Interrater Reliability of ICD-10 Guidelines for the Diagnosis of Personality Disorders

1994 ◽  
Vol 8 (2) ◽  
pp. 89-95 ◽  
Author(s):  
S. Merson ◽  
P. Tyrer ◽  
P. Duke ◽  
F. Henderson
Keyword(s):  
Personality Disorders ◽  
Interrater Reliability ◽  
Icd 10

scholarly journals Personality Disoder and Their Judicial- Psychiatric-estimation of the Russian Federation

2009 ◽  
Vol 24 (S1) ◽  
pp. 1-1
Author(s):  
S. Vasyukov ◽  
A. Baeva
Keyword(s):  
Personality Disorder ◽  
Mental Disorders ◽  
Personality Disorders ◽  
Criminal Law ◽  
Criminal Liability ◽  
Icd 10 ◽  
The Subject ◽  
The Russian Federation ◽  
The Moment ◽  
Diminished Responsibility

In modern Russian criminal law means diminished responsibility, that the subject is not capable to regulate meaningly legally significant behaviour at the moment of socially dangerous act. Such disability comes at presence if the subject has the chronic or time mental disorder, an aphrenia or other disease state of mentality. The specified clinical phenomena define medical criterion of diminished responsibility. Special interest represents disorders which in ICD- 10 concern to «Personality Disorders» (F60-F68). Here mental disorders which have no so-called remedial basis are meant, or in their structure it is impossible to note signs of weakening process. At the same time they not only qualitatively differ from the accepted norm, but also under known conditions possess that depth or expression that can be regarded as medical criterion of the formula of diminished responsibility. The research which has been spent in the Department of psychogenias and personality disorders of Institute of Serbsky included 80 men at the age from 20 till 45 years by which the diagnosis «Personality disorder» was established. It has shown that there can be 3 variants of influence on responsibility: they can cause full loss of liability; can essentially reduce the criminal liability; their presence can be neutral and not render influences on liability. The analysis of expert judgements shows, that in expert judgements about disability of the subject to regulate the behaviour meaningly it is necessary to estimate components both medical, and psychological criteria of diminished responsibility.

Diagnosis and classification of personality disorders

2012 ◽  
pp. 855-860
Author(s):  
James Reich ◽  
Giovanni de Girolamo
Keyword(s):  
Personality Disorder ◽  
Personality Disorders ◽  
Assessment Methods ◽  
Icd 10 ◽  
Diagnosis And Classification ◽  
Dsm Iv ◽  
Similarities And Differences ◽  
Different Cultures

There has been considerable interest in the study of personality and personality disorder (PD) since early times and in many different cultures. This chapter covers definitions of personality disorders, ICD and DSM classifications of personality disorders, similarities and differences between ICD-10 and DSM-IV, recent changes in the conceptualization of DSM personality disorders, categorical versus dimensional styles of classification, and assessment methods for personality disorders.

The interrater reliability of a Dutch version of the Structured Clinical Interview for DSM-III-R Personality Disorders

1992 ◽  
Vol 85 (5) ◽  
pp. 394-400 ◽  
Author(s):  
A. Arntz ◽  
B. Beijsterveldt ◽  
R. Hoekstra ◽  
A. Hofman ◽  
M. Eussen ◽  
...  
Keyword(s):  
Personality Disorders ◽  
Interrater Reliability ◽  
Clinical Interview ◽  
Dutch Version

Personality disorder and suicide

1997 ◽  
Vol 170 (5) ◽  
pp. 441-446 ◽  
Author(s):  
Andrew T. A. Cheng ◽  
A. H. Mann ◽  
K. A. Chan
Keyword(s):  
Personality Disorder ◽  
Personality Disorders ◽  
Psychiatric Disorders ◽  
Ethnic Groups ◽  
Severe Depression ◽  
Han Chinese ◽  
Main Category ◽  
Icd 10 ◽  
Emotionally Unstable Personality Disorder ◽  
Aboriginal Groups

BackgroundThe relationships between personality disorders and suicide were investigated among two aboriginal groups and the Han Chinese in East Taiwan.MethodBiographical reconstructive interviews were conducted for consecutive suicides from each of the three ethnic groups (116 suicides in total), 113 of whom were matched with two controls for age, gender, and area of residence.ResultsIn all three groups, a high proportion of suicides suffered from ICD-10 personality disorder before suicide (46.7–76.7%), and the most prevalent category was emotionally unstable personality disorder (F60.3) (26.7–56.7%). The risk for suicide was mainly significantly associated with F60.3, comorbidity among personality disorders, and comorbidity of personality disorder with other psychiatric disorders, particularly severe depression.ConclusionThe main category of personality disorder significantly associated with the risk of suicide is F60.3 in ICD-10. The risk is highest for a comorbidity of this category and severe depression.

Feasibility, Suitability, and Interrater Reliability of ICD-10 During Different Stages of the ICD-10 Field Trial

1990 ◽  
Vol 23 (S 4) ◽  
pp. 188-191 ◽  
Author(s):  
R. Stieglitz ◽  
M. Zaudig ◽  
H. Freyberger ◽  
V. Dittmann
Keyword(s):  
Field Trial ◽  
Interrater Reliability ◽  
Icd 10

Leading cause of re-hospitalization in an Italian acute psychiatric unit: preliminary results

2011 ◽  
Vol 26 (S2) ◽  
pp. 512-512
Author(s):  
T. Attili ◽  
A.R. Atti ◽  
F. Moretti ◽  
E. Pedrini ◽  
M. Forlani ◽  
...  
Keyword(s):  
Personality Disorders ◽  
Social Stress ◽  
Psychiatric Rehabilitation ◽  
Northern Italy ◽  
Rehabilitation Service ◽  
Precipitating Factors ◽  
Psychiatric Unit ◽  
Family Conflicts ◽  
Icd 10 ◽  
Informatic System

ObjectivesTo describe the leading cause of re-hospitalization in an Acute Psychiatric Unit of a general hospital in Bologna, Northern Italy.MethodsAll repeated admissions (>3consecutive admissions in 18 months) were recorded thanks to the Hospital Informatic System. Case-history were reviewed to collect information, diagnoses were based on the ICD-10.ResultsIn the indexed period, 392 admissions were registered for 152 patients (mean age 44; 46,1% women). At least one precipitating cause was present in 64% of admissions. The most frequent were psycho-social stress such as family conflicts, parental separations, relational problems, job or economic difficulties (39%). The co-occurrence of 2+ of such factors was common (20%). Tricky situation within the psychiatric rehabilitation service (20%), low compliance to treatments (7%), alcohol/drugs abuse (7%), and low insight (3%) were the remaining associated factors. All the re-admissions of patients with poor insight or reduced compliance were due to the same cause. Poor adherence to therapies was more frequent in bipolar disorder compared with other diagnosis (17%vs7%, p<0.005). In patients affected by personality disorders the contemporary presence of 2 or more factors was needed in 40% of admissions. Patients with schizophrenia showed the most hetherogeneous pattern of precipitating factors.ConclusionsRegardless of diagnoses, in almost a half of the admissions a single psycho-social stress is sufficient to lead to re-hospitalization; in personality disorders the contemporary presence of 2+ stressors is needed to overcome the capacity compensation of the patient. Low insight is frequently associated to re-admissions. Tailored treatments might reduce the frequency of re-hospitalization.

Diagnostic Concordance of ICD-10 Personality and Comorbid Disorders: A Comparison of Standard Clinical Assessment and Structured Interviews in a Clinical Setting

2003 ◽  
Vol 37 (4) ◽  
pp. 484-491 ◽  
Author(s):  
Sarah Egan ◽  
Paula Nathan ◽  
Margaret Lumley
Keyword(s):  
Personality Disorders ◽  
Clinical Assessment ◽  
Clinical Setting ◽  
Clinical Interview ◽  
Assessment Tools ◽  
Structured Interviews ◽  
Standard Assessment ◽  
Icd 10 ◽  
Diagnostic Concordance ◽  
Diagnostic Sensitivity And Specificity

Objective: The diagnosis of personality disorders is one of the most problematic areas in psychiatric diagnosis. Diagnoses are usually made by standard clinical interview, but they have poor reliability. The aim of this study was to compare the concordance in diagnosis between structured assessment tools and assessment as usual in a clinical setting. Method: Diagnosis of 33 patients on the International Personality Disorder Examination (IPDE) and the Mini International Neuropsychiatric Interview (MINI) was compared to diagnosis made by standard assessment through clinical interview. Results: There was poor concordance between structured measures and standard assessment by clinical interview, and poor levels of diagnostic sensitivity and specificity on standard assessment. Conclusion: Structured measures were more comprehensive, sensitive and specific in diagnosis than standard clinical assessment. Increased diagnostic accuracy is needed for effective understanding and treatment planning for personality disorders.

scholarly journals Expert Evaluation of «Another Unhealthy Conditions»

2009 ◽  
Vol 24 (S1) ◽  
pp. 1-1 ◽  
Author(s):  
S. Danilova
Keyword(s):  
Personality Disorder ◽  
Mental Disorders ◽  
Personality Disorders ◽  
Cognitive Disorders ◽  
Expert Evaluation ◽  
Schizoid Personality ◽  
Schizoid Personality Disorder ◽  
Paranoid Personality Disorder ◽  
Icd 10 ◽  
Mental Pathology

Patients who have had chronic mental disorders, another unhealthy conditions, mental retardation are considered to be irresponsible. Special interest represent is disorders, which expect as “another unhealthy conditions”. Mental disorders consider without process basis (pathokinesis have has chronic or acute psychosis), dementia. Another unhealthy conditions is quality differences from mental standard, but it does happen expressive that does irresponsible.56 men have been examined in the department of Personality Disorders and psyhogenias. Age: 20-60 years old. Disorders experts as “another unhealthy conditions” includes of the Classification ICD-10: Personality Disorders (F 60 - F 61), organic Personality Disorders (F 06.3 - F 07.9), mentally retardness of slight degree with breach of behaviour (F 70.1). Diagnosis of Paranoid Personality Disorder and Schizoid Personality Disorder were most common.Analysis of expert evaluation is show that it is necessary to estimate psychological criteria of irresponsibility. Analysis of pathological symptoms, structure of personality and cognitive disorders, disposition of crime, situational and motivational factors are show that it is necessary to estimate a depth of mental pathology, disturbance of critical abless and defects of personality and intellectual functions to expects conclusions of irresponsibility.

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