Psychiatric Diagnosis and Classification - ResearchGate
Psychiatric Diagnosis and Classification - ResearchGate
Psychiatric Diagnosis and Classification - ResearchGate
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192 PSYCHIATRIC DIAGNOSIS AND CLASSIFICATION<br />
symptoms of a personality disorder must have been present for at least the<br />
last five years.<br />
Each criterion in the SCID-II may be scored 1 absent, no pathology), 2<br />
present, but not clinically significant), or 3 present <strong>and</strong> clinically significant).<br />
For a score of 3, the characteristics described in a criterion must be pathological,<br />
persistent, <strong>and</strong> pervasive. Decisions between a score of 2 or 3 are based<br />
on features such as the frequency or severity of a behavior, <strong>and</strong> the presence of<br />
distress or difficulties in social or occupational functioning. Criteria for which<br />
there is a discrepancy between the respondent's answers <strong>and</strong> information<br />
available from other sources are scored with a question mark.<br />
Table 8.4 presents the three columns of the SCID-II for the assessment of<br />
the fourth criterion of DSM-IV avoidant personality disorder. The text is<br />
followed by the commentary, in the user's guide, for the same criterion.<br />
The SCID-II interviewer may decide to use only part of the instrument,<br />
e.g. to assess only some of the DSM-IV personality disorders. He or she may<br />
also use the personality questionnaire that accompanies the SCID-II see<br />
below) <strong>and</strong> determine which personality disorders need to be assessed in<br />
more detail, prior to administering the interview itself.<br />
The SCID-II may be h<strong>and</strong>scored. SCID-II diagnoses can also be determined<br />
using a computer scoring program, called Computer-Assisted SCID-II or<br />
CAS-II.<br />
Inter-rater reliability of the SCID-II for DSM-III-R <strong>and</strong> the SCID-II for DSM-<br />
IV has been found quite satisfactory [51±53] when the instrument was used by<br />
trained clinicians. Results concerning concurrent validity comparisons with<br />
clinical diagnosis <strong>and</strong> with other instruments) have been less satisfactory.<br />
The Structured Interview for DSM-IV Personality SIDP-IV)<br />
The Structured Interview for DSM-IV Personality SIDP-IV) [54] is a semistructured<br />
diagnostic interview for the assessment of 13 personality disorders.<br />
Table<br />
8.4 Example of a question from the Structured Clinical Interview for DSM-IV<br />
Axis II Personality Disorders SCID-II)*<br />
4. You've said that [Do] you often<br />
worry about being criticized or<br />
rejected in social situations<br />
Give me some examples.<br />
Do you spend a lot of time<br />
worrying about this<br />
4) is preoccupied with being<br />
criticized or rejected in social<br />
situations<br />
3 ˆ a lot of time spent worrying<br />
about social situations<br />
123<br />
*Reproduced by permission of the American <strong>Psychiatric</strong> Press from First et al. 1997). Structured<br />
Clinical Interview for DSM-IV Personality Disorders SCID-II).