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Related Experiment Videos

Test-retest reliability of the diagnostic interview for borderlines.

D G Cornell, K R Silk, P S Ludolph

    Archives of General Psychiatry
    |December 1, 1983
    PubMed
    Summary

    The Gunderson Diagnostic Interview for Borderlines (DIB) shows good reliability between interviewers and over time. Clinician experience, not sex, influenced borderline scores.

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    Area of Science:

    • Psychiatry
    • Clinical Psychology
    • Psychometrics

    Background:

    • The Gunderson Diagnostic Interview for Borderlines (DIB) is a widely used research tool.
    • Previous research focused on interrater reliability, neglecting test-retest reliability and clinician variability.
    • Assessing the DIB's reliability is crucial for its continued use in diagnosing borderline personality disorder.

    Purpose of the Study:

    • To evaluate the test-retest reliability of the DIB.
    • To assess interrater reliability among clinicians using the DIB.
    • To investigate the impact of clinician experience and sex on DIB scoring.

    Main Methods:

    • Trained clinicians administered the DIB to assess reliability.
    • Interrater reliability was examined by comparing scores from different clinicians.
    • Test-retest reliability was assessed by re-administering the DIB to the same individuals over time.

    Main Results:

    • The DIB demonstrated acceptable interrater and test-retest reliability when administered by trained clinicians.
    • No significant differences in DIB scores were found based on interviewer sex.
    • Less experienced clinicians tended to assign higher (more borderline) scores compared to more experienced clinicians.

    Conclusions:

    • The DIB is a reliable instrument for diagnosing borderline personality disorder, showing consistency across different raters and over time.
    • Clinician experience is a factor influencing DIB scores, suggesting a need for standardized training.
    • Further research should explore methods to mitigate the effect of clinician experience on diagnostic accuracy.

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