Assessment and Diagnosis of Personality Disorders [ICD-10 and DSM-IV] - A. Loranger, et. al., (Cambridge, 1997) WW

239 Pages·1997·14.99 MB·English

Until recently, the standardization of diagnosis and assessment of per-
sonality disorders has lagged considerably behind that for most other
mental disorders. The IPDE is a new instrument which can produce
through its two modules diagnoses in accordance with both ICD-10 and
DSM-IV criteria. The IPDE is a semistructured clinical interview that
provides a means of arriving at the diagnosis of major categories of per-
sonality disorders and of assessing personality traits in a standardized
and reliable way. It is unique in that it secures reliable information in dif-
ferent cultural settings. Written by leading international authorities, this
volume forms an invaluable reference manual to the IPDE instrument.
Its first section includes an overview of the results of the worldwide field
trials of the interview and discussion of the current status of diagnosis
and assessment research. The second section detailing the full interview
schedule and scoring system for the instrument will further facilitate its
use by both clinician and researcher.

Assessment and diagnosis of personality disorders

Assessment and diagnosis of
personality disorders

The ICD-10 international personality
disorder examination (IPDE)

Edited by

Armand W. Loranger, Cornell University Medical College,

Aleksandar Janca, World Health Organization,

and

Norman Sartorius, University of Geneva

CAMBRIDGE
UNIVERSITY PRESS

CAMBRIDGE UNIVERSITY PRESS
Cambridge, New York, Melbourne, Madrid, Cape Town, Singapore, Sao Paulo

Cambridge University Press

The Edinburgh Building, Cambridge CB2 8RU, UK

Published in the United States of America by Cambridge University Press, New York

www.cambridge.org
Information on this title: www.cambridge.org/9780521580434
© World Health Organization 1997

This publication is in copyright. Subject to statutory exception
and to the provisions of relevant collective licensing agreements,
no reproduction of any part may take place without the written
permission of Cambridge University Press.

First published 1997

This digitally printed version 2007

A catalogue record for this publication is available from the British Library

Library of Congress Cataloguing in Publication data
Assessment and diagnosis of personality disorders: the International Personality Disorder
Examination (IPDE)/edited by Armand W. Loranger, Aleksandar Janca, and Norman
Sartorius.
p. cm.
Includes index.
ISBN 0-521-58043-9 (hardback)
1. International Personality Disorder Examination. 2. Personality disorders-Diagnosis.
I. Loranger, Armand W. (Armand Walter), 1930- . II. Janca, A. III. Sartorius, N.
[DNLM: 1. Personality Disorders — diagnosis. 2. Psychiatric Status Rating Scales.
3. Personality Assessment. WM 190 A846 1997]
RC544.A87 1997
616.85'8-dc21 96-45992 CIP
DNLM/DLC
for Library of Congress

ISBN 978-0-521-58043-4 hardback
ISBN 978-0-521-04166-9 paperback

VII

Contents

Contributors
ix

Preface
Armand W. Loranger, Aleksandar Janca and Norman Sartorius
xi

Acknowledgements
xiii

I
Background and Field Trial

Background

Problems in the field of personality disorders
3
Alv A. Dahl and Antonio Andreoli

Review of diagnostic instruments for the assessment of personality
disorders
Armand W. Loranger
10

Epidemiology of DSM-III personality disorders in the community
and in clinical populations
James H. Reich and Giovanni de Girolamo
18

International personality disorder examination (IPDE)
Armand W. Loranger
43

Experiences with the IPDE
Alv A. Dahl and Antonio Andreoli
52

Field Trial

Sampling, interviewers, interview procedures
Werner Mombour
58

viii
Contents

Description of centres participating in the IPDE field trial
Aleksandar Janca and Charles Pull
61

Results
Armand W. Loranger
70

Discussion and conclusions
Armand W. Loranger
79

Appendix

II
International personality disorder examination (IPDE) ICD-10 module

Acknowledgements
113

Manual
114
History of the IPDE
114
ICD-10 and DSM-IV
115
Translations of the IPDE
115
Structure of the IPDE
116
Scope of the IPDE
117
Appropriate subjects
118
Limitations of the IPDE
118
Examiner qualifications and training
120
Administration of the IPDE
121
Scoring conventions
122
Recording the scores
124
Computer scoring
124
Handscoring
125
Frequently asked questions about the administration of the IPDE 125
Abbreviating the IPDE
127
Reliability and validity of the IPDE
128
References
129
ICD-10 criteria and corresponding IPDE items
130
IPDE ICD-10 module screening questionnaire
134
IPDE ICD-10 module screening questionnaire scoring summary
137
IPDE ICD-10 module interview schedule
138
IPDE ICD-10 module answer sheet
205
IPDE ICD-10 module handscoring algorithms and summary
scoresheet
206

Index
223

IX

Contributors

Dr Antonio Andreoli
Hopital cantonal
Unite d'urgences psychiatriques
Rue Micheli-du-crest 24
1211 Geneva 14
Switzerland
Tel: [phone]; Fax: [phone]

DrAlvA.Dahl
Department of Psychiatry
University of Oslo
P.O. Box 85
Vinderen
0319 Oslo 3
Norway
Tel: [phone]; Fax: [phone]

Dr Giovanni de Girolamo
Servizio Salute Mentale
Viale Popoli 5
50123 Bologna
Italy
Tel: [phone]; Fax: [phone]

Dr Aleksandar Janca
Division of Mental Health and Prevention of Substance Abuse
World Health Organization
20 Avenue Appia
1211 Geneva 27
Switzerland
Tel: [phone]; Fax [phone]