A comparison of clinical and self-report diagnoses of DSM-III personality disorders in 552 patients

Steven E. Hyler; Ronald O. Rieder; Janet B.W. Williams; Robert L. Spitzer; Michael Lyons; Judith Hendler

doi:10.1016/0010-440X(89)90070-9

A comparison of clinical and self-report diagnoses of DSM-III personality disorders in 552 patients

Steven E. Hyler, Ronald O. Rieder, Janet B.W. Williams, Robert L. Spitzer, Michael Lyons, Judith Hendler

Research output: Contribution to journal › Article › peer-review

132 Scopus citations

Abstract

This report examines the relationship between clinicians' diagnoses of personality disorder and self-report diagnoses of personality disorder obtained from the Personality Diagnostic Questionnaire (PDQ). The results from 552 patients showed general lack of agreement between clinical and self-report diagnoses of DSM-III personality diagnoses. The best agreement obtained was for Borderline Personality Disorder: κ = 0.46, and r = .51 for scaled ratings. Possible sources of disagreement including failings of the self-report questionnaire, difficulties in relying upon patients' self-reports, lack of reliability of clinical diagnoses of personality, and possible inherent lack of reliability of several of the DSM-III personality disorders are discussed.

Original language	English
Pages (from-to)	170-178
Number of pages	9
Journal	Comprehensive Psychiatry
Volume	30
Issue number	2
DOIs	https://doi.org/10.1016/0010-440X(89)90070-9
State	Published - 1989
Externally published	Yes

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@article{325f1c101cac418a883e4c86e76ada4e,

title = "A comparison of clinical and self-report diagnoses of DSM-III personality disorders in 552 patients",

abstract = "This report examines the relationship between clinicians' diagnoses of personality disorder and self-report diagnoses of personality disorder obtained from the Personality Diagnostic Questionnaire (PDQ). The results from 552 patients showed general lack of agreement between clinical and self-report diagnoses of DSM-III personality diagnoses. The best agreement obtained was for Borderline Personality Disorder: κ = 0.46, and r = .51 for scaled ratings. Possible sources of disagreement including failings of the self-report questionnaire, difficulties in relying upon patients' self-reports, lack of reliability of clinical diagnoses of personality, and possible inherent lack of reliability of several of the DSM-III personality disorders are discussed.",

author = "Hyler, {Steven E.} and Rieder, {Ronald O.} and Williams, {Janet B.W.} and Spitzer, {Robert L.} and Michael Lyons and Judith Hendler",

note = "Funding Information: From the New York State Psychiatric Institute and the Department of Psychiatry of Columbia University, New York. This paper was presented at the Annual Meeting of the American Psychiatric Association, May 12-I 6. 1986, Washington, DC. This study was supported in part by National Institute of Mental Health Grant No. MH38427 and by Clinical Research Center Grant No. MH30906. Address reprint requests to Steven E. Hyler. M.D.. New York State Psychiatric Institute. 722 W 168th St, New York, NY 10032. 0 I989 by Grune & Stratton, inc. 0010-440X/89/3002-0008$03.00/0",

year = "1989",

doi = "10.1016/0010-440X(89)90070-9",

language = "English",

volume = "30",

pages = "170--178",

journal = "Comprehensive Psychiatry",

issn = "0010-440X",

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TY - JOUR

T1 - A comparison of clinical and self-report diagnoses of DSM-III personality disorders in 552 patients

AU - Hyler, Steven E.

AU - Rieder, Ronald O.

AU - Williams, Janet B.W.

AU - Spitzer, Robert L.

AU - Lyons, Michael

AU - Hendler, Judith

N1 - Funding Information: From the New York State Psychiatric Institute and the Department of Psychiatry of Columbia University, New York. This paper was presented at the Annual Meeting of the American Psychiatric Association, May 12-I 6. 1986, Washington, DC. This study was supported in part by National Institute of Mental Health Grant No. MH38427 and by Clinical Research Center Grant No. MH30906. Address reprint requests to Steven E. Hyler. M.D.. New York State Psychiatric Institute. 722 W 168th St, New York, NY 10032. 0 I989 by Grune & Stratton, inc. 0010-440X/89/3002-0008$03.00/0

PY - 1989

Y1 - 1989

N2 - This report examines the relationship between clinicians' diagnoses of personality disorder and self-report diagnoses of personality disorder obtained from the Personality Diagnostic Questionnaire (PDQ). The results from 552 patients showed general lack of agreement between clinical and self-report diagnoses of DSM-III personality diagnoses. The best agreement obtained was for Borderline Personality Disorder: κ = 0.46, and r = .51 for scaled ratings. Possible sources of disagreement including failings of the self-report questionnaire, difficulties in relying upon patients' self-reports, lack of reliability of clinical diagnoses of personality, and possible inherent lack of reliability of several of the DSM-III personality disorders are discussed.

AB - This report examines the relationship between clinicians' diagnoses of personality disorder and self-report diagnoses of personality disorder obtained from the Personality Diagnostic Questionnaire (PDQ). The results from 552 patients showed general lack of agreement between clinical and self-report diagnoses of DSM-III personality diagnoses. The best agreement obtained was for Borderline Personality Disorder: κ = 0.46, and r = .51 for scaled ratings. Possible sources of disagreement including failings of the self-report questionnaire, difficulties in relying upon patients' self-reports, lack of reliability of clinical diagnoses of personality, and possible inherent lack of reliability of several of the DSM-III personality disorders are discussed.

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U2 - 10.1016/0010-440X(89)90070-9

DO - 10.1016/0010-440X(89)90070-9

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JO - Comprehensive Psychiatry

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IS - 2

ER -

A comparison of clinical and self-report diagnoses of DSM-III personality disorders in 552 patients

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