Comprehensive Psychiatry
Volume 43, Issue 4 , Pages 285-300, July 2002

Evaluation of DSM-IV personality disorder criteria as assessed by the structured clinical interview for DSM-IV personality disorders

  • Richard F. Farmer
    • ,
  • Alexander L. Chapman

      Affiliations

    • Corresponding Author InformationAddress reprint requests to Richard Farmer, Ph.D., Department of Psychology, University of Canterbury, Private Bag 4800, Christchurch, New Zealand.

Department of Psychology, Idaho State University, Pocatello,ID.

Supported in part by Grant No. 849 from the Faculty Research Committee, Idaho State University. 0010-440X/02/4304-0006$35.00/0

Abstract 

The primary objective of this research was to investigate the psychometric and diagnostic efficiency properties of DSM-IV personality disorder (PD) criteria as assessed by the Structured Clinical Interview for DSM-IV Personality Disorders (SCID-II). Logistic regression analyses were also employed to identify discriminating and nondiscriminating diagnostic criteria within specific PD categories. Results based on a community sample of 149 psychotropic medication-free persons, 58% of whom had at least one PD as determined from the SCID-II, suggest problems with the assessment and/or conceptualization of some PD categories, most notably obsessive-compulsive PD. For many PD concepts, diagnostic criteria were identified that either detracted from the overall internal consistency and diagnostic efficiency of their associated PD criteria set or failed to uniquely discriminate individuals with specific PDs from those without. Most of these findings cannot be clearly attributed to limitations associated with the method used to assess PD criteria. Copyright 2002, Elsevier Science (USA). All rights reserved.

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PII: S0010-440X(02)00005-6

doi:10.1053/comp.2002.33494

Comprehensive Psychiatry
Volume 43, Issue 4 , Pages 285-300, July 2002

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