a Department of Psychiatry , Adnan Menderes Universitesi Tip Fakultesi , Aydin , Turkey.
J Pers Assess. 2018 Nov-Dec;100(6):603-611. doi: 10.1080/00223891.2018.1423989. Epub 2018 Feb 21.
This study addresses longitudinal, expert, all data (LEAD) validity and reliability of the personality functioning ratings in Turkey, which are essential in assessing Criterion A for the entire DSM-5 alternative model for personality disorders (AMPD) diagnoses. A total of 120 consenting patients recruited at a university psychiatry clinic were rated by individual clinicians with respect to DSM-III-R and AMPD criteria. Subsequently, a LEAD panel consisting of 3 senior clinicians convened to reach a consensus personality disorder diagnosis for each participant. Blind personality functioning ratings of a subgroup of 20 participants by the same set of 4 clinicians were obtained for test-retest reliability investigation. Concordance between the LEAD and AMPD diagnoses was as good as that between the LEAD and DSM-III-R diagnoses (kappas = .68). The personality functioning scores correlated strongly (r > .50) with the sum of specific DSM-III-R diagnoses. Reliability estimates pertaining to the personality functioning scores and resultant AMPD Criterion A decisions were mostly in the good range. In conclusion, DSM-5 alternative model-oriented personality functioning ratings yield total or composite scores that are evidently valid and reliable tools to diagnose general personality disorder and to estimate its global severity.
这项研究旨在评估人格功能评定在土耳其的纵向、专家、全数据（LEAD）效度和信度，这对于评估整个 DSM-5 人格障碍替代模型（AMPD）诊断标准 A 至关重要。共有 120 名同意参与的患者在大学精神病诊所由个体临床医生根据 DSM-III-R 和 AMPD 标准进行评定。随后，由 3 名资深临床医生组成的 LEAD 小组对每位参与者进行了共识人格障碍诊断。对同一组 4 名临床医生的 20 名参与者进行了亚组的盲性人格功能评定，以进行测试-重测信度研究。LEAD 和 AMPD 诊断之间的一致性与 LEAD 和 DSM-III-R 诊断之间的一致性一样好（kappa =.68）。人格功能评分与特定的 DSM-III-R 诊断总和强烈相关（r >.50）。与人格功能评分和相应的 AMPD 标准 A 决策相关的可靠性估计大多处于良好范围。总之，以 DSM-5 替代模型为导向的人格功能评定可得出总分或综合评分，这些评分显然是诊断一般人格障碍和评估其整体严重程度的有效和可靠工具。
