IPDE - Extranet Systems - World Health Organization

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Description of centres participating in the IPDE field trial Aleksandar Janca and Charles Pull Bangalore Bangalore has been the capital of the southem Indian state of Kamataka (formerly Mysore) since 1830. The name comes from the word 'bendalalwm,' which means 'village of boiled grains' in the Kannada language. It is the fifth largest city in India. with about four million inhabitants consisting primarily of three cultural and linguistic groups: Kannada, Telugu, and Tamil. Bangalore was the headquarters of the British administration until 1881, and Britain retained its colonial and military presence there until independence in 1947. The city has an old seaion and several surrounding modem suburbs with many parks, wide streets, and a sprawl of military cantonments to the east. Often called the Garden City of India because of its salubrious climate, but more recently its rapid industrialization has also earned it the sobriquet, Silicon City. The National Institute of Mental Health and Neuro Sciences (NIMHANS) is the largest mental health institution in the area and the largest postgraduate training centre in the country. It was established in 1974 as an autonomous institution, that amalgamated the Mental Hospital and the All India Institute of Mental Health. There are 24 depamnents grouped into three major sections: behavioural sciences. basic sciences and neurosciences. There is an 805-bed hospital with provision for 650 psychiatric and 155 neurological and neurosurgical patients. There is a multidisciplinary approach. which integrates service, training, and research in mental health and the neurosciences. The Department of Psychiauy of NIMHANS has collaborated with the Division of Mental Health of the World Health Organization (WHO) for more than a decade. The collaboration has been particularly successful regarding the diagnosis and assessment of mental disorders and their culture-specific characteristics. Research investigators in the department have translated several diagnostic instruments developed by WHO into Kannada, Tamil, and Hindi, and participated in their field trials. The Institute serves as a WHO training and reference centre for the
62 A. Janca and C. Pull Composite International Diagnostic Interview (CIDI), Schedule for Clinical Assessment in Neuropsychiatry (SCAN), and International Personality Disorder Examination (IPDE). In the IPDE field trial NIMHANS also served as a co-ordinating centre for several other institutions from which subjects were recruited. These were King George's Medical College, Lucknow: Institute of Psychiatry. Madurai; Madurai Medical College, Madurai; Jawaharial Institute of Postgraduate Medical Education and Research, Ponchidemy; K.E.M. Hospital, Bombay; Madras Medical College, Madras: and G. S. Medical College, Bombay. Geneva Geneva, the capital of the Canton of Geneva, is situated between the Alps and Jura mountains where the RhBne river emerges from Lake Geneva. Earlier in its history it was the centre of the Calvinist Reformation, and today it is a centre of commerce, trade, banking, and insurance. Geneva is the Eumpean headquarters of the United Nations and its related divisions, as well as the home of many other international organizations. It is an international city, two-thirds of whose inhabitants are recent immigrants about equally divided between those from other Swiss cantons and foreigners From all over the world. Three public health institutions affiliated with the Department of Psychiatry of Geneva University Medical School provide mental health care to the adult population. Care is also provided by the emergency room of Geneva General Hospital and by approximately 160 private practitioners. This study was conducted at the out-patient department of the Eaux- Vives Psychiatric Centre, which is responsible for a residential area with a population of about 115,000. There are specialized out-patient clinics for schizophrenia and mood and personality disorders, and a walk-in clinic for emergency psychiatric care. The out-patient department treats about 300 chronic and 500 new patients a year. Two-thirds of new admissions have severe anxiety, mood or stress-related disorders, and the remainder present with psychotic and depressive disorders. The Eaux-Vives Psychiatric Centre is also a teaching institution affiliated with the Department of Psychiatry of Geneva University and the Clinique de Psychiatrie Generale I. The Centre has developed a research program focused on crisis intervention in acute patients, personality disorders (PDs) as predictors of outcome, and the cognitive functioning of patients with borderline PD and major depression.
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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
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 70 and 71: 59 Sampling, inte~iewers, interview
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
Page 120 and 121: 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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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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