An Investigation of Adherence to Diagnostic Criteria, Revisited: Clinical Diagnosis of the DSM-IV/DSM-5 Section II Personality Disorders.

Autor: Morey LC, Benson KT; Texas A&M University, College Station, Texas.
Jazyk: angličtina
Zdroj: Journal of personality disorders [J Pers Disord] 2016 Feb; Vol. 30 (1), pp. 130-44. Date of Electronic Publication: 2015 Apr 23.
DOI: 10.1521/pedi_2015_29_188
Abstrakt: In an initial investigation by Morey and Ochoa (1989), adherence to DSM-III personality disorder diagnostic criteria was examined as an agreement rate between clinician (global) diagnoses and diagnoses algorithmically generated from DSM-III criteria rules. Morey and Ochoa (1989) findings suggested significant clinician-criterion diagnostic incongruity, a result that cross-validated in a DSM-III-R replication performed by Blashfield and Herkov (1996). The current study examined such adherence, utilizing DSM-IV decision rules, in a national sample of 337 clinicians and their target patients. The results of the current study are largely consistent with the earlier findings, with clinician-criterion agreement rates comparable to those commonly reported for interdiagnostician reliability. Ramifications for the future of personality disorder diagnostic classification are discussed.
Databáze: MEDLINE