Inter-Rater and Test-Retest Reliability of the Revised Diagnostic Interview for Borderlines
Abstract
The baseline inter-rater reliability, test-retest reliability, follow-up inter-rater reliability, and follow-up longitudinal reliability (interrater reliability between generations of raters) of borderline symptoms and the diagnosis of borderline personality disorder (BPD) were assessed using the Revised Diagnostic Interview for Borderlines (DIB-R). Excellent kappa s (> .75) were found in each of these reliability substudies for the diagnosis of BPD itself. Excellent kappa s were also found in each of the three inter-rater reliability substudies for the vast majority of borderline symptoms assessed by the DIB-R. Test-retest reliability for these symptoms was somewhat lower but still very good. More specifically, one-third of the BPD symptoms assessed had a kappa in the excellent range and the remaining two-thirds had a kappa in the fair-good range (.57-.73). The dimensional reliability of BPD symptom areas was somewhat higher than for categorical measures of the subsyndromal phenomenology of BPD. More specifically, all five dimensional measures of borderline psychopathology had intraclass correlation coefficients in the excellent range for all four reliability substudies. Taken together, the results of this study suggest that both the borderline diagnosis and the symptoms of BPD can be diagnosed reliably when using the DIB-R. They also suggest that excellent reliability, once achieved, can be maintained over time for both the syndromal and subsyndromal phenomenology of BPD.
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Reliability for axis I and II disorder diagnoses remained good-to-excellent across follow-up and between rater generations.
“Good-excellent follow-up and longitudinal inter-rater reliability was also maintained for both axis I and II disorders (13,14).”
The Background Information Schedule and the three diagnostic interviews have shown good-to-excellent inter-rater and test-retest reliability.
“The inter-rater and test-retest reliability of the Background Information Schedule (12) and of the three diagnostic measures (13,14) have all been found to be good-excellent.”
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Symptomatic Disorders in Adults and Adolescents With Borderline Personality Disorder
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- Authors
- Zanarini, M. C., Frankenburg, F. R., & Vujanovic, A. A.
- Affiliations
- Harvard University (US)
- Venue
- Journal of Personality Disorders
- Publisher
- Guilford Publications
- Published
- 2002-06
- Volume
- 16
- Issue
- 3
- Pages
- 270-276
- ISSN
- 0885-579X (ISSN-L)
- OpenAlex
- W2109696135
- Cited by
- 180
- References
- 23
- Citations by year
- 2026: 3 · 2025: 4 · 2024: 11 · 2023: 6 · 2022: 1 · 2021: 2 · 2020: 6 · 2019: 8 · 2018: 4 · 2017: 17 · 2016: 6 · 2015: 8 · 2014: 12 · 2013: 12 · 2012: 16
- FWCI
- 5.74
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Personality Disorders (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institute of Mental Health (MH-62169, R29MH047588, R01MH062169, MH-47588)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Personality Disorders and Psychopathology
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Mental Health Research Topics
- Social Sciences › Decision Sciences › Statistics, Probability and Uncertainty › Reliability and Agreement in Measurement
- Keywords
- borderline personality disorder, inter-rater reliability, test-retest reliability, borderline symptoms, diagnostic interview, dimensional assessment, kappa statistic, intraclass correlation coefficient
- MeSH terms
- Borderline Personality Disorder, Follow-Up Studies, Humans, Interview, Psychological, Reproducibility of Results, Observer Variation
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