Hurt S W, Hyler S E, Frances A, Clarkin J F, Brent R
Am J Psychiatry. 1984 Oct;141(10):1228-31. doi: 10.1176/ajp.141.10.1228.
The authors compared three methods of assessing borderline personality disorders. Test-retest reliability for the self-report Personality Diagnostic Questionnaire was adequate and compared favorably with the interrater reliability of the DSM-III-oriented clinical interview and the semistructured research interview. The overall prevalence of personality disorders scored on the questionnaire was similar to that generated by the clinical interview. The specificity and sensitivity of the questionnaire for the diagnosis of borderline personality disorder were slightly higher than 60%, which suggests that it may be a useful and economical instrument for identifying patients with borderline personality disorder.
作者比较了三种评估边缘型人格障碍的方法。自我报告式的《人格诊断问卷》的重测信度足够,与基于《精神疾病诊断与统计手册第三版》的临床访谈和半结构化研究访谈的评分者间信度相比更具优势。问卷中人格障碍的总体患病率与临床访谈得出的患病率相似。该问卷诊断边缘型人格障碍的特异性和敏感性略高于60%,这表明它可能是识别边缘型人格障碍患者的一种有用且经济的工具。