Assessment of personality-related levels of functioning: a pilot study of clinical assessment of the DSM-5 level of personality functioning based on a semi-structured interview
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Assessment of personality-related levels of functioning : a pilot study of clinical assessment of the DSM-5 level of personality functioning based on a semi-structured interview. / Thylstrup, Birgitte; Simonsen, Sebastian; Nemery, Caroline; Simonsen, Erik; Noll, Jane Fjernestad; Myatt, Mikkel Wanting; Hesse, Morten.
I: B M C Psychiatry, Bind 16, 298, 25.08.2016.Publikation: Bidrag til tidsskrift › Tidsskriftartikel › Forskning › fagfællebedømt
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TY - JOUR
T1 - Assessment of personality-related levels of functioning
T2 - a pilot study of clinical assessment of the DSM-5 level of personality functioning based on a semi-structured interview
AU - Thylstrup, Birgitte
AU - Simonsen, Sebastian
AU - Nemery, Caroline
AU - Simonsen, Erik
AU - Noll, Jane Fjernestad
AU - Myatt, Mikkel Wanting
AU - Hesse, Morten
PY - 2016/8/25
Y1 - 2016/8/25
N2 - BACKGROUND: The personality disorder categories in the Diagnostic and Statistical Manual of Mental Disorders IV have been extensively criticized, and there is a growing consensus that personality pathology should be represented dimensionally rather than categorically. The aim of this pilot study was to test the Clinical Assessment of the Level of Personality Functioning Scale, a semi-structured clinical interview, designed to assess the Level of Personality Functioning Scale of the DSM-5 (Section III) by applying strategies similar to what characterizes assessments in clinical practice.METHODS: The inter-rater reliability of the assessment of the four domains and the total impairment in the Level of Personality Functioning Scale were measured in a patient sample that varied in terms of severity and type of pathology. Ratings were done independently by the interviewer and two experts who watched a videotaped Clinical Assessment of the Level of Personality Functioning Scale interview.RESULTS: Inter-rater reliability coefficients varied between domains and were not sufficient for clinical practice, but may support the use of the interview to assess the dimensions of personality functioning for research purposes.CONCLUSIONS: While designed to measure the Level of Personality Functioning Scale with a high degree of similarity to clinical practice, the Clinical Assessment of the Level of Personality Functioning Scale had weak reliabilities and a rating based on a single interview should not be considered a stand-alone assessment of areas of functioning for a given patient.
AB - BACKGROUND: The personality disorder categories in the Diagnostic and Statistical Manual of Mental Disorders IV have been extensively criticized, and there is a growing consensus that personality pathology should be represented dimensionally rather than categorically. The aim of this pilot study was to test the Clinical Assessment of the Level of Personality Functioning Scale, a semi-structured clinical interview, designed to assess the Level of Personality Functioning Scale of the DSM-5 (Section III) by applying strategies similar to what characterizes assessments in clinical practice.METHODS: The inter-rater reliability of the assessment of the four domains and the total impairment in the Level of Personality Functioning Scale were measured in a patient sample that varied in terms of severity and type of pathology. Ratings were done independently by the interviewer and two experts who watched a videotaped Clinical Assessment of the Level of Personality Functioning Scale interview.RESULTS: Inter-rater reliability coefficients varied between domains and were not sufficient for clinical practice, but may support the use of the interview to assess the dimensions of personality functioning for research purposes.CONCLUSIONS: While designed to measure the Level of Personality Functioning Scale with a high degree of similarity to clinical practice, the Clinical Assessment of the Level of Personality Functioning Scale had weak reliabilities and a rating based on a single interview should not be considered a stand-alone assessment of areas of functioning for a given patient.
KW - Adolescent
KW - Adult
KW - Diagnostic and Statistical Manual of Mental Disorders
KW - Female
KW - Humans
KW - Interview, Psychological
KW - Male
KW - Middle Aged
KW - Personality
KW - Personality Assessment
KW - Personality Disorders
KW - Pilot Projects
KW - Reproducibility of Results
KW - Video Recording
KW - Young Adult
KW - Journal Article
U2 - 10.1186/s12888-016-1011-6
DO - 10.1186/s12888-016-1011-6
M3 - Journal article
C2 - 27562651
VL - 16
JO - B M C Psychiatry
JF - B M C Psychiatry
SN - 1471-244X
M1 - 298
ER -
ID: 186483879