Psychometric characteristics of the cluster B personality disorders under DSM-III-R and DSM-IV.

Abstract:

:A stated goal for the latest revision of the DSM was improving the performance of the Axis II system. To evaluate the degree to which this goal was achieved, we performed a psychometric analysis of the Cluster B personality disorders (PD) as they are defined under the DSM-III-R and its successor the DSM-IV. Ninety-four patients with a primary PD diagnosis were rated for the presence of DSM-III-R and DSM-IV Cluster B PD criteria. From this symptom level data, the convergence, divergence, and internal consistency of the Cluster B criteria sets were determined. Also, kappa values were computed between the DSM-III-R and DSM-IV versions of these disorders as an index of coverage or agreement across the two systems. The results indicated that, in general, the DSM-IV Cluster B PDs represent an improvement over their DSM-III-R predecessors. However, some psychometric limitations, particularly regarding the convergence of the criteria sets, continue to be present.

journal_name

J Pers Disord

authors

Blais MA,Hilsenroth MJ,Castlebury FD

doi

10.1521/pedi.1997.11.3.270

subject

Has Abstract

pub_date

1997-10-01 00:00:00

pages

270-8

issue

3

eissn

0885-579X

issn

1943-2763

journal_volume

11

pub_type

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