![]() Our observations show that, in these interviews, patients frequently make sense of their behaviour differently from what is expected – not as a reflection of their personality traits, but as an outcome of many situational factors. The collection was compiled from 22 excerpts in which the participants orient differently to the generalisability of personality traits. Our data consists of video-recorded interviews in Finland with 10 adult patients and three psychiatric nurses. We regard the interview situation as interplay between the institution, the clinician and the patient – and the final diagnosis as an interactional construction between them. Clinicians are guided by the medical model and structured interviews in their approach. We take an in-depth look at PD interviews, paying close attention to the occasional discrepancies in the clinicians’ and the patients’ approaches to generalising the behaviour of patients to describe their personality. What does it mean to claim that somebody’s personality is disordered? The aim in this paper is to examine how the process of diagnosing personality disorders (PD) unfolds on a practical level. Meanwhile, 70% (n=7) of patients with a clinical diagnosis of ICD-10 schizotypal disorder did not meet the criteria for this disorder when assessed with the SCID-5-PD.Ĭonclusions: When considering a differential diagnosis within the schizophrenia spectrum, outcomes from the SCID-5-PD should be interpreted cautiously. In contrast, of all patients with a clinical diagnosis outside the schizophrenia spectrum, only one patient qualified for a diagnosis of personality disorder with the SCID-5-PD. Results: 55% (n=11) of patients with clinical diagnosis within the schizophrenia spectrum were allocated one or more diagnoses of personality disorder according to the SCID-5-PD, primarily borderline personality disorder (n=6). Subsequently, the patients were assessed with the SCID-5-PD by specifically trained novice raters. Methods: A random sample of a total of 30 psychiatric in- and outpatients (mean age = 34 ± 16, 17 males and 13 females) went through a comprehensive clinical assessment conducted by experts. The aim of this study is to compare the diagnostic outcomes of the SCID-5-PD with expert clinical assessment in an ICD-10 setting. Our data support the hypothesis that the SCID-5-AMPD-III PD diagnoses are provided with adequate inter-rater reliability and convergent validity with SCID-5-PD diagnoses, at least among Italian clinical adult participants.Background: The SCID-5-PD is frequently used to diagnose personality disorders. Substantial agreement was observed between the SCID-5-AMPD-III and the SCID-5-PD on the frequency of multiple PD diagnoses (Cohen’s k value =. Convergent validity data for the SCID-5-AMPD-III PD diagnoses were also encouraging (median Cohen’s k =. ![]() Our findings showed that the SCID-5-AMPD-III PD diagnoses were provided with adequate inter-rater reliability (median Cohen’s k =. We relied on a pairwise interview design to assess the inter-rater reliability of the SCID-5-AMPD-III PD diagnoses in a sample of 84 adult clinical participants (53.6% female participants’ mean age = 36.42 years, SD = 12.94 years) who voluntarily asked for psychotherapy treatment. ![]() #Scid 5 pd pdf manualThe present study aimed at assessing the inter-rater reliability of the Italian translation of the Structured Clinical Interview for the DSM–5 Alternative Model of Personality Disorders Module III (SCID-5-AMPD-III), the convergent validity of the SCID-5-AMPD-III personality disorder (PD) diagnoses with respect to the Diagnostic and Statistical Manual of Mental Disorders, fifth edition (DSM-5) Section II PD diagnoses, and the frequency of multiple PD diagnoses in a clinical sample of adult participants who were voluntarily asking for psychotherapy. ![]() Fossati Faculty of Psychology, Vita-Salute San Raffaele University, Milan, Italy The Inter-Rater Reliability and convergent validity of the Italian translation of the Structured Clinical Interview for the DSM-5 Alternative Model of Personality Disorders Module III in a psychotherapy outpatient sample A. ![]()
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