IPDE - Extranet Systems - World Health Organization

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59 Sampling, inte~iewers, interview procedures Table 1. Sires of Internafional Personalily Disorder Examination freld trial Center Country Institution Bangalore India National Institute of Mental Health and Neuro Sciences Geneva Switzerland Institutions Universitaires de Psychiahie-Genkve Leiden Netherlands Rijksuniversiteit te Leiden London United Kingdom Institute of Psychiatly Luxembourg Luxembourg Centre Hospitalier de Luxembourg Munich Germany Max-PlanckInstitut fUr Psychiatric Newenklinik der Universi~t Munchen Bezirkskrankenhaus Kaufbeuren Nairobi Kenya KenyattaNational Hospital New York United States Comell Medical Center Nottingham United Kingdom Stonebridge Research Centre Oslo Norway Universitetet i Oslo, Psychiauisk Institutt Tokyo Japan Keio University School of Medicine Vienna Austria Psychiatrische Universitatsklinik The presence of a common mental disorder important in the differential diagnosis of PDs Evidence of the following longstanding and persistent pattern of symptomatology and behavior which in the context of the given culture is considered an abnormality of personality due to the presence oE (a) Markedly disharmonious attitudes and behavior usually involving several areas of functioning. e.g.. affectivity, arousal, impulse control, ways of perceiving and thinking. and styles of relating to others. (b) The abnormal behavior is enduring and not limited to episodes of mental illness. (C) The abnormal behavior pattern is pervasive and clearly maladaptive to a broad range of personal and social situations. (d) The above manifestations generally appear during childhood or adolescence and continue into adulthood. (e) The disorder is of sufficient severity to lead to considerable personal distress and/or the disorder is usually, but not invariably, associated with significant impairment in occupational and social performance.
The screening clinicians utilized all available information on the patients and when necessary conducted their own interview. They summarized this information on a standard form that included a clinical diagnosis according to both their local practice and ICD-10. IPDE training Each centre (with the exception of Nairobi, where only one interviewer was available in addition to the screening personnel), mined at least two psychiatrists or clinical psychologists in the administration of the IPDE. The initial training consisted of a two-day workshop conducted at each centre by the developer of the instrument and co-ordinator of the project (AW Loranger). These training sessions made extensive use of videotaped demonstration interviews. Thereafter the principal investigator at each centre assumed responsibility for the training. Each interviewer was required to complete a minimum of 10 practice interviews before participating in the study. Scoring practices were also monitored during the study by circulating several videotaped interviews conducted in English. IPDE intewiews To determine the interrater reliability of the IPDE, at each site an attempt was made to have 10 of the IPDE interviews observed and independently rated by another clinician. An effort was also made to have 25 of the patients at each centre reinterviewed with the IPDE by the same clinician several months later. The clinicians who conducted and observed the IPDE interviews were unaware of the diagnostic conclusions of the screening clinicians. Clinical evaluation The IPDE interviewer also conducted a general clinical evaluation of the patient. At several centers this included information derived from the following semistructured interviews: Diagnostic Interview Schedule (D1S)-Leiden (The Netherlands); Schedule for Affective Disorders and Schizophrenia (SADS-L)-London (UK); and Structured Interview for DSM-III-R (SC1D)-New York (USA), Nottingham (UK), Oslo (Noway), Tokyo (Japan). After the completion of the IPDE. the interviewer summarized all of this information on a Clinical Evaluation Form.
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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
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
Page 60 and 61: 49 IPDE dimensional scores are not
Page 62 and 63: 1 9 IPDE considerable training and
Page 64 and 65: 53 Experiences with IPDE The invest
Page 66 and 67: 55 Experiences with IPDE passive ag
Page 68 and 69: 57 Field Trial
Page 72 and 73: Description of centres participatin
Page 74 and 75: 63 Centres participating in IPDE fi
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
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109 Appendix Table A14 (cont.) Freq
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Acknowledgements 113 Manual History
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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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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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