IPDE - Extranet Systems - World Health Organization

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126 Manual Q. What do you do when subjects misunderstand a question or say that they do not understand it? A. Rephrase the question in your own words, so that you approximate the intent of the original question. In doing so be mindful of the criterion assessed by the question. Q. Is it necessary to ask a question, if the subject has already provided the answer in response to a previous question? A. Never assume that you know the answer, because of a response to a similar or related question. However, if the subject has already provided sufficient information, so that nothing would he gained from asking the question, and you are confident about scoring it, then it need not be asked. If you require more information or additional details, ask the question with an allusion to the subject's previous reference to it. Q. Do you score the subject's report, or base the score on your clinical impression? A. Score the report, except in those rare instances when directed otherwise. If the response appears to contradict a previous comment, ask the subject to explain the apparent contradiction. Q. Suppose the subject's behaviour during the interview seems to contradict the reply to a question? For example, the subject reports that he or she is rarely angry, yet displays obvious anger during the interview. A. Ask the subject to reconcile the apparent contradiction. This may lead to a revision of the previous response. If it does not, then score the response and not the behaviour during the interview. Remember, the latter may not be representative of the way the subject has been during the previous five years, particularly if he or she is currently in a dysphoric mental state. Of course, informant information is particularly useful in situations like this. Q. At the end of the interview several criteria are rated entirely on the basis of the subject's behaviour during the interview. Isn't this inconsistent with the use of a five-year timeframe in the remainder of the interview? A. Those criteria cannot be adequately assessed by self-repoa. Admittedly the features could be present during the interview without necessarily being characteristic of the subject. They also may not surface during the interview, yet be evident at other times. There is no other practical way of judging the presence or absence of these particular criteria, except to rely on informant information.
127 Abbreviating the IPDE Q. What about the criteria that are exempt from the 'past year' (12 months) requirement? A. The behaviour must have occurred at least once during the last five years. If it only occurred prior to the last five years, those employing the optional scoring for a 'past' personality disorder would score it positively, using the appropriate notation. Q. If I elect to score a criterion as 'past', must I determine whether it overlaps in time with the other criteria that are scored positively for that disorder? A. No. That would make the scoring too unwieldy, because the examiner would have to note the timeframe next to all positive ratings. The subject might also have difficulty recalling whether the behaviour associated with the various criteria overlapped in time. Q. Affirmative answers to questions that take the form, 'Have people told you that you're like that?,' are followed by. 'Why do you think they've said that?' How should replies to these follow-up questions be handled? A. Request examples. anecdotes, and descriptions. After any necessary probing, score the item according to the usual guidelines. Q. What if subjects endorse a trait or behaviour, but say that they are unable to provide examples? A. If despite encouragement they persist in saying so, then a positive score should not be given. This will result in occasional false-negative ratings, hut experience suggests that to deviate from the rule would probably lead to an unacceptable number of false-positive ratings. If subjects really have the trait to a clinically meaningful degree, they should be able to provide anecdotes or examples. Abbreviating the IPDE This module of the IPDE is designed to assess all of the personality disorders in ICD-10, and the interview should be administered in its entirety whenever possible. Because of time constraints some users may be unable to give the complete interview to all subjects; others may be interested in only certain specific disorders. In those situations two options are available. The first option is to omit the items that do not pertain to the disorders of interest. In doing so, however, the examiner should always be sure to include the introductory, open-ended questions at the beginning of each
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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
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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 134 and 135: 124 Manual Recording the scores Req
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
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Page 168 and 169: 158 Interview schedule 20. O 1 2 N
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Page 176 and 177: 166 lntewiew schedule 28. 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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