The Collaborative Longitudinal Personality Disorders Study: Reliability of Axis I and II Diagnoses
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Both the interrater and test-retest-retest reliability of axis I and axis II disorders were assessed using the Structured Clinical Interview for DSM-IV Axis I Disorders (SCID-I) and the Diagnostic Interview for DSM-IV Personality Disorders (DIPD-IV). Fair-good median interrater kappa (.40-.75) were found for all axis II disorders diagnosed five times or more, except antisocial personality disorder (1.0). All of the test-retest kappa for axis II disorders, except for narcissistic personality disorder (1.0) and paranoid personality disorder (.39), were also found to be fair-good. Interrater and test-retest dimensional reliability figures for axis II were generally higher than those for their categorical counterparts; most were in the excellent range (> .75). In terms of axis I, excellent median interrater kappa were found for six of the 10 disorders diagnosed five times or more, whereas fair-good median interrater kappa were found for the other four axis I disorders. In general, test-retest reliability figures for axis I disorders were somewhat lower than the interrater reliability figures. Three test-retest kappa were in the excellent range, six were in the fair-good range, and one (for dysthymia) was in the poor range (.35). Taken together, the results of this study suggest that both axis I and axis II disorders can be diagnosed reliably when using appropriate semistructured interviews. They also suggest that the reliability of axis II disorders is roughly equivalent to that reliability found for most axis I disorders.
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The SCID-5-S has good validity and reliability.
“The results of these studies show that the validity and reliability of the SCID-S was good.”
From The effectiveness and cost-effectiveness of attachment-based family therapy for young adults with high suicidal ideation: protocol of a randomized controlled trial (2024) · cites this paper as [37]
The Abstract reports generally fair-to-excellent reliability for diagnoses made with the DSM-IV SCID-I, although one test–retest result was poor. It does not assess validity or the SCID-5-S (called “SCID-S” in the printed sentence), so it cannot establish that instrument’s validity or reliability. (LLM, conf=0.86)
Experimental — accuracy not yet measuredZanarini et al reported inter-rater diagnostic reliability with Kappa >0.7 in most diagnoses.
“Zanarini et al (22) has been reported inter-rater diagnostic reliability with Kappa upper than 0.7 in the most diagnoses.”
From Comparing mindfulness based cognitive therapy and traditional cognitive behavior therapy with treatments as usual on reduction of major depressive disorder symptoms (2013) · cites this paper as [22]
Table 4 (p. 297) reports inter-rater kappa above 0.7 for six of ten Axis I diagnoses. The paper’s discussion of the current study reports a median inter-rater kappa of 0.68 for categorical Axis II diagnoses, so the claim that most diagnoses exceeded 0.7 is not supported across both axes. (LLM, conf=0.87)
Experimental — accuracy not yet measuredThe PTSD module of the SCID has good test-retest reliability (0.78) and good inter-rater reliability (0.88).
“The PTSD module of the SCID has good test-retest reliability (0.78) and good inter-rater reliability (0.88).”
From Risk factors for posttraumatic stress disorder in persons with spinal cord injury (2012) · cites this paper as [28]
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Method
- Authors
- Zanarini, M. C., Skodol, A. E., Bender, D., Dolan, R., Sanislow, C., Schaefer, E., Morey, L. C., Grilo, C. M., Shea, M. T., McGlashan, T. H., & Gunderson, J. G.
- Affiliations
- Harvard University (US)
- Brown University (US)
- ORCID
- Venue
- Journal of Personality Disorders
- Publisher
- Guilford Publications
- Published
- 2000-12
- Volume
- 14
- Issue
- 4
- Pages
- 291-299
- ISSN
- 0885-579X (ISSN-L)
- OpenAlex
- W2146236789
- Cited by
- 771
- References
- 12
- Citations by year
- 2026: 6 · 2025: 6 · 2024: 12 · 2023: 14 · 2022: 13 · 2021: 25 · 2020: 20 · 2019: 25 · 2018: 38 · 2017: 31 · 2016: 46 · 2015: 47 · 2014: 47 · 2013: 41 · 2012: 63
- FWCI
- 18.75
- Type
- journal article
- Language
- en
- Open access
- green
- works.bepress.com
- Locations
- Journal of Personality Disorders (publishedVersion)
- PubMed (publishedVersion)
- Wesleyan University Digital Collections (Wesleyan University) (submittedVersion)
- Wesleyan University Digital Collections (Wesleyan University) (submittedVersion, public-domain)
- WESLEYAN
- Funders
- National Institute of Mental Health (R10 MH50850, R10 MH50837, R10 MH 50838, R10MH050850, R10MH050837, R10MH050840, R10MH050838, R10MH050839, R10 MH50839, R10 MH 50840)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Personality Disorders and Psychopathology
- Social Sciences › Decision Sciences › Statistics, Probability and Uncertainty › Reliability and Agreement in Measurement
- Social Sciences › Psychology › Clinical Psychology › Personality Traits and Psychology
- Keywords
- personality disorders, Axis I disorders, Axis II personality disorders, diagnostic reliability, inter-rater reliability, test-retest reliability, SCID-I, semi-structured interviews, antisocial personality disorder, narcissistic personality disorder, paranoid personality disorder, dysthymia
- MeSH terms
- Diagnosis, Differential, Female, Humans, Male, Personality Disorders, Psychiatric Status Rating Scales, Reproducibility of Results, Observer Variation
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