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Screening for personality disorders.

Jennifer Q Morse1, Paul A Pilkonis

  • 1Department of Psychiatry, Western Psychiatric Institute and Clinic, University of Pittsburgh Medical Center, Pittsburgh, PA, USA. morsejq@upmc.edu

Journal of Personality Disorders
|May 12, 2007
PubMed
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Brief personality disorder (PD) screening tools are valuable for assessment and treatment planning. Three tested screeners showed similar modest validity, suggesting no single tool is superior for identifying personality disorders.

Area of Science:

  • Psychiatry
  • Psychology
  • Clinical Assessment

Background:

  • Brief self-report measures for personality disorders (PDs) are needed for efficient clinical decision-making and treatment planning.
  • Existing screening tools vary in theoretical basis but require validation for practical use.

Purpose of the Study:

  • To compare the validity of three distinct self-report screening measures for personality disorders.
  • To determine if combining screeners improves diagnostic prediction compared to individual measures.

Main Methods:

  • Compared three PD screening measures: Inventory of Interpersonal Problems PD scales, Iowa Personality Disorder Screen (self-report version), and Temperament and Character Inventory self-directedness scale.
  • Evaluated screeners in both psychiatric and nonpsychiatric adult samples.

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  • Assessed correlation between screeners and predictive accuracy for PD diagnoses.
  • Main Results:

    • All three screeners demonstrated high inter-correlations (r = .71–.77).
    • No significant improvement in predicting PD diagnoses was found when using multiple screeners versus a single screener.
    • Individual screeners showed modest predictive performance for any PD diagnosis across samples, with better prediction for severe PDs in psychiatric samples.

    Conclusions:

    • No single brief self-report screener for personality disorders was found to be clearly superior to others.
    • The use of multiple screeners did not significantly enhance diagnostic prediction over individual measures.
    • Findings underscore the modest utility of current self-report screeners and suggest potential value in combining multiple assessment methods.