD). An important issue for any RCT is diagnostic reliability, demonstration of which is necessary to evaluate claims of a treatment’s efficacy for a given population. The present paper examines the interrater reliability of Axis I and II disorders in the context of a high base rate of BPD features for participants referred for inclusion in the RCT. Our results indicate good to excellent levels of interrater reliability for all Axis I and II disorders in this context. Assessors were able to reliably diagnose BPD, exclusionary criteria, and comorbid diagnoses. This data is important for comparing findings and sample composition across different studies using similar sampling strategies, especially as treatments are increasingly being developed and tested for BPD.
Fußnoten
1
Subjects could meet criteria for past major depression or past substance dependence. Subjects could be re-assessed for inclusion in the study if they received treatment for these problems prior to returning.
 
2
Low IQ (below 85) was also a rule out criterion. It is not detailed in this report because a separate interview was used for its assessment.
 
3
Difference in sample size between Tables 2 and 3 reflects a clerical error that resulted in loss of dimensional data for 3 subjects who had been rated.
 
Literatur
1.
Clarkin JF, Yeomans FE, Kernberg OF: Psychotherapy for Borderline Personality. New York: Wiley, 1999
2.
Kernberg OF: A psychoanalytic theory of personality disorders. In: Clarkin JF, Lenzenweger MF (Eds) Major Theories of Personality Disorder. New York: Guilford, 1996
3.
Linehan MM: Cognitive Behavioral Treatment of Borderline Personality Disorder. New York: Guilford, 1993
4.
Linehan MM, Armstrong HE, Suarez A, et al.: Cognitive behavioral treatment of chronically parasuicidal borderline patients. Archives of General Psychiatry 48:1060–1064, 1991PubMed
5.
Appelbaum AH, Carsky M: Supportive Therapy for Borderline Patients. Unpublished manuscript. Author, 2003
6.
Soloff PH: Psychopharmacology of borderline personality disorder. Psychiatric Clinics of North America 23:169–192, 2000PubMedCrossRef
7.
Nunnally JC: Psychometric Theory. New York: McGraw Hill, 1967
8.
Loranger AW: International Personality Disorder Examination (IPDE) Manual. Odessa, FL: Psychological Assessment Resources, 1999
9.
First MB, Spitzer RL, Gibbon M, et al.: Structured Clinical Interview for DSM IV Axis I Disorders, Patient Edition (SCID I/P, Version 2.0). New York: NY, Biometrics Research Department, New York State Psychiatric Institute, 1996
10.
Becker DF, Grilo CM, Edell WS, et al.: Diagnostic efficiency of borderline personality disorder criteria in hospitalized adolescents: Comparison with hospitalized adults. American Journal of Psychiatry 159:2042–2047, 2002PubMedCrossRef
11.
Pilkonis PA, Heape CL, Ruddy J, et al.: Validity in the diagnosis of personality disorder: The use of the LEAD standard. Psychological Assessment 3:46–54, 1991CrossRef
12.
Williams JBW, Gibbon M, First MB, et al.: The structured clinical interview for DSM III R (SCID) II. Multi site test retest reliability. Archives of General Psychiatry 49:624–629, 1992PubMed
13.
Linehan MM: The empirical basis of Dialectical Behavior Therapy: Development of new treatments versus evaluation of existing treatments. Clinical Psychology: Science and Practice 7:113–119, 2000CrossRef
14.
Scheel KR: The empirical basis of Dialectical Behavior Therapy: Summary, critique, and implications. Clinical Psychology: Science and Practice 7:68–86, 2000CrossRef
15.
Widiger TA: The science of Dialectical Behavior Therapy. Clinical Psychology: Science and Practice 7:101–103, 2000CrossRef
16.
Grove WM, Andreasen NC, McDonald-Scott P, et al.: Reliability studies of psychiatric diagnosis: Theory and practice. Archives of General Psychiatry 38:408–413, 1981PubMed
17.
Zimmerman M: Diagnosing personality disorders: A review of issues and research methods. Archives of General Psychiatry 51:225–245, 1994PubMed
18.
Clarkin JF, Levy KN: A psychodynamic treatment for severe personality disorders: Issues in treatment development. Psychoanalytic Inquiry 23:248–267, 2003CrossRef
19.
Clarkin JF, Levy KN, Lenzenweger M, et al.: The Personality Disorders Institute/Borderline Personality Disorder Research Foundation randomized control trial for borderline personality disorder: Rationale, methods, and patient characteristics. Journal of Personality Disorders 18:51–71, 2004CrossRef
20.
Fleiss JL: Statistical Methods for Rates and Proportions. 2nd Ed. New York: Wiley, 1981
21.
Maffei C, Fossati A, Agostoni I, et al.: Interrater reliability and internal consistency of the Structured Clinical Interview for DSM IV Axis II Personality Disorders (SCID II), version 2.0. Journal of Personality Disorders 11:279–284, 1997PubMed
