Psychiatric Diagnosis and Classification - ResearchGate

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