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

Authors
  • Hyler, S E
  • Rieder, R O
  • Williams, J B
  • Spitzer, R L
  • Lyons, M
  • Hendler, J
Type
Published Article
Journal
Comprehensive Psychiatry
Publisher
Elsevier
Publication Date
Jan 01, 1989
Volume
30
Issue
2
Pages
170–178
Identifiers
PMID: 2920552
Source
Medline
License
Unknown

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: k = 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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