22.
Zanarini MC, Skodol AE, Bender D, et al.: The collaborative longitudinal personality disorders study: II. Reliability of Axis I and II diagnoses. Journal of Personality Disorders 14:291–299, 2000PubMed
23.
First MB, Spitzer RL, Gibbon M, et al.: The Structured Clinical Interview for DSM III R Personality Disorders (SCID II) Part II: Multisite test retest reliability study. Journal of Personality Disorders 9:92–104, 1995
24.
Loranger AW, Janca A, Sartorius N (Eds): Assessment and Diagnosis of Personality Disorders: The ICD 10 International Personality Disorder Examination (IPDE). New York: Cambridge University Press, 1997
25.
Shrout PE, Fleiss JL: Intraclass correlations: Uses in assessing rater reliability. Psychological Bulletin 86:420–428, 1979CrossRefPubMed
26.
Skre I, Onstad S, Torgersen S, et al.: High interrater reliability for the Structured Clinical Interview for DSM III R Axis I (SCID I). Acta Psychiatrica Scandinavica 84:167–173, 1991PubMedCrossRef
27.
Ventura J, Liberman RP, Green MF, et al.: Training and quality assurance with the Structured Clinical Interview for DSM IV (SCID I/P). Psychiatry Research 79:163–173, 1998PubMedCrossRef
28.
Farmer RF, Chapman AL: Evaluation of DSM-IV personality disorder criteria as assessed by the structured clinical interview for DSM-IV personality disorders. Comprehensive Psychiatry 43:285–300, 2002PubMedCrossRef
29.
Loranger AW, Susman VL, Oldham JM, et al.: The Personality Disorder Examination: A preliminary report. Journal of Personality Disorders 1:1–13, 1987
30.
Zanarini MC, Frankenburg FR: Attainment and maintenance of reliability of Axis I and II disorders over the course of a longitudinal study. Comprehensive Psychiatry 42:369–374, 2001PubMedCrossRef
31.
Loranger AW, Sartorius N, Andreoli A, et al.: The International Personality Disorder Examination: The World Health Organization/Alcohol, Drug Abuse, and Mental Health Administration international pilot study of personality disorders. Archives of General Psychiatry 51:215–224, 1994PubMed
32.
Cornell DG, Silk KR, Ludolph PS, et al.: Test retest reliability of the Diagnostic Interview for Borderlines. Archives of General Psychiatry 40:1307–1310, 1983PubMed
33.
Frances A, Clarkin JF, Gilmore M, et al.: Reliability of criteria for borderline personality disorder: A comparison of DSM III and the Diagnostic Interview for Borderline Patients. American Journal of Psychiatry 141:1080–1084, 1984PubMed
34.
Hurt SW, Hyler SE, Frances A, et al.: Assessing borderline personality disorder with self report, clinical interview, or semistructured interview. American Journal of Psychiatry 141:1228–1231, 1984PubMed
35.
Kroll J, Pyle R, Zander J, et al.: Borderline personality disorder: Interrater reliability of the Diagnostic Interview for Borderlines. Schizophrenia Bulletin 7:269–272, 1981PubMed
36.
Shea MT, Stout R, Gunderson J, et al.: Short term diagnostic stability of schizotypal, borderline, avoidant, and obsessive compulsive personality disorder. American Journal of Psychiatry 159:2036–2041, 2002PubMedCrossRef
37.
Stangl D, Phofl B, Zimmerman M, et al.: A structured interview for the DSM III personality disorders. Archives of General Psychiatry 42:591–596, 1985PubMed
38.
Dreessen L, Arntz A: Short interval test retest interrater reliability of the Structured Clinical Interview for DSM III R Personality Disorders (SCID II) in outpatients. Journal of Personality Disorders 12:138–148, 1998PubMed
39.
Smith TL, Klein MH, Benjamin LS: Validation of the Wisconsin Personality Disorders Inventory IV with the SCID II. Journal of Personality Disorders 17:173–187, 2003PubMedCrossRef
40.
Widiger TA: Personality disorder dimensional models proposed for DSM IV. Journal of Personality Disorders 5:386–398, 1991
41.
Meehl PE: Bootstraps taxometrics: Solving the classification problem in psychopathology. American Psychologist 50:266–275, 1995PubMedCrossRef
42.
Waller NG, Meehl PE: Multivariate taxometric procedures: Distinguishing types from continua. Thousand Oaks, CA: Sage, 1998
43.
Lenzenweger MF: Deeper into the schizotypy taxon: On the robust nature of Maximum Covariance Analysis. Journal of Abnormal Psychology 108:182–187, 1999PubMedCrossRef
Metadaten
Titel
The Personality Disorders Institute/Borderline Personality Disorder Research Foundation Randomized Control Trial for Borderline Personality Disorder: Reliability of Axis I and II Diagnoses
verfasst von
Kenneth L. Critchfield, Ph.D.
Kenneth N. Levy, Ph.D.
John F. Clarkin, Ph.D.
Publikationsdatum
01.03.2007
Verlag
Springer US
Erschienen in
Psychiatric Quarterly / Ausgabe 1/2007
Print ISSN: 0033-2720
Elektronische ISSN: 1573-6709
DOI
https://doi.org/10.1007/s11126-006-9023-x

