text: Concordance between patients and informants on the personality disorder examination. - PubMed - NCBI
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  See comment in PubMed Commons belowAm J Psychiatry. 1994 Apr;151(4):568-73.Concordance between patients and informants on the personality disorder examination.Riso LP1, Klein DN, Anderson RL, Ouimette PC, Lizardi H.Author information1Department of Psychology, State University of New York at Stony Brook.AbstractOBJECTIVE: Difficulties in the assessment of personality disorders and the burgeoning interest in axis II have led to increased use of informants when studying these conditions. The present study sought to evaluate the correspondence between patients and their informants on symptoms of personality disorders.METHOD: A total of 105 outpatients and knowledgeable informants were independently interviewed by using the Personality Disorder Examination, a widely used instrument for the full range of personality disorders.RESULTS: Diagnostic concordance between interviews was low (median kappa = -0.01), while correlations between dimensional scores were somewhat higher (median kappa = 0.36). Overall, patient interviews showed more pathology than interviews with informants. However, many of the symptoms obtained from informants were not reported by patients.CONCLUSIONS: These data suggest that patient-informant concordance for axis II disorders is poor for diagnoses but somewhat better for dimensional scores. There was no evidence that low agreement can be explained by patients attempting to present themselves in a favorable light. Further work is necessary to elucidate the reasons for discordance and determine which data source provides the most valid information.PMID: 8147455 DOI: 10.1176/ajp.151.4.568 [Indexed for MEDLINE] SharePublication type, MeSH terms, Grant supportPublication typeResearch Support, U.S. Gov't, P.H.S.MeSH termsAdultAmbulatory CareDepressive Disorder/diagnosisDepressive Disorder/epidemiologyDepressive Disorder/psychologyDiagnosis, DifferentialFemaleHumansInterviews as Topic/standardsMalePersonality Assessment/standardsPersonality Disorders/diagnosis*Personality Disorders/epidemiologyPersonality Disorders/psychologyPrevalencePsychiatric Status Rating Scales/statistics & numerical data*PsychometricsGrant supportNIMH MH-45757/MH/NIMH NIH HHS/United StatesLinkOut - more resourcesFull Text SourcesAtypon - PDFOther Literature SourcesCOS Scholar UniverseMedicalPersonality Disorders - MedlinePlus Health InformationPubMed Commons home