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DSM-IV and ICD-10 personality disorders: a comparison of a self-report questionnaire (DIP-Q) with a structured interview

Published online by Cambridge University Press:  16 April 2020

H Ottosson ,
O Bodlund ,
L Ekselius ,
M Grann ,
L von Knorring ,
G Kullgren ,
E Lindström  and
S Söderberg
H Ottosson
Affiliation:
Department of Psychiatry, University of Umeå, S-901 85Umeå
O Bodlund
Affiliation:
Department of Psychiatry, University of Umeå, S-901 85Umeå
L Ekselius
Affiliation:
Department of Psychiatry, University Hospital, Uppsala University, Uppsala, Sweden
M Grann
Affiliation:
Department of Psychiatry, University of Umeå, S-901 85Umeå
L von Knorring
Affiliation:
Department of Psychiatry, University Hospital, Uppsala University, Uppsala, Sweden
G Kullgren*
Affiliation:
Department of Psychiatry, University of Umeå, S-901 85Umeå
E Lindström
Affiliation:
Department of Psychiatry, University Hospital, Uppsala University, Uppsala, Sweden
S Söderberg
Affiliation:
Department of Psychiatry, University of Umeå, S-901 85Umeå
*
*Correspondence and reprints
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Summary

Objective

Diagnosing personality disorders according to structured expert interviews is time-consuming and costly. For epidemiological studies, self-report instruments have several advantages. The DSM-IV and ICD-10 personality questionnaire (DIP-Q) is a selfreport questionnaire constructed to identify personality disorder according to DSM-IV and ICD-10.

Methods

The DIP-Q is validated vs a structured expert interview in a clinical sample of 138 individuals. In addition, prevalence rates yielded by DIP-Q among 136 healthy volunteers are assessed and compared to expected prevalence.

Results

For DSM-IV the agreement for any personality disorder as measured by Cohen's Kappa was 0.61 and 0.56 for ICD-10. Overall sensitivity for any personality disorder was for DSM-IV 0.84 and for ICD-10 0.85. However, specificity was lower: 0.77 and 0.70, respectively. When dimensional scores between self-report and interview for each personality disorder were compared, the intraclass correlation for the DSMIV entities was 0.37–0.87 and for the ICD-10 entities 0.33–0.73. Among healthy volunteers the base rate of personality disorders was found to be 14%.

Conclusions

DIP-Q can be used as a screening instrument for personality disorders according to DSM-IV and ICD-10. Self-report questionnaires such as DIP-Q will probably play an increasingly important role in future epidemiological studies.

Keywords

personality disorderDSM-IVICD-10self-reportDIP-Qstructured interview
Type
Original article
Information
European Psychiatry , Volume 13 , Issue 5 , August 1998 , pp. 246 - 253
Copyright
Copyright © Elsevier, Paris 1998

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