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Inter-rater agreement of comorbid DSM-IV personality disorders in substance abusers
Morten Hesse1, Birgitte Thylstrup
1Centre for Alcohol and Drug Research, University of Aarhus, Købmagergade 26E, 1150 Copenhagen C, Denmark. mh@crf.au.dk
Background:
Little is known about the inter-rater agreement of personality disorders in clinical settings.
Methods:
Clinicians rated 75 patients with substance use disorders on the DSM-IV criteria of personality disorders in random order, and on rating scales representing the severity of each.
Results:
Convergent validity agreement was moderate (range for r = 0.55, 0.67) for cluster B disorders rated with DSM-IV criteria, and discriminant validity was moderate for eight of the ten personality disorders. Convergent validity of the rating scales was only moderate for antisocial and narcissistic personality disorder.
Discussion:
Dimensional ratings may be used in research studies and clinical practice with some caution, and may be collected as one of several sources of information to describe the personality of a patient.
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