IPDE - Extranet Systems - World Health Organization

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Preface One of the major goals of the World Health Organization's (WHO) Mental Health Programme has been the development of a common language for worldwide use by psychiatrists and other mental health professionals. The WHONIH Joint Project on Diagnosis and Classification of Mental Disorders, Alcohol- and Drug-related Problems is the most recent endeavour in this programme. It has developed a number of diagnostic instruments for the assessment of mental disorders in different cultures and tested them for their cross-cultural applicability, reliability and One of these instruments, the Composite International Diagnostic Interview (CIDI)? is highly structured and intended for use by lay interviewers in epidemiological studies. Another, the Schedules for Clinical Assessment in Neuropsychiatry (SCAN),4 is a semi-structured interview for use by clinicians, i.e., those capable of making independent psychiatric diagnoses. Since neither interview covers personality disorders, it was necessary to develop an instrument to assess them according to criteria in the latest classification systems. The new instrument, the International Personality Disorder Examination (IPDE), has been developed from the Personality Disorder Examination (PDE).5 which was modified for international use and compatibility with the International Classification of Diseases, 10th revision (ICD-10). and the American Psychiatric Association Diagnostic and Statistical Manual of Mental Disorders, fourth edition (DSM-IV). The current version of the IPDE has been produced in two modules, one for ICD-10 and one for DSM-IV criteria for personality disorders. The IPDE was tested in a major international field trial at 14 centres in 11 countries in North America, Europe, Africa and Asia. The primary objectives were to determine its cultural acceptability, user-friendliness, interrater reliability and temporal stability. In the course of the field uial a large body of data on personality disorders in different cultures was collected. This book describes the uial, and it also addresses several
xii Preface related issues, including problems in the assessment of personality disorders and their rates, distribution and characteristics around the world. Tbe book also contains the ICD-10 module of IPDE; the DSM-N module of IPDE, without accompanying text describing its background and field trial, can be obtained from the American Psychiatric Press, Inc. Dr h and W. Loranger Dr Aleksandar Janca Dr Norman Sartorius References 1 Sartorius, N. & lanca, A. Psychiatric assessment instruments developed by the World Health Organization. Social Psychiatry and Psychiatric Epidemiology, 1996: 31: 55-69. 2 Janca. A., Ustun. T.B. & Sartorius, N. New versions of World Health Organization insvuments for the assessment of mental disorders. Acta Psychiatrica Scandinavica, 1994; 90: 73-83. 3 World Heallh Organization. The Composite Inremrionol Diagnosric Inrerview (CIDIJ, core version 1.1. Washington, DC: American Psychiatric Press, Inc., 1993. 4 World Heallh Organization. Schedules for Clinical Assessment in Neuropsychiatry (SCAN), version 2.0. Washington, DC: American Psychiatric &ss, Inc.. 1994. 5 Loranger, A.W. Personalify Disorder Examination (PDEJ Manual. Yonkers. NY: D.V. Communications, 1988. I
Page 2 and 3: Until recently, the standardization
Page 4 and 5: Assessment and diagnosis of persona
Page 6 and 7: Contents Contributors Preface Annan
Page 8 and 9: Contributors Dr Antonio Andreoli Ho
Page 12 and 13: ... Xlll Acknowledgements The IPDE
Page 14 and 15: Problems in the field of personalit
Page 16 and 17: 5 Problems in the field of PD perso
Page 18 and 19: 7 Problems in the field of PD In DS
Page 20 and 21: 9 Problems in the field of PD cultu
Page 22 and 23: 11 Review of diagnostic instruments
Page 30 and 31: 19 Epidemiology of DSM-Ill PDs in c
Page 32 and 33: Table l. Prevalence rates of specif
Page 35 and 36: 24 1. H. Reich and G. de Girolamo (
Page 37 and 38: 26 .- 5 2 0 W C .- 0 P g F ? g e Q
Page 39 and 40: 28 J. H. Reich and G. de Girolarno
Page 41 and 42: Table 3. Prevalence rates ofpersona
Page 44 and 45: Pfohl etal.. l986 (67) Pilgrim & Ma
Page 46 and 47: 35 Epidemiology of DSM-Ill PDs were
Page 48 and 49: 37 Epidemiology of DSM-Ill PDs migh
Page 50 and 51: 39 Epidemiology of DSM-Ill PDs 23 R
Page 52 and 53: 4 1 Epidemiology of DSM-Ill PDs 55
Page 54 and 55: 43 International personality disord
Page 56 and 57: I 45 IPDE iner what he is actually
Page 58 and 59: 47 IPDE Sample of IPDE item The que
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49 IPDE dimensional scores are not
Page 62 and 63:
1 9 IPDE considerable training and
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53 Experiences with IPDE The invest
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55 Experiences with IPDE passive ag
Page 68 and 69:
57 Field Trial
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59 Sampling, inte~iewers, interview
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Description of centres participatin
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63 Centres participating in IPDE fi
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P- P Table 1. Sample sizes and IPDE
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73 Results Table 3. ICD-I0 Disorder
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75 Results Table 5. Frequency of CO
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77 Results Table 8. Interrater reli
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Discussion and conclusions Armand W
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8 1 Discussion and Conclusions stab
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83 Discussion and Conclusions Repet
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Discussion and Conclusions of princ
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87 Discussion and Conclusions Frequ
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89 Discussion and Conclusions emoti
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9 1 Discussion and Conclusions inte
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93 Appendix Table A2 Persomlity dis
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95 Appendix Table A4 Personality di
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97 Appendix Table A6 Personaliry di
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99 Appendix Table SA Personaliry di
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Table A10 Personality disorder diag
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103 Appendix Table A12 Personality
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Table A13 (con?) Criterion B7 B8 1
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107 Appendix Table A13 (cont) Frequ
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109 Appendix Table A14 (cont.) Freq
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Acknowledgements 113 Manual History
Page 124 and 125:
Manual History of the IPDE One of t
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116 Manual Struchlre of the IPDE Th
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118 Manual that is likely to enhanc
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120 Manual data. If examiners have
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122 Manual Scoring conventions Much
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124 Manual Recording the scores Req
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126 Manual Q. What do you do when s
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128 Manual section, if there are qu
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ICD-10 criteria and corresponding I
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132 ICD-10 criteria and correspondi
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134 IPDE ICD-10 module screening qu
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136 Screening questionnaire 47 1 lo
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I 138 IPDE ICD-10 module* interview
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140 Interview schedule 2. 0 1 2 7 0
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142 Inte~iew schedule 4. O 1 2 I N
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144 Interview schedule 6. O l Z ? 0
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146 Interview schedule 8. 0 1 2 1 0
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148 Interview schedule .10. 0 1 2 ?
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150 Interview schedule 12. 0 1 2 7
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152 lnte~iew schedule 14. 0 1 2 ? 0
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154 Interview schedule 16. 0 1 2 ?
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156 interview schedule 18. 0 1 2 ?
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158 Interview schedule 20. O 1 2 N
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164 Interview schedule *26. 0 1 2 ?
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166 lntewiew schedule 28. 0 1 2 ? 0
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170 lnte~iew schedule 32. O 1 2 7 N
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174 lntewiew schedule 36. 0 1 2 ? 0
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176 lnterv~ew schedule 38. 0 1 2 ?
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184 lnte~iew schedule 46. 0 1 2 7 0
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~ 186 Interview schedule 48. 0 1 2
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194 Interview schedule 56. 0 1 2 1
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196 Interview schedule VI. IMPULSE
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200 Interview schedule Have you eve
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202 Interview schedule 1 63. 0 1 2
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204 Intewiew schedule Rate the foll
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206 IPDE ICD-10 module handscoring
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+ 39+44=4, 208 Handscoring algorith
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210 Handscoring algorithms and summ
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IPDE ICD-10 module summary scoreshe
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224 Index paranoid 108 schizoid 108
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226 Index Personalily Assessment Sc
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IPDE - Extranet Systems - World Health Organization

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