A comparison of clinical and self-report diagnoses of DSM-III personality disorders in 552 patients.
This report examines the relationship between clinicians' diagnoses of personality disorder and self-report diagnoses of personality disorder obtained from the Personality Diagnostic Questionnaire (PDQ). The results from 552 patients showed general lack of agreement between clinical and self-report diagnoses of DSM-III personality diagnoses. The best agreement obtained was for Borderline Personality Disorder: k = 0.46, and r = .51 for scaled ratings. Possible sources of disagreement including failings of the self-report questionnaire, difficulties in relying upon patients' self-reports, lack of reliability of clinical diagnoses of personality, and possible inherent lack of reliability of several of the DSM-III personality disorders are discussed.
Hyler
S E
SE
New York State Psychiatric Institute, NY 10032.
Rieder
R O
RO
Williams
J B
JB
Spitzer
R L
RL
Lyons
M
M
Hendler
J
J
D000293:Adolescent; D000328:Adult; D000368:Aged; D001883:Borderline Personality Disorder / Q000175:diagnosis; D006801:Humans; D008875:Middle Aged; D010554:Personality Disorders / Q000175:diagnosis*; D010555:Personality Inventory; D011594:Psychometrics