Skip to main content
Published Online:https://doi.org/10.1027//1015-5759.16.1.53

Summary: Short-term stability or test-retest reliability of self-reported personality traits is likely to be biased if the respondent is affected by a depressive or anxiety state. However, in some studies, DSM-oriented self-reported instruments have proved to be reasonably stable in the short term, regardless of co-occurring depressive or anxiety disorders. In the present study, we examined the short-term test-retest reliability of a new self-report questionnaire for personality disorder diagnosis (DIP-Q) on a clinical sample of 30 individuals, having either a depressive, an anxiety, or no axis-I disorder. Test-retest scorings from subjects with depressive disorders were mostly unstable, with a significant change in fulfilled criteria between entry and retest for three out of ten personality disorders: borderline, avoidant and obsessive-compulsive personality disorder. Scorings from subjects with anxiety disorders were unstable only for cluster C and dependent personality disorder items. In the absence of co-morbid depressive or anxiety disorders, mean dimensional scores of DIP-Q showed no significant differences between entry and retest. Overall, the effect from state on trait scorings was moderate, and it is concluded that test-retest reliability for DIP-Q is acceptable.

References

References

  • Alnaes, R. Torgersen, S. (1988). DSM-III symptom disorders (Axis I) and personality disorders (Axis II) in an outpatient population. Acta Psychiatrica Scandinavica, 78, 348– 355 First citation in articleCrossrefGoogle Scholar

  • Alnaes, R. Torgersen, S. (1990). DSM-III personality disorders among patients with major depression, anxiety disorders and mixed conditions. The Journal of Nervous and Mental Disease, 178, 693– 698 First citation in articleCrossrefGoogle Scholar

  • American Psychiatric Association (1994). Diagnostic and statistical manual of mental disorders (4th ed.). Washington, DC: American Psychiatric Association First citation in articleGoogle Scholar

  • Bodlund, O. Kullgren, G. Ekselius, L. Lindström, E. von Knorring, L. (1994). Axis V - global assessment of functioning: Evaluation of a self-report version. Acta Psychiatrica Scandinavica, 90, 342– 347 First citation in articleCrossrefGoogle Scholar

  • Bodlund, O. Grann, M. Ottosson, H. Svanborg, C. (1998). Validation of the self-report questionnaire DIP-Q in diagnosing DSM-IV personality disorders: A comparison of three psychiatric samples. Acta Psychiatrica Scandinavica, 97, 433– 439 First citation in articleCrossrefGoogle Scholar

  • Bronisch, T. Klerman, G.L. (1991). Personality functioning: Change and stability in relationship to symptoms and psychopathology. Journal of Personality Disorders, 5, 4 307– 317 First citation in articleCrossrefGoogle Scholar

  • Grilo, M.G. McGlashan, T.H. Quinlan, D.M. Walker, M.L. Greenfeld, D. Edell, W.S. (1998). Frequency of personality disorders in two age cohorts of psychiatric inpatients. American Journal of Psychiatry, 155, 140– 142 First citation in articleCrossrefGoogle Scholar

  • Cicchetti, D.V. Sparrow, S.A. (1981). Developing criteria for establishing interrater reliability of specific items: Applications to assessment of adaptive behavior. American Journal of Mental Deficiency, 86, 127– 137 First citation in articleGoogle Scholar

  • Cohen, J. (1960). A coefficient of agreement for nominal scales. Educational and Psychological Measurement, 20, 37– 46 First citation in articleCrossrefGoogle Scholar

  • Farmer, R. Nelson-Gray, R.O. (1990). Personality disorders and depression: Hypothetical relations, empirical findings and methodological considerations. Clinical Psychology Review, 10, 453– 476 First citation in articleCrossrefGoogle Scholar

  • Hare, R.D. McPherson, L.M. Forth, A.E. (1988). Male psychopaths and their criminal careers. Journal of Consulting and Clinical Psychology, 56, 710– 714 First citation in articleCrossrefGoogle Scholar

  • Hirschfeld, R.M.A. Klerman, G.L. Clayton, P.J. Keller, M.B. McDonald-Scott, P. Larkin, B.H. (1983). Assessing personality: Effects of the depressive state on trait measurement. American Journal of Psychiatry, 140, 695– 699 First citation in articleCrossrefGoogle Scholar

  • Hurt, S.W. Hyler, S.E. Frances, A. (1984). Assessing borderline personality disorder with self-report, clinical interview or semi-structured interview. American Journal of Psychiatry, 141, 1228– 1231 First citation in articleCrossrefGoogle Scholar

  • Kullgren, G. Armelius, B.A. (1990). The concept of personality organization: A long-term comparative follow-up study with special reference to borderline personality organization. Journal of Personality Disorders, 4, 2 203– 212 First citation in articleCrossrefGoogle Scholar

  • McGlashan, T.H. (1986). The Chestnut Lodge follow-up study III. Archives of General Psychiatry, 43, 20– 30 First citation in articleCrossrefGoogle Scholar

  • Ottosson, H. Bodlund, O. Ekselius, L. von Knorring, L. Kullgren, G. Lindström, E. Söderberg, S. (1995). The DSM-IV and ICD-10 Personality Questionnaire (DIP-Q) construction and preliminary validation. Nordic Journal of Psychiatry, 49, 285– 291 First citation in articleCrossrefGoogle Scholar

  • Ottosson, H. Bodlund, O. Ekselius, L. Grann, M. von Knorring, L. Kullgren, G. Lindström, E. Söderberg, S. (1998). DSM-IV and ICD-10 personality disorders: A comparison of a self-report questionnaire (DIP-Q) with a structured interview. European Psychiatry, 13, 246– 253 First citation in articleCrossrefGoogle Scholar

  • Quimette, P.C. Klein, D.N. (1995). Test-retest stability, mood-state dependence, an informant-subject concordance of the SCID-Axis II questionnaire in a nonclinical sample. Journal of Personality Disorders, 9, 2 105– 111 First citation in articleCrossrefGoogle Scholar

  • Reich, J. Noyes, R. Coryell, W. O'Gorman, T.W. (1986). The effect of state anxiety on personality measurement. American Journal of Psychiatry, 143, 760– 763 First citation in articleCrossrefGoogle Scholar

  • Reich, J. (1987). Sex distribution of DSM-III personality disorders in psychiatric outpatients. American Journal of Psychiatry, 144, 4 485– 488 First citation in articleCrossrefGoogle Scholar

  • Spitznagel, E.L. Helzer, J.E. (1985). A proposed solution to the base rate problem in the Kappa statistics. Archives of General Psychiatry, 42, 725– 728 First citation in articleCrossrefGoogle Scholar

  • Stone, M.H. (1993). Long-term outcome in personality disorders. British Journal of Psychiatry, 162, 299– 213 First citation in articleCrossrefGoogle Scholar

  • Trull, T.J. Goodwin, A.H. (1993). Relationship between mood changes and the report of personality disorder symptoms. Journal of Personality Assessment, 61, 99– 111 First citation in articleCrossrefGoogle Scholar

  • Weissman, M.M. (1993). The epidemiology of personality disorders: A 1990 update. Journal of Personality Disorders (suppl.), 44– 62 First citation in articleGoogle Scholar

  • World Health Organization (1993). The ICD-10 classification of mental and behavioural disorders - Diagnostic criteria for research . Geneva: WHO First citation in articleGoogle Scholar

  • Zimmerman, M. (1994). Diagnosing personality disorders - A review of issues and research methods. Archives of General Psychiatry, 51, 225– 245 First citation in articleCrossrefGoogle Scholar