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Use of a Psychophysiological Script-driven Imagery Experiment to Study Trauma-related Dissociation in Borderline Personality Disorder
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The self-report Dissociative Disorders Interview Schedule: A preliminary report.

Colin A Ross1, Elena Browning1

  • 1a The Colin A. Ross Institute for Psychological Trauma , Richardson , Texas , USA.

Journal of Trauma & Dissociation : the Official Journal of the International Society for the Study of Dissociation (ISSD)
|April 6, 2016
PubMed
Summary

The self-report Dissociative Disorders Interview Schedule (SR-DDIS) closely matches the interviewer-administered version for diagnosing dissociative disorders in trauma patients. This validated self-report tool offers a consistent alternative for clinical use.

Keywords:
Dissociative Disorders Interview ScheduleDissociative disordersreliability

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Area of Science:

  • Psychiatry and Psychology
  • Clinical Assessment Tools
  • Trauma and Dissociative Disorders

Background:

  • The Dissociative Disorders Interview Schedule (DDIS) is a key tool for diagnosing dissociative disorders.
  • Assessing the validity of self-report measures is crucial for efficient clinical practice.
  • Trauma populations often exhibit complex dissociative symptoms requiring accurate diagnostic instruments.

Purpose of the Study:

  • To evaluate the consistency between the self-report Dissociative Disorders Interview Schedule (SR-DDIS) and the interviewer-administered DDIS.
  • To determine the diagnostic agreement for dissociative disorders, including DSM-5 diagnoses, between the two versions of the DDIS.
  • To assess the clinical utility of the SR-DDIS as a potential substitute for the interviewer-administered DDIS in trauma patients.

Main Methods:

  • Administered the self-report Dissociative Disorders Interview Schedule (SR-DDIS) to 100 inpatients in a hospital-based trauma program.
  • Utilized data from participants who had previously completed the interviewer-administered Dissociative Disorders Interview Schedule (DDIS).
  • Compared overall results, symptom clusters, and DSM-5 diagnoses between the SR-DDIS and DDIS using Cohen's kappa for agreement.

Main Results:

  • High consistency was observed between the SR-DDIS and DDIS for both symptom clusters and DSM-5 diagnoses.
  • Fair to substantial agreement, as measured by Cohen's kappa, was found for DSM-5 diagnoses between the two assessment versions.
  • Substantial agreement was noted for 4 out of the 7 diagnoses assessed by the DDIS.

Conclusions:

  • The self-report Dissociative Disorders Interview Schedule (SR-DDIS) demonstrates significant consistency with the interviewer-administered DDIS.
  • The SR-DDIS is a viable and reliable alternative to the DDIS for assessing dissociative disorders in clinical settings, particularly among trauma patients.
  • No clinically or conceptually significant differences were found between the results obtained from the two versions of the DDIS.