Diagnostic agreement between the Personality Diagnostic Questionnaire-4+ (PDQ-4+) and its Clinical Significance Scale

• Autores: Natalia Calvo, Fernando Gutiérrez, Miquel Casas Brugué
• Localización: Psicothema, ISSN-e 1886-144X, ISSN 0214-9915, Vol. 25, Nº. 4, 2013, págs. 427-432
• Idioma: inglés
• DOI: 10.7334/psicothema2013.59
• Títulos paralelos:
  • Concordancia diagnóstica entre el Personality Diagnostic Questionnaire-4+ (PDQ-4+) y su Escala de Significación Clínica
• Enlaces
  • Texto completo (pdf)
• Resumen
  • español

    Antecedentes: el Personality Diagnostic Questionnaire-4+ (PDQ-4+) está compuesto por un autoinforme y una entrevista, la Escala de Significación Clínica, pero ningún estudio ha sido publicado con resultados conjuntos. Este trabajo es el primero en examinar la concordancia diagnóstica entre la versión española del cuestionario PDQ-4+ y su correspondiente entrevista. Método: la muestra estaba formada por 235 pacientes psiquiátricos ambulatorios que fueron evaluados con ambos. Resultados: la entrