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Development and validation of a computerized screening test for personality disorders in DSM‐III‐R
Author(s) -
Neal L. A.,
Fox C.,
Carroll N.,
Holden M.,
Barnes P.
Publication year - 1997
Publication title -
acta psychiatrica scandinavica
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.849
H-Index - 146
eISSN - 1600-0447
pISSN - 0001-690X
DOI - 10.1111/j.1600-0447.1997.tb09643.x
Subject(s) - psychology , personality disorders , personality , clinical psychology , psychometrics , personality test , test validity , personality assessment inventory , kappa , test (biology) , validation test , cohen's kappa , borderline personality disorder , psychiatry , statistics , social psychology , linguistics , philosophy , paleontology , mathematics , biology
The available self‐report instruments designed to measure personality disorder (PD) are time‐consuming to administer and/or score and can be impractical for routine clinical use. There is a need for a computerized method of personality assessment based on contemporary systems of classification. A computerized DSM‐III‐R‐based questionnaire was developed and validated against the structured clinical interview for DSM‐III‐R Axis‐II disorders on a sample of 60 subjects. The computerized test showed moderate validity as a diagnostic instrument (mean kappa coefficient=0.47). With adjusted cut‐off scores it was valid as a screening instrument (mean sensitivity=0.87). Antisocial, borderline and avoidant PD scores were strongly correlated across measures and not subject to significant observer bias.