IPDE - Extranet Systems - World Health Organization

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124 Manual Recording the scores Required scoring Immediately after questioning the subject about a pdcular item, the examiner records the score in thefirst column. The second column is never used during the interview itself. It is reserved for information from informants or records, when it is discrepant with the interview data, and the rater has more confidence in that than in the subject. The information, however, is subject to the same scoring guidelines as the subject's responses. If the subject does not meet the requirements stipulated in the manual for a positive score (1 or 2). the rater places a circle around 'W. If the subject meets all the requirements for a positive score (l or 2). including onset prior to age 25. the rater circles the appropriate number (l or 2). If the subject meets all the requirements for a positive score except age at onset, the rater underlines the appropriate number (1 or 2). If subjects insist they are unable to answer a question or refuse to do so, the rater places a circle around '?. If the criterion does not apply to the subject, the rater places a circle around 'NA'. optional scoring If examiners wish to record a personality disorder that was present in the past, but no longer exists. they must use an additional set of scoring notations in certain very specific situations. If a subject meets all the requirements for a positive score, including that of five years duration and age at onset before 25, but has not displayed the behaviour at all during the past year (12 months), the rater should place an 'X' through the appropriate number (1 or 2). If a subject meets all the requirements for a positive score, including that of five years duration, except that onset has occurred afte~ age 25, and the behaviour has not been present at all during the past year (12 months). the rater should underline the 'X'. It is important to remember that asterisked items (10, 15.26, 34.55.59.60. 61) are exempt from the requirement that they occur during the past 12 months. Therefore, those exempt items should be scored 'past' only when they occurred prior to but not during the past five years; othenvise they satisfy the requirements for a current disorder. Computer scoring The IPDE diagnoses and dimensional scores are determined after the
125 Frequently asked questions completion of the interview. The most efficient method is to use the computer scoring program*. The scores from the interview schedule or answer sheet are entered directly into a personal computer. The program is written with operator prompts, and the user responds to questions regarding the task to be performed and the management of the data, which may be sent to a printer and saved in a disk file. The entire procedure takes approximately 10 minutes. The printout provides the following information for each ICD-10 disorder: criteria present or absent; number of criteria met; diagnosis - definite, probable (one criterion less than the required number), negative, late onset (optional). past (optional); dimensional score; and number of criteria based on informants. The criteria met by the subject are also printed verbatim. The IPDE program will execute properly under either the BASICA program supplied with IBM PCs or GWBASIC supplied with MS-DOS, PC compatible systems. and requires a 2.0 or greater version of DOS. It is supplied on a single 360K diskette with accompanying software. The diskette also has a short batch file for installation on a hard disk drive. Handscoring The IF'DE may also be handscored by clerical personnel. All of the scores are transcribed onto summary scoresheets that contain stepbystep algorithmic directions. Frequently asked questions about the administration of the IPDE Q. Do I ask every subject all of the questions on the IF'DE? A. Ask every question that is flush with the left-hand margin unless d i otherwise. Indented questions preceded by 'If Yes' or 'If No' are asked if the subject provides the appropriate response. When an indented question is asked, be sure to include any subsequent questions that are aligned with it. Q. Should the questions be asked verbatim? A. Yes. Do not change the wording or embellish the question with your own comments, a common emr of beginners. * The IPDE Comprcr Scoring Ro- for ICD-10 Diagnoses can k obtained Emm ihe Division of Mental Health and Rcvenlion of Sub- Abuse, World Health Organization. CH-l21 I Geneva 27. Switzerland.
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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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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 132 and 133: 122 Manual Scoring conventions Much
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
Page 182 and 183: 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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IPDE - Extranet Systems - World Health Organization

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