The Middlesex Hospital Questionnaire: A Validity Study with American Psychiatric Patients

1981 ◽  
Vol 139 (4) ◽  
pp. 336-340 ◽  
Author(s):  
Matig Mavissakalian ◽  
Larry Michelson
Keyword(s):  
Personality Disorder ◽  
Psychiatric Disorder ◽  
Personality Disorders ◽  
Screening Test ◽  
Psychiatric Patients ◽  
Validity Study ◽  
Phobic Disorders ◽  
American Sample ◽  
Middlesex Hospital

SummaryThe Middlesex Hospital Questionnaire (MHQ) was used as a screening test for psychiatric disorder in 169 new outpatients. The profile obtained on the six subscales of the MHQ was strikingly similar in this American sample compared to four previous British reports. The MHQ significantly differentiated between diagnostic groups, most particularly between neuroses and personality disorders. Moreover, 75 per cent of the patients could be correctly classified as either neurosis or personality disorder on the basis of their MHQ total and subscale scores. The MHQ appears to be particularly useful in identifying phobic disorders, and the phobia subscale consistently discriminated between anxiety-phobic states and other diagnostic groups.

Socialization Scores in Psychiatric Patients and Their Implications for the Diagnosis of Personality Disorders

1986 ◽  
Vol 31 (2) ◽  
pp. 138-141 ◽  
Author(s):  
Kevin Standage
Keyword(s):  
Personality Disorder ◽  
Parental Care ◽  
Personality Disorders ◽  
General Hospital ◽  
Clinical Diagnosis ◽  
Psychiatric Patients ◽  
Psychiatric Service ◽  
Strong Association

The distribution scores on the Socialization (So) scale of the California Psychologial Inventory was examined in a series of 83 admissions to a general hospital psychiatric service. The series was divided into groups of low and high scorers (Low So and High So). Low So scorers were younger than high scorers and had a raised mean Neuroticism score. A strong association was found between So scores and the quality of parental care which patients reported receiving from their fathers. Other parental attributes are reported. Patients with a clinical diagnosis of personality disorder were found in the Low So, but not the High So group.

scholarly journals Standardization and Validation of the Personality Disorder Inventory PSGP-IPDI

2019 ◽  
Vol 7 (1) ◽  
pp. 112-122
Author(s):  
K Abilash ◽  
P Sindhuja Manisha Kamini ◽  
T Jothimani
Keyword(s):  
Personality Disorder ◽  
Psychiatric Disorder ◽  
Internal Consistency ◽  
Psychiatric Patients ◽  
Personality Inventory ◽  
Clinical Population ◽  
Positive Correlation ◽  
Characteristic Behavior ◽  
The Individual ◽  
The Relationship

Background: Personality is the dynamic organization within the individual of those psychophysical systems that determine characteristic behavior and thought. Aim: To standardize and validate personality disorder inventory in clinical population. Methods and Samples: 100 Psychiatric patients were taken as a sample as a clinical population in various hospital Coimbatore age ranged 28 – 58. PSGP- IPDI- Indian Personality Disorder Inventory assessed for 100 psychiatric disorder individuals. Results: The relationship among the disorders of the personality inventory shows both positive and negative correlations among the dimensions most of the dimensions exhibited positive correlation. The internal consistency of the inventory is reliable.Conclusion: The personality disorder inventory is reliable and significant and this tool can be administered on the clinical population.

Classification of Personality Disorder

1979 ◽  
Vol 135 (2) ◽  
pp. 163-167 ◽  
Author(s):  
Peter Tyrer ◽  
John Alexander
Keyword(s):  
Cluster Analysis ◽  
Factor Analysis ◽  
Personality Disorder ◽  
Personality Disorders ◽  
Psychiatric Patients ◽  
Interview Schedule ◽  
Personality Variables ◽  
Current Classification ◽  
Personality Disordered

SummaryAn interview schedule was used to record the personality traits of 130 psychiatric patients, 65 with a primary clinical diagnosis of personality disorder and 65 with other diagnoses. The results were analysed by factor analysis and three types of cluster analysis. Factor analysis showed a similar structure of personality variables in both groups of patients, supporting the notion that personality disorders differ only in degree from the personalities of other psychiatric patients. Cluster analysis revealed five discrete categories; sociopathic, passive-dependent, anankastic, schizoid and a non-personality-disordered group. Of all the personality-disordered patients 63 per cent fell into the passive-dependent or sociopathic category. The results suggest that the current classification of personality disorder could be simplified.

