IPDE - Extranet Systems - World Health Organization

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122 Manual Scoring conventions Much of the behaviour described in the ICD-10 personality disorder criteria exists on a continuum with normality. The IPDE scoring is based on the convention that a behaviour or trait may be absent or normal (0). exaggerated or accentuated (l), and criterion level or pathological (2). A few items are not applicable to some subjects, and they are scored 'NA'. The '? scoring category is reserved for occasions when subjects, despite encouragement, refuse to answer a question or state that they are unable to do so. It is not used to designate uncertainty on the part of the examiner about rating the item. If the behaviour or trait has not been present for a timespan of at least five years it does not receive a positive score, even though it meets all the requirements concerning frequency, intensity, subjective distress, and social or occupational impairment. A positive score (except 'past') is also not given when the behaviour has not occurred at all during the past year (12 months). The only exceptions to the past year (12 months) rule are those behaviours that occur relatively infrequently. yet have considerable clinical significance. Those items (10, 15,26,34.55,59,60,61) are designated by an asterisk next to the item number on the interview schedule. However. they too must have occurred at least once during the past five years to receive a positive scm. Otherwise, like other items that meet all the requirements except past year (l2 months), they should be scored 'past'. Age at onset The IPDE requires that behaviour indicative of at least one criterion of a personality disorder be present prior to age 25, before that particulardisorder can be diagnosed. The remaining criteria for the disorder may become evident after age 25, pmvided the requirement of five years duration is met. This rule exists for each individual disorder. However, when a subject meets all the requirements for a diagnosis except that regarding onset by age 25, an optional diagnosis may be recorded with the designation, 'late onset'. Timefmrne and ageat onsetprobes The examiner must use a predetermined set of probes to determine
123 Scoring Conventions whether a subject has met the duration and age at onset requirements. The pmbes may be selected to fit the particular responses and criteria, and may be varied to avoid monotony or stereotypy. Ordinarily examiners should devise their own probes only when the subject does not provide adequate replies to the recommended ones. It is not necessary to ask subjects whether the behaviour has occurred during the past year. The assumption is that it has or they would either not have reported it, or noted that a change had taken place, since they are reminded to do so several times during the course of the inteniew. Of course, if examiners have reason to doubt that it has occurred during the past year, then they shouldquestion the subject about it. Duration and age aI onsetprobes How long have you been like that? How long has that been going on? How long have youbeen that way? When did that start? How old were you when that began? At what age did that start? Have you been that way for a long time? Frequency Scoring usually requires a knowledge of the frequency with which the subject manifests the behaviour, because it is often one of the grounds for distinguishing scores of 'W, 'l', '2'. Some IPDE questions contain frequency information, e.g., 'Do you otien change from your usual mood to feeling very irritable, etc.?' This should mtbe relied upon to establish the actual frequency. Replies acknowledging the presence of the behaviour associated with the criterion require that the examiner ask how often it occurs by using one of the predetermined frequency probes. The sole exception is when subjects spontaneously supply the frequency in their replies. Frequency probes How often are you like that? How often does that happen? How often do you behave lie that?
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Until recently, the standardization
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Assessment and diagnosis of persona
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Contents Contributors Preface Annan
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Contributors Dr Antonio Andreoli Ho
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Preface One of the major goals of t
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... Xlll Acknowledgements The IPDE
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Problems in the field of personalit
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5 Problems in the field of PD perso
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7 Problems in the field of PD In DS
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9 Problems in the field of PD cultu
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11 Review of diagnostic instruments
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19 Epidemiology of DSM-Ill PDs in c
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Table l. Prevalence rates of specif
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24 1. H. Reich and G. de Girolamo (
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26 .- 5 2 0 W C .- 0 P g F ? g e Q
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28 J. H. Reich and G. de Girolarno
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Table 3. Prevalence rates ofpersona
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Pfohl etal.. l986 (67) Pilgrim & Ma
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35 Epidemiology of DSM-Ill PDs were
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37 Epidemiology of DSM-Ill PDs migh
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39 Epidemiology of DSM-Ill PDs 23 R
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4 1 Epidemiology of DSM-Ill PDs 55
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43 International personality disord
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I 45 IPDE iner what he is actually
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47 IPDE Sample of IPDE item The que
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49 IPDE dimensional scores are not
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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
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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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Page 82 and 83: P- P Table 1. Sample sizes and IPDE
Page 84 and 85: 73 Results Table 3. ICD-I0 Disorder
Page 86 and 87: 75 Results Table 5. Frequency of CO
Page 88 and 89: 77 Results Table 8. Interrater reli
Page 90 and 91: Discussion and conclusions Armand W
Page 92 and 93: 8 1 Discussion and Conclusions stab
Page 94 and 95: 83 Discussion and Conclusions Repet
Page 96 and 97: Discussion and Conclusions of princ
Page 98 and 99: 87 Discussion and Conclusions Frequ
Page 100 and 101: 89 Discussion and Conclusions emoti
Page 102 and 103: 9 1 Discussion and Conclusions inte
Page 104 and 105: 93 Appendix Table A2 Persomlity dis
Page 106 and 107: 95 Appendix Table A4 Personality di
Page 108 and 109: 97 Appendix Table A6 Personaliry di
Page 110 and 111: 99 Appendix Table SA Personaliry di
Page 112 and 113: Table A10 Personality disorder diag
Page 114 and 115: 103 Appendix Table A12 Personality
Page 116 and 117: Table A13 (con?) Criterion B7 B8 1
Page 118 and 119: 107 Appendix Table A13 (cont) Frequ
Page 120 and 121: 109 Appendix Table A14 (cont.) Freq
Page 122 and 123: Acknowledgements 113 Manual History
Page 124 and 125: Manual History of the IPDE One of t
Page 126 and 127: 116 Manual Struchlre of the IPDE Th
Page 128 and 129: 118 Manual that is likely to enhanc
Page 130 and 131: 120 Manual data. If examiners have
Page 134 and 135: 124 Manual Recording the scores Req
Page 136 and 137: 126 Manual Q. What do you do when s
Page 138 and 139: 128 Manual section, if there are qu
Page 140 and 141: ICD-10 criteria and corresponding I
Page 142 and 143: 132 ICD-10 criteria and correspondi
Page 144 and 145: 134 IPDE ICD-10 module screening qu
Page 146 and 147: 136 Screening questionnaire 47 1 lo
Page 148 and 149: I 138 IPDE ICD-10 module* interview
Page 150 and 151: 140 Interview schedule 2. 0 1 2 7 0
Page 152 and 153: 142 Inte~iew schedule 4. O 1 2 I N
Page 154 and 155: 144 Interview schedule 6. O l Z ? 0
Page 156 and 157: 146 Interview schedule 8. 0 1 2 1 0
Page 158 and 159: 148 Interview schedule .10. 0 1 2 ?
Page 160 and 161: 150 Interview schedule 12. 0 1 2 7
Page 162 and 163: 152 lnte~iew schedule 14. 0 1 2 ? 0
Page 164 and 165: 154 Interview schedule 16. 0 1 2 ?
Page 166 and 167: 156 interview schedule 18. 0 1 2 ?
Page 168 and 169: 158 Interview schedule 20. O 1 2 N
Page 174 and 175: 164 Interview schedule *26. 0 1 2 ?
Page 176 and 177: 166 lntewiew schedule 28. 0 1 2 ? 0
Page 180 and 181: 170 lnte~iew schedule 32. O 1 2 7 N
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172 Interview schedule *34. 0 1 2 ?
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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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178 Interview schedule 40. 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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198 Interview schedule *60. 0 1 2 ?
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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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