Cited by 1,069Personality Disorders and PsychopathologyPersonality Traits and PsychologyMental Health Research Topics

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The International Personality Disorder Examination: The World Health Organization/Alcohol, Drug Abuse, and Mental Health Administration International Pilot Study of Personality Disorders

Loranger, Armand W.·1994·Archives of General Psychiatry

DOI 10.1001/archpsyc.1994.03950030051005

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Abstract

BACKGROUND: One of the aims of the World Health Organization/Alcohol, Drug Abuse, and Mental Health Administration joint program on psychiatric diagnosis and classification is the development and standardization of diagnostic assessment instruments for use in clinical research worldwide. The International Personality Disorder Examination (IPDE) is a semistructured clinical interview compatible with the International Classification of Diseases, Tenth Revision, and the DMS-III-R classification systems. This is the first report of the results of a field trial to investigate the feasibility of using the IPDE to assess personality disorders worldwide. METHODS: The IPDE was administered by 58 psychiatrists and clinical psychologists to 716 patients enrolled in clinical facilities at 14 participating centers in 11 countries in North America, Europe, Africa, and Asia. To determine interrater reliability, 141 of the IPDEs (20%) were independently rated by a silent observer. To determine temporal stability, 243 patients (34%) were reexamined after an average interval of 6 months. RESULTS: The IPDE proved acceptable to clinicians and demonstrated an interrater reliability and temporal stability roughly similar to instruments used to diagnose the psychoses, mood, anxiety, and substance use disorders. CONCLUSION: It is possible to assess personality disorders with reasonably good reliability in different nations, languages, and cultures using a semistructured clinical interview that experienced clinicians find relevant, meaningful, and user-friendly.

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Authors: Loranger, A. W.
Affiliations: Cornell University (US)
Corresponding author: Loranger, Armand W.
Venue: Archives of General Psychiatry
Publisher: American Medical Association (AMA)
Published: 1994-03-01
Volume: 51
Issue: 3
Pages: 215
ISSN: 0003-990X (ISSN-L)
DOI: 10.1001/archpsyc.1994.03950030051005
OpenAlex: W2126639672
Cited by: 1,069
References: 25
Citations by year: 2026: 18 · 2025: 22 · 2024: 21 · 2023: 17 · 2022: 20 · 2021: 40 · 2020: 48 · 2019: 34 · 2018: 35 · 2017: 45 · 2016: 49 · 2015: 68 · 2014: 42 · 2013: 64 · 2012: 58
FWCI: 21.36
Type: journal article
Language: en
Open access: closed
Locations: Archives of General Psychiatry (publishedVersion)
PubMed (publishedVersion)
Topics: Social Sciences › Psychology › Clinical Psychology › Personality Disorders and Psychopathology
Social Sciences › Psychology › Clinical Psychology › Personality Traits and Psychology
Social Sciences › Psychology › Experimental and Cognitive Psychology › Mental Health Research Topics
Keywords: International Personality Disorder Examination, personality disorders, inter-rater reliability, temporal stability, diagnostic assessment, ICD-10, DSM-III-R, cross-cultural assessment, field trials
MeSH terms: Adult, Mental Disorders, Cross-Cultural Comparison, Diagnosis, Differential, Feasibility Studies, Female, Humans, Male, Middle Aged, Terminology as Topic, Personality Disorders, Pilot Projects, Psychiatric Status Rating Scales, Psychometrics, United States, United States Substance Abuse and Mental Health Services Administration, World Health Organization, Reproducibility of Results

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The International Personality Disorder Examination: The World Health Organization/Alcohol, Drug Abuse, and Mental Health Administration International Pilot Study of Personality Disorders

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