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Structured Interviews and Borderline Personality Disorder
Armand W. Loranger, PhD;
John M. Oldham, MD;
L. Mark Russakoff, MD;
Virginia Susman, MD
Arch Gen Psychiatry. 1984;41(6):565-568.
Abstract
A study was designed to determine whether the Diagnostic Interview for Borderlines (DIB) might be scored from the Schedule for Affective Disorders and Schizophrenia (SADS), and also whether DIB scores predicted the clinical diagnosis of DSM-III borderline personality disorder. One pair of clinicians interviewed patients with the DIB, and another pair interviewed the same patients with a slightly modified version of the SADS. Both interviews diagnosed virtually the same patients as borderline according to the criteria of Gunderson and Singer. The sensitivity of DIB scores in predicting a DSM-III diagnosis of borderline was 70%, while the specificity was 90%; the intraclass correlation coefficient was .75. Although there is a substantial concordance, the disparity between the DSM-III and DIB systems of diagnosing borderline patients is sufficiently great to preclude the generalization of findings from studies employing one set of criteria to those employing the other.
Author Affiliations
From the Department of Psychiatry, Cornell University Medical College, New York, and The New York Hospital—Cornell Medical Center, Westchester Division, White Plains, NY.
Footnotes
Accepted for publication May 27, 1983.
Reprint requests to The New York Hospital—Cornell Medical Center, Westchester Division, 21 Bloomingdale Rd, White Plains, NY 10605 (Dr Loranger).
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