 |
|
Diagnosing Personality Disorder in Depressed PatientsA Comparison of Patient and Informant Interviews
Mark Zimmerman;
Bruce Pfohl, MD;
William Coryell, MD;
Dalene Stangl, MA;
Caryn Corenthal, MA
Arch Gen Psychiatry. 1988;45(8):733-737.
Abstract
• Personality disorder (PD) diagnoses were made in 66 depressed patients based on independent interviews of the patient and a close informant. The patients and informants markedly differed in their descriptions of the patients' normal personality. The K coefficient of agreement for the diagnosis of any PD was.13, and all K values for the individual PD diagnoses were below.35. Informants reported more pathologic conditions than the patients, such that PDs were diagnosed in 57.6% (38/66) of the patients, based on the informant interview, and in 36.4% (24/66), based on the patient interview. We also examined dimensional scores. In general, we found only modest correlations between the patient and informant dimensional scores and that the ratings based on the informant interviews were higher. These results varied by specific PD diagnoses. Consensus ratings, which were based on both sources of information, were sometimes more strongly associated with patient information and sometimes with informant information, and this, too, varied among the different PDs.
Author Affiliations
From the Department of Psychiatry, The University of Iowa College of Medicine, Iowa City.
Footnotes
Accepted for publication Jan 14, 1988.
Reprint requests to Department of Psychiatry, The University of Iowa College of Medicine, 500 Newton Rd, Iowa City, IA 52242 (Mr Zimmerman).
 CiteULike  Connotea  Delicious  Digg  Facebook  Reddit  Technorati  Twitter
What's this?
THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES
|
Psychiatric Patient- and Informant-Reported Personality: Predicting Concurrent and Future Behavior
Ready et al.
Assessment 2002;9:361-372.
ABSTRACT
Complementary approaches to the assessment of personality disorder: The Personality Assessment Schedule and Adult Personality Functioning Assessment compared
HILL et al.
Br. J. Psychiatry 2000;176:434-438.
ABSTRACT
| FULL TEXT
Peer Assessment of Personality Traits and Pathology in Female College Students
Oltmanns and Strauss
Assessment 1998;5:53-65.
ABSTRACT
An Overview of Depression-Prone Personality Traits and the Role of Interpersonal Sensitivity
Boyce and Mason
Aust N Z J Psychiatry 1996;30:90-103.
ABSTRACT
The Counterpoint of Personality Assessment: Self Reports and Observer Ratings
McCrae
Assessment 1994;1:159-172.
ABSTRACT
Diagnosing Personality Disorders: A Review of Issues and Research Methods
Zimmerman
Arch Gen Psychiatry 1994;51:225-245.
ABSTRACT
The Validity of the Assessment of Psychopathology in the Psychoses
McGorry et al.
Aust N Z J Psychiatry 1989;23:469-482.
ABSTRACT
|