Weitere Artikel der Ausgabe 1/2007

Psychiatric Quarterly 1/2007 Zur Ausgabe

Original Paper

Characteristics of Staff Victims of Pschiatric Patient Assaults: 15-Year Analysis of the Assaulted Staff Action Program (ASAP)

Original Paper

Measuring Patient Quality of Life: Is the Health Utility Index Useful?

Editorial Notes

Looking Forward

Original Paper

Factors Associated with Receipt of Pension and Compensation Benefits for Homeless Veterans in the VBA/VHA Homeless Outreach Initiative

Original Paper

The Role of Gender Differences and Other Client Characteristics in the Prevalence of DSM-IV Affective Disorders Among a European Therapeutic Community Population

Original Paper

Racial Disparities in Diagnosis and Treatment of Depression: A Literature Review

Neu im Fachgebiet Psychiatrie

So wirken verschiedene Alkoholika auf den Blutdruck

23.05.2024 Störungen durch Alkohol Nachrichten

Je mehr Alkohol Menschen pro Woche trinken, desto mehr steigt ihr Blutdruck, legen Daten aus Dänemark nahe. Ob es dabei auch auf die Art des Alkohols ankommt, wurde ebenfalls untersucht.

„Übersichtlicher Wegweiser“: Lauterbachs umstrittener Klinik-Atlas ist online

17.05.2024 Klinik aktuell Nachrichten

Sie sei „ethisch geboten“, meint Gesundheitsminister Karl Lauterbach: mehr Transparenz über die Qualität von Klinikbehandlungen. Um sie abzubilden, lässt er gegen den Widerstand vieler Länder einen virtuellen Klinik-Atlas freischalten.

ADHS-Medikation erhöht das kardiovaskuläre Risiko

16.05.2024 Herzinsuffizienz Nachrichten

Erwachsene, die Medikamente gegen das Aufmerksamkeitsdefizit-Hyperaktivitätssyndrom einnehmen, laufen offenbar erhöhte Gefahr, an Herzschwäche zu erkranken oder einen Schlaganfall zu erleiden. Es scheint eine Dosis-Wirkungs-Beziehung zu bestehen.

Klinikreform soll zehntausende Menschenleben retten

15.05.2024 Klinik aktuell Nachrichten

Gesundheitsminister Lauterbach hat die vom Bundeskabinett beschlossene Klinikreform verteidigt. Kritik an den Plänen kommt vom Marburger Bund. Und in den Ländern wird über den Gang zum Vermittlungsausschuss spekuliert.

Update Psychiatrie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.

Newsletter bestellen
Bildnachweise