The effect of sampling, diagnostic criteria and assessment procedures on the observed prevalence of DSM-III-R personality disorders among treated alcoholics.
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.
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).
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
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 98-0226390
Code Inist : 002B18C05B. Création : 11/09/1998.