Interrater reliability of criterion A of the alternative model for personality disorder (Diagnostic and Statistical Manual for Mental Disorders, Fifth Edition-Section III): A meta-analysis.

Personality disorders Pub Date : 2023-11-01 Epub Date: 2023-05-25 DOI:10.1037/per0000631
Samantha E Young, Peter Beazley
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引用次数: 1

Abstract

The alternative model for personality disorder (AMPD) is currently included in Section III of the Diagnostic and Statistical Manual for Mental Disorders, Fifth Edition (DSM-5). This review sought to summarize the literature concerning the interrater reliability (IRR) of the AMPD. Despite high heterogeneity, meta-analysis provided tentative support for the IRR of Criterion A of the AMPD, with pooled intraclass correlation coefficients (ICCs) for the Level of Personality Functioning Scale (LPFS) and its domains falling above DSM acceptability levels. Subgroup analysis of the LPFS suggested IRR scores could be improved by using a specific AMPD Structured Clinical Interview (SCI). Further research should in particular consider the IRR of Criterion B elements of the AMPD and overall PD diagnosis, where insufficient data were available to draw conclusions in the present study. (PsycInfo Database Record (c) 2023 APA, all rights reserved).
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人格障碍替代模型标准A的询问者信度(《精神障碍诊断与统计手册》第五版第三节):荟萃分析。
人格障碍(AMPD)的替代模型目前包含在《精神障碍诊断和统计手册》第五版(DSM-5)的第三节中。这篇综述试图总结有关AMPD的参与者间可靠性(IRR)的文献。尽管异质性很高,但荟萃分析为AMPD标准A的IRR提供了初步支持,人格功能水平量表(LPFS)及其领域的合并组内相关系数(ICCs)低于DSM可接受水平。LPFS的亚组分析表明,使用特定的AMPD结构化临床访谈(SCI)可以提高IRR评分。进一步的研究应特别考虑AMPD的标准B元素的IRR和整体PD诊断,因为在本研究中没有足够的数据来得出结论。(PsycInfo数据库记录(c)2023 APA,保留所有权利)。
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