IPDE - Extranet Systems - World Health Organization

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69 Centres participating in IPDE field trial 1854. The hospital has gained a national reputation as one of the best medical centres in Japan. It has 1071 beds and serves over 3500 outpatients daily, more than 300 of whom are physician requests for consultations. Most patients are from the Tokyo area, but many come from elsewhere in the country. The Department of Neuropsychiatry has 31 beds, 200 annual admissions, and a 30- to 40-day length of stay. Most patients have mood, neurotic, or eating disorders. The out-patient department has 10 new admissions daily and cares for 180-200 patients. The depaament has a reputation as a centre for both psychotherapy and pharmacotherapy. The majority of patients are middle class and come from urban or suburban m, although some are referred from all over the country. As a teaching hospital it trains 10-15 new residents a year. It has kained almost 500 psychiatrists, about 10 per-cent of those in Japan. The facility also has a long history of research, pdcularly in psychop~ology, psychoimmunology, p ~ych~n~logy, and the quality of life of psychiatric patients. Vienna Vienna is the capital of Austria and home of 1.5 million people, nearly one-fifth of the country's population. It is located on the Danube river and is a gateway between western and eastem Europe. The mainstays of its economy are trade and industry. It is a city of vast cultural achievement, renowned for its baroque architecture and musical tradition. It was home to Haydn, Mozart, Beethoven, Schubefi, Brahms, J. Strauss, Mahler, and Sch6nberg. Vienna was the seat of the Austro-Hungarian Empire until the beginning of the twentieth century, and the various states of the former empire have had a significant cultural and ethnic influence on this city. This study was conducted in the Depaament of Psychiatry of the University of Vienna, part of a large university hospital located in the centre of the city. There are wards for general psychiatric and psychotherapeutic treatment. There is a small day hospital and an outpatient clinic that treats approximately 5OM) patients annually. They are referred from all districts of Vienna and to a lesser extent from the eastem pan of Austria. The national social insurance system insures free access to the hospital to the entire population. The subjects were recruited for the study from the out-patient clinic and psychotherapeutic wards. One patient was included from the day hospital.
Results Armand W. Loranger Course of the field trial The first patients entered the study in April 1988 and the last subject was examined in December 1990. All record forms were returned to the project coordinator (AW Loranger), who verified them for completeness and contacted the centers regarding missing data or apparent m rs in recording. The information was then entered in a computer at the ADAMHA data processing facility at Rockville, Maryland. In August 1991 the investigators met at the World Health Organization (WHO) headquarters in Geneva to review the results of the data analysis. At the meeting they also discussed the replies to a questionnaire that bad been sent to all of the interviewers about the strengths and limitations of the IPDE, including its user friendliness, cultural relevance, and apparent clinical validity. Patient sample At the conclusion of the study, 716 patients had been examined, 243 reexamined, and 141 of the IPDE interviews rated by an obsewer. The average interval between the initial and repeat IPDE examinations was six months, with approximately 85% of the repetitions occurring between two months and one year. Table 1 provides the sample sizes of the subjects at each centre. together with the number of IPDE examiners. Table 2 contains information about the educational level of the patients. Their clinical ICD-l0 diagnoses, exclusive of personality disorders (PDs). are presented in Table 3. Personality disorder diagnoses The IPDE personality disorder diagnoses in the DSM-UI-R and ICD-10 systems are presented in Table 4. For the 243 subjects who were examined on two occasions, the diagnoses are based on the initial interview.
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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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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 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
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
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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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IPDE - Extranet Systems - World Health Organization

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