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Screening for Personality Disorders in Psychiatric Settings: Four Recently Developed Screening Measures

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Abstract

Prevalence rates for Personality Disorders are higher in psychiatric settings. Nonetheless, the presence of a personality disorder may go undetected for some time during the early phases of treatment. This is problematic as a failure to detect a Personality Disorder as part of the initial evaluation can result in less beneficial treatment plans, negative outcomes, and a more difficult treatment course. Nonetheless, the benefits of early detection must be weighed against practical considerations, including time and resources. Currently gold-standard assessment measures for Personality Disorders are lengthy and time consuming which may limit their practical utility. The present chapter reviews data on the importance of assessing for personality disorders, reviews the benefits of stage I (screening for Personality Disorders) and stage II (thorough evaluation for a Personality Disorder), and then reviews four recently developed measures that can be used as part of the personality disorder screening process. Information on more detailed measures for stage II assessment is also briefly presented and clinical implications are discussed.

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References

  1. Lewin TJ, Slade T, Andrews G, Carr VJ, Hornabrook CW. Assessing personality disorders in a national mental health survey. Social Psychiatry and Psychiatric Epidemiology 2005; 40: 87–98.

    Article  PubMed  Google Scholar 

  2. Zimmerman M, Rothschild L, Chelminski I. The Prevalence of DSM-IV Personality Disorders in Psychiatric Outpatients. American Journal of Psychiatry 2005; 162: 1911–1918.

    Article  PubMed  Google Scholar 

  3. Newton-Howes G, Tyrer P, Johnson T. Personality Disorders and the outcome of depression: meta-analysis of published studies. British Journal of Psychiatry 2006; 188: 13–20

    Article  PubMed  Google Scholar 

  4. Reich JH. The effects of Axis II disorders on the outcome of treatment of anxiety and unipolar depressive disorders: A review. Journal of Personality Disorders 2003; 15: 387–405.

    Article  Google Scholar 

  5. Reich JH, Vasile RG. Effects of personality disorders on the treatment outcome of Axis I conditions: An update. Journal of Nervous and Mental Disease 1993; 181: 475–484.

    Article  PubMed  Google Scholar 

  6. First MB, Gibbon M, Spitzer RI, Williams JB, Benjamin LS. Structured clinical interview for DSM-IV Axis II Personality Disorders. Washington, DC: American Press, 1997.

    Google Scholar 

  7. Langbehn DR, Pfohl BM, Reynolds S, Clark LW, Battaglia M, Bellodi L, Cadoret, R, Grove W, Pilkonis P, Links P. The Iowa personality disorder screen: Development and preliminary evaluation of a brief screening interview. Journal of Personality Disorders 1999; 13: 75–89.

    Article  PubMed  Google Scholar 

  8. Morse JQ, Pilkonis PA. Screening for personality disorders. Journal of Personality Disorders 2007; 21: 179–198.

    Article  PubMed  PubMed Central  Google Scholar 

  9. Kim Y, Pilkonis PA, Barkham M. Confirmatory factor analysis of the personality disorder subscales from the Inventory of Interpersonal Problems. Journal of Personality Assessment 1997; 69: 284–296.

    Article  PubMed  Google Scholar 

  10. Trull TJ, Amdur M. Diagnostic efficiency of the Iowa personality disorder screen items in a nonclinical sample. Journal of Personality Disorders 2001; 15: 351–357.

    Article  PubMed  Google Scholar 

  11. Dohrenwend B. “The problem of validity in field studies of psychological disorders” revisited. Psychological Medicine 1990; 20: 195–208.

    Article  PubMed  Google Scholar 

  12. Moran P, Leese M, Lee T, Walters P, Thornicroft G, Mann A. Standardised Assessment of Personality Scale (SAPAS): Preliminary validation of a brief screen for personality disorder. British Journal of Psychiatry 2003; 183: 228–232.

    Article  PubMed  Google Scholar 

  13. Kim Y, Pilkonis PA. Selecting the most informative items in the IIP scales for personality disorders: An application of item response theory. Journal of Personality Disorders 1999; 13: 157–174.

    Article  PubMed  Google Scholar 

  14. Mullins-Sweatt SN, Jamerson JE, Samuel DB, Olson DR, Widiger TA. Psychometric properties of an abbreviated instrument of the five-factor model. Assessment 2006; 13: 119–137.

    Article  PubMed  Google Scholar 

  15. Massion AO, Dyck I, Shea MT, Phillips KA, Warshaw MG, Keller MB. Personality disorders and time to remission in generalized anxiety disorder, social phobia, and panic disorder. Archives of General Psychiatry 2002; 59: 434–440.

    Article  PubMed  Google Scholar 

  16. Skodal AE, Gunderson JG, Shea MT, et al. The Collaborative Longitudinal Personality Disorders study (CLPS): Overview and implications. Journal of Personality Disorders 2005; 19: 487–504.

    Article  Google Scholar 

  17. Clarkin JF, Yeomans FE, Kernberg OF. Psychotherapy for borderline personality: Focusing on object relations. Washington, DC: American Psychiatric Publishing Inc, 2006.

    Google Scholar 

  18. Linehan, M. Skills training manual for treating borderline personality disorder. New York: Guilford Press, 1993.

    Google Scholar 

  19. Bell SA. Personality traits, problems, and disorders: Clinical application to substance use disorders. Journal of Research in Personality 2005; 39: 84–102.

    Article  Google Scholar 

  20. Harris EC, Barraclough B. Suicide as an outcome for mental disorders. A meta-analysis. British Journal of Psychiatry 1997; 170: 205–228.

    Article  PubMed  Google Scholar 

  21. Oldham JM, Skodal AE, Kellman HD et al. Comorbidity of Axis I and Axis II disorders. American Journal of Psychiatry 1995; 152: 571–578.

    Article  PubMed  Google Scholar 

  22. Egan S, Nathan P, Lumley M. Diagnostic concordance of ICD-10 personality and comorbid disorders: A comparison of standard clinical assessment and structured interviews in a clinical setting. Australian and New Zealand Journal of Psychiatry 2003; 37: 484–491.

    Article  PubMed  Google Scholar 

  23. Zimmerman M. Diagnosing personality disorders: A review of issues and research methods. Archives of General Psychiatry 1994; 51: 225–245.

    Article  PubMed  Google Scholar 

  24. Mann AH, Jenkins R, Cutting JC, et al. The development and use of a standardized assessment of abnormal personality. Psychological Medicine 1981; 11: 839–847.

    Article  PubMed  Google Scholar 

  25. Moran P, Rendu A, Jenkins R, et al. The impact of personality disorder in UK primary care: a 1-year follow-up of attenders. Psychological Medicine 2001; 31: 1447–1454.

    Article  PubMed  Google Scholar 

  26. Pfohl B, Blum N, Zimmerman M. Structured interview for DSM-IV personality SIDP-IV. Iowa City, IA. The University of Iowa, 1995.

    Google Scholar 

  27. Meyer B, Pilkonis PA. An attachment model of personality disorders. New York: Guilford Press, 2005.

    Google Scholar 

  28. Horowitz LM, Rosenberg SE, Baer BA, Ureño G, Villaseñor VS. Inventory of Interpersonal Problems: Psychometric properties and clinical applications. Journal of Consulting and Clinical Psychology 1988; 56: 885–892.

    Article  PubMed  Google Scholar 

  29. Pilkonis PA, Kim Y, Proietta JM, Barkham M. Scales for personality disorders developed from the Inventory of Interpersonal Problems. Journal of Personality Disorders 1996; 10: 355–369.

    Article  Google Scholar 

  30. Embretson S. The new rules of measurement. Psychological Assessment 1996; 8: 341–349.

    Article  Google Scholar 

  31. Lynman DR, Widiger TA. Using the Five-Factor Model to represent the DSM-IV personality disorder: An expert consensus approach. Journal of Abnormal Psychology 2001; 110: 401–42

    Article  Google Scholar 

  32. Costa PT, McCrae RR. Domains and facets: Hierarchical personality assessment using the revised NEO personality inventory. Journal of Personality Assessment 1995; 64: 21–50.

    Article  PubMed  Google Scholar 

  33. Miller JD, Reynolds SK, Pilkonis PA. The validity of the Five-Factor Model prototypes for personality disorders in two clinical samples. Psychological Assessment 2004; 16: 310–322.

    Article  PubMed  Google Scholar 

  34. Costa PT, Widiger TA. Personality disorders and the five-factor model of personality. (2nd edition). Washington DC US: American Psychological Association, 2002.

    Book  Google Scholar 

  35. Saulsman LM, Page AC. The five-factor model and personality disorder empirical literature: A meta-analytic review. Clinical Psychology Review 2004; 23: 1055–1085.

    Article  PubMed  Google Scholar 

  36. Widiger TA, Costa PT, McCrae RR. A proposal for Axis II: Diagnosing personality disorders using the five-factor model. In TA Widiger & PT Costa (Eds.) Personality disorders and the five-factor model of personality (2nd ed., pp. 431–456). New York: Oxford University Press, 2002.

    Chapter  Google Scholar 

  37. McCrae RR, Lockenhoff CE, Costa, PT. A step Toward DSM-V: Cataloguing personality-related problems in living. European Journal of Personality 2005; 19: 269–286.

    Article  Google Scholar 

  38. Widiger TA, Costa PT, McCrae RR. A proposal for Axis II: Diagnosing personality disorders using the Five-Factor Model. In PT Cost & TA Widiger (Eds.), Personality Disorders and the five-factor model of personality (2nd edition); Washington, DC: American Psychological Association 2002; 431–456.

    Chapter  Google Scholar 

  39. Samuel DB, Widiger TA. Clinicians’ personality descriptions of prototypic personality disorders. Journal of Personality Disorders 2004; 16: 55–62.

    Google Scholar 

  40. Widiger TA, Mangine S, Corbittt EM, Ellis CG, Thomas GV. Personality disorder interview-IV: A semistructured interview for the assessment of personality disorders. Odessa, FL: Psychological Assessment Resources, 1995.

    Google Scholar 

  41. Loranger AW, Sartorius N, Andreoli A, et al. The international Personality Disorder Examination: The WHO/ADAMHA International pilot study of personality disorders. Archives of General Psychiatry 1994; 51: 215–224.

    Article  PubMed  Google Scholar 

  42. Trull TJ, Widiger TA. Structured Interview for the five-factor model of personality (SIFFM): Professionals manual. Odessa, FL: Psychological Assessment Resources, 1997.

    Google Scholar 

  43. Hyler, SE. Personality questionnaire, PDQ-4 +. New York, NY: New York State Psychiatric Institute, 1994.

    Google Scholar 

  44. Millon T, Millon C, Davis R. Millon clinical inventory-III manual, Minneapolis MN: National Computer Systems, 1994.

    Google Scholar 

  45. Loranger AW. The OMNI personality inventories professional manual. Odessa, FL: Psychological Assessment Resources, 2001.

    Google Scholar 

  46. Rivas-Vazquez, R, Blais, M. Pharmacological treatment of personality disorders, Professional Psychology: Research and Practice, 2002, 33, 104–107.

    Article  Google Scholar 

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Correspondence to Caleb J. Siefert .

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Siefert, C.J. (2009). Screening for Personality Disorders in Psychiatric Settings: Four Recently Developed Screening Measures. In: Baer, L., Blais, M.A. (eds) Handbook of Clinical Rating Scales and Assessment in Psychiatry and Mental Health. Current Clinical Psychiatry. Humana Press, Totowa, NJ. https://doi.org/10.1007/978-1-59745-387-5_6

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  • DOI: https://doi.org/10.1007/978-1-59745-387-5_6

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  • Publisher Name: Humana Press, Totowa, NJ

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