Assessment of DSM–III–R Personality Disorders by Self-Report Questionnaire: the Role of Informants and a Screening Test for Co-morbid Personality Disorders (STCPD)

1992 ◽  
Vol 161 (3) ◽  
pp. 344-352 ◽  
Author(s):  
J. H. Dowson
Keyword(s):  
Cluster Analysis ◽  
Personality Disorders ◽  
Screening Test ◽  
Psychiatric Patients ◽  
Self Report ◽  
The Mean

A modified version of the revised Personality Diagnostic Questionnaire (PDQ–R), based on DSM–III–R personality disorders (PDs), was completed by 60 psychiatric patients. An informant's version was also completed by 60 relatives or friends nominated by each subject. Discrete DSM–III–R PDs were rare; the mean number of PDs per subject was 4.5. Cluster analysis showed that only antisocial PD was a basis for classification of patients, while most patients formed two groups which were mainly distinguished by quantitative differences related to the total scores of positive PD criteria. A shorter version of the questionnaire can be used as a screening test for co-morbid PDs (STCPD) which can predict the number of co-morbid DSM–III–R PDs. The total scores of positive PD criteria from the STCPD were usually (and significantly) higher than the corresponding scores from informants' questionnaires but when an informant's total score exceeded that of the patient, this indicated a subject's under-reporting.

scholarly journals Unrecognised psychopathology in patients with difficult asthma: major mental and personality disorders

BJPsych Open ◽  
2015 ◽  
Vol 1 (1) ◽  
pp. 14-17 ◽  
Author(s):  
Lonneke C.J. Prins ◽  
Maarten J.M. van Son ◽  
Anton R.J. van Keimpema ◽  
Jan-Willem G. Meijer ◽  
Martina E.F. Bühring ◽  
...  
Keyword(s):  
Personality Disorder ◽  
Psychiatric Disorder ◽  
Personality Disorders ◽  
Psychiatric Treatment ◽  
Somatoform Disorders ◽  
Diagnostic Interview ◽  
Obsessive Compulsive ◽  
Clinical Interviews ◽  
Major Mental Disorder ◽  
Difficult Asthma

BackgroundDifficult asthma is a severe subgroup of asthma in which the main feature is uncontrollability of symptoms. Psychopathology is suggested to be prominent in patients with difficult asthma and considered important in its treatment; however, the evidence is scarce.AimsTo describe psychopathology in difficult asthma, both major mental and personality disorders, based on diagnostic interviews.MethodThis study was conducted in a specialised asthma care centre. A total of 51 patients with difficult asthma were diagnosed at the start of the treatment programme using two structured clinical interviews for both major mental (SCID-I) and personality disorders (SCID-II) according to DSM-IV-TR.ResultsAbout 55% of the patients with difficult asthma had a psychiatric disorder of which 89% was undiagnosed and untreated before being interviewed. About 49% had a minimum of one major mental disorder of which the cluster of anxiety disorders was the most common cluster of major mental disorders, followed by somatoform disorders. About 20% were diagnosed with a personality disorder. Of the 10 patients with a personality disorder, 9 had an obsessive-compulsive personality disorder.ConclusionsThis study demonstrates that more than half of patients with difficult asthma had a psychiatric disorder of which 89% was unrecognised. This study highlights the importance of offering patients with difficult asthma a psychiatric diagnostic interview and/or a psychiatric consultation as part of their routine medical examination and provision of appropriate psychiatric treatment. Moreover, it highlights the urgency of further research into the role of psychopathology in the development of difficult asthma.

scholarly journals Accurate recording of personality disorder in clinical practice

2018 ◽  
Vol 42 (4) ◽  
pp. 135-136 ◽  
Author(s):  
Peter Tyrer
Keyword(s):  
Clinical Practice ◽  
Personality Disorder ◽  
Psychiatric Disorder ◽  
Mental Disorder ◽  
Psychiatric Patients ◽  
Secondary Diagnosis ◽  
Official Statistics ◽  
Proper Understanding ◽  
Longitudinal Course

SummaryDisturbances of personality are recorded very poorly in official statistics, but there are signs that this is changing. For many years, personality disorder has been either regarded as a secondary diagnosis that can be forgotten in the presence of another mental disorder, or avoided as the diagnosis gives the impression of untreatability or stigma. What is now abundantly clear is that under-diagnosis of personality disorder represents a disservice to patients and practitioners. It prevents a proper understanding of the longitudinal course of psychiatric disorder and an appreciation of some of the positive aspects of abnormal personality that can be used in treatment. We must no longer bury personality disorder, ostrich-like, in the diagnostic sand. It is there for the asking and needs to be embraced honestly and without fear if we are to improve the management of psychiatric patients.Declaration of interestNone.

Who gives the most reliable account of a psychiatric patient's personality?

1992 ◽  
Vol 9 (2) ◽  
pp. 90-93 ◽  
Author(s):  
Judith Brothwell ◽  
Patricia R Casey ◽  
Peter Tyrer
Keyword(s):  
Individual Differences ◽  
Psychiatric Disorder ◽  
Personality Disorders ◽  
Personality Assessment ◽  
Significant Variation ◽  
Psychiatric Patients ◽  
Diagnostic Information ◽  
Parametric Statistics ◽  
Reliable Informant ◽  
Non Parametric

AbstractObjective: To compare the perceived accuracy of diagnostic information derived from psychiatric patients and a range of other informants using a schedule for assessing personality disorders (Personality Assessment Schedule). Method: The Personality Assessment Schedule includes a rating of reliability of the information obtained from whatever source. A record was made of these reliability scores in 405 patients with psychiatric disorder; 146 with both subjects and other informants and 259 with the informant only, and analysed using non-parametric statistics. Results: There was significant variation in the distribution of scores among the four psychiatrists who rated 232 of the interviews with informants, suggesting that inter-individual differences are paramount in deciding who is a reliable informant. Nevertheless, the views of other informants when they were spouses or cohabitees were judged to be more accurate than those of other relatives or acquaintances. No differences were found in the perceived reliability of data from subjects and informants when both were interviewed separately. Conclusions: Subjects and informants are judged to be equally reliable in giving assessments of personality status but the informants who have the closest relationship to subjects, spouses and cohabitees, are judged superior to informants of more distant immediate relationship in the accuracy of their information about personality status.

scholarly journals Personality Disorders Psychiatric and Psychotherapeutic Practices

2015 ◽  
Vol 2 (4) ◽  
Author(s):  
Dr. Meghamala. S. Tavaragi ◽  
Mrs. Sushma. C ◽  
Mr. Susheelkumar V. Ronad
Keyword(s):  
Personality Disorder ◽  
Personality Disorders ◽  
Couples Therapy ◽  
Therapy Group ◽  
Psychiatric Patients ◽  
Therapeutic Communities ◽  
Milieu Therapy ◽  
Personality Dysfunction ◽  
History Of Use ◽  
Self Help Groups

Personality disorder is a common and chronic disorder. Its prevalence is estimated between 10 and 20 percent in the general population, this means that at least one in every five to ten individuals in the community has personality disorder. In general, personality disorders are diagnosed in 40–60 percent of psychiatric patients, making them the most frequent of all psychiatric diagnoses. Personality disorders are a class of mental disorders characterized by enduring maladaptive patterns of behavior, cognition and inner experience, exhibited across many contexts and deviating markedly from those accepted by the individual’s culture. There are many different forms (modalities) of treatment used for personality disorders: Individual psychotherapy has been a mainstay of treatment. There are long-term and short-term (brief) forms; Family therapy including couples therapy; Group therapy for personality dysfunction is probably the second most used; Psychological-education may be used as an addition; Self-help groups may provide resources for personality disorders; Psychiatric medications for treating symptoms of personality dysfunction or co-occurring conditions; Milieu therapy, a kind of group-based residential approach, has a history of use in treating personality disorders, including therapeutic communities.

scholarly journals Challenges assessing personality disorders with the SCID-5-PD in psychiatric patients

2020 ◽  
Author(s):  
Mateo Boberg ◽  
Simon Felding ◽  
Lennart Bertil Jansson ◽  
Julie Nordgaard
Keyword(s):  
Personality Disorder ◽  
Personality Disorders ◽  
Clinical Diagnosis ◽  
Clinical Assessment ◽  
Psychiatric Patients ◽  
Borderline Personality ◽  
Schizophrenia Spectrum ◽  
Icd 10 ◽  
Schizotypal Disorder ◽  
Diagnostic Outcomes

Abstract Background: The SCID-5-PD is frequently used to diagnose personality disorders. The aim of this study is to compare the diagnostic outcomes of the SCID-5-PD with expert clinical assessment in an ICD-10 setting. Methods: A random sample of a total of 30 psychiatric in- and outpatients (mean age = 34 ± 16, 17 males and 13 females) went through a comprehensive clinical assessment conducted by experts. Subsequently, the patients were assessed with the SCID-5-PD by specifically trained novice raters. Results: 55% (n=11) of patients with clinical diagnosis within the schizophrenia spectrum were allocated one or more diagnoses of personality disorder according to the SCID-5-PD, primarily borderline personality disorder (n=6). In contrast, of all patients with a clinical diagnosis outside the schizophrenia spectrum, only one patient qualified for a diagnosis of personality disorder with the SCID-5-PD. Meanwhile, 70% (n=7) of patients with a clinical diagnosis of ICD-10 schizotypal disorder did not meet the criteria for this disorder when assessed with the SCID-5-PD. Conclusions: When considering a differential diagnosis within the schizophrenia spectrum, outcomes from the SCID-5-PD should be interpreted cautiously.

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