The International Personality Disorder Examination. The World Health Organization/Alcohol, Drug Abuse, and Mental Health Administration international pilot study of personality disorders.
The International Personality Disorder Examination. The World Health Organization/Alcohol, Drug Abuse, and Mental Health Administration international pilot study of personality disorders.
复制标题
国际人格障碍检查。
DOI：
10.1001/archpsyc.1994.03950030051005
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发表时间：
1994
影响因子：
--
通讯作者：
D. Regier
中科院分区：
文献类型：
--
作者：
A. Loranger;N. Sartorius;A. Andreoli;P. Berger;P. Buchheim;S. Channabasavanna;B. Coid;A. Dahl;R. Diekstra;B. Ferguson;L. Jacobsberg;W. Mombour;C. Pull;Y. Ono;D. Regier
背景
世界卫生组织/酒精、药物滥用和精神卫生管理局关于精神病学诊断和分类的联合计划的目标之一是开发用于全球临床研究的诊断评估工具并使其标准化。国际人格障碍检查(IPDE)是一种符合国际疾病分类第10版和DMS-III-R分类系统的半结构化临床访谈。这是第一份现场试验结果的报告，旨在调查使用IPDE评估全球人格障碍的可行性。
方法
58名精神病学家和临床心理学家对在北美、欧洲、非洲和亚洲11个国家的14个参与中心的716名患者进行了IPDE。为了确定评价者之间的可靠性，141个IPDEs(20%)由一个沉默的观察员独立评级。为了确定时间稳定性，243名患者(34%)在平均间隔6个月后重新检查。
结果
IPDE被证明是临床医生可以接受的，并证明了评价者之间的可靠性和时间稳定性，大致类似于用于诊断精神病、情绪、焦虑和物质使用障碍的工具。
结论
使用经验丰富的临床医生认为相关的、有意义的和用户友好的半结构化临床访谈，可以在不同的国家、语言和文化中以相当好的可靠性评估人格障碍。
BACKGROUND
One of the aims of the World Health Organization/Alcohol, Drug Abuse, and Mental Health Administration joint program on psychiatric diagnosis and classification is the development and standardization of diagnostic assessment instruments for use in clinical research worldwide. The International Personality Disorder Examination (IPDE) is a semistructured clinical interview compatible with the International Classification of Diseases, Tenth Revision, and the DMS-III-R classification systems. This is the first report of the results of a field trial to investigate the feasibility of using the IPDE to assess personality disorders worldwide.
METHODS
The IPDE was administered by 58 psychiatrists and clinical psychologists to 716 patients enrolled in clinical facilities at 14 participating centers in 11 countries in North America, Europe, Africa, and Asia. To determine interrater reliability, 141 of the IPDEs (20%) were independently rated by a silent observer. To determine temporal stability, 243 patients (34%) were reexamined after an average interval of 6 months.
RESULTS
The IPDE proved acceptable to clinicians and demonstrated an interrater reliability and temporal stability roughly similar to instruments used to diagnose the psychoses, mood, anxiety, and substance use disorders.
CONCLUSION
It is possible to assess personality disorders with reasonably good reliability in different nations, languages, and cultures using a semistructured clinical interview that experienced clinicians find relevant, meaningful, and user-friendly.
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作者：
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