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Diagnostic Agreement between the DSM-IV and ICD-10-DCR Personality Disorders

 

作者: Vladan Starcevic,   Goran Bogojevic,   Katarina Kelin,  

 

期刊: Psychopathology  (Karger Available online 1997)
卷期: Volume 30, issue 6  

页码: 328-334

 

ISSN:0254-4962

 

年代: 1997

 

DOI:10.1159/000285078

 

出版商: S. Karger AG

 

数据来源: Karger

 

摘要:

The SCID-II Personality Questionnaire, modified for DSM-IV and ICD-10 Diagnostic Criteria for Research (ICD-10-DCR), was administered to 58 consecutive patients with agoraphobia with panic disorder in order to screen for personality disorders (PDs) and assess diagnostic agreement between DSM-IV and ICD-10-DCR. The diagnostic agreement, as expressed by kappa values, was 0.78 for the presence of any personality disorder (PD), but it ranged from 0.51 for schizoid PD to 0.83 for dependent PD. There was a tendency for ICD-10-DCR to overdiagnose PDs, except for borderline and dependent PDs. The sources of disagreement can be traced to differences in the conceptualization of some PDs and differences in diagnostic criteria and diagnostic thresholds; these are further examined in an effort to improve diagnostic criteria and attain greater compatibility between the two diagnostic systems.

 

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