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  1. The effect of sampling, diagnostic criteria and assessment procedures on the observed prevalence of DSM-III-R personality disorders among treated alcoholics.

    Article - En anglais

    Objective

    In a recent review of empirical studies on the prevalence of DSM-III-R personality disorders among substance abusers, wide ranges of prevalence rates for overall Axis II, antisocial personality disorder (APD) and borderline personality disorder (BPD) were shown.

    Utilizing subsamples from within a single study population, the current report explores the effect of sampling, diagnostic criteria and assessment procedures on the observed prevalence of DSM-III-R personality disorders among treated alcoholics.

    Method 

    Personality disorders were assessed with the Personality Diagnostic Questionnaire Revised (PDQR) at two times of measurement (Time I n=459 ; Time 2 n=90).

    In addition, APD was measured with the Composite International Diagnostic Interview (CIDI ; n=587).

    Finally, an unselected subgroup (n=136) was interviewed with the International Personality Disorder Examination (IPDE).

    Results 

    There were few differences between inpatients or outpatients or between males and females.

    Using the IPDE, the exclusion of substance-related pathology did not affect the prevalence estimate.

    However, the prevalence rates according to the PDQR varied greatly across age groups.

    In a representative subsample (n=109), the prevalence rates also varied greatly across assessment methods (PDQR, 52% vs IPDE, 31%). The prevalence estimate of APD according to the CIDI was related to setting, gender, age group and the applied time-frame. (...)

    Mots-clés Pascal : Alcoolisme, Abstinence, Association morbide, Trouble personnalité, Critère, Diagnostic, Echantillonnage, Psychométrie, Questionnaire, Prévalence, Epidémiologie, Méthodologie, Santé mentale, Homme

    Mots-clés Pascal anglais : Alcoholism, Abstinence, Concomitant disease, Personality disorder, Criterion, Diagnosis, Sampling, Psychometrics, Questionnaire, Prevalence, Epidemiology, Methodology, Mental health, Human

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 98-0226390

    Code Inist : 002B18C05B. Création : 11/09/1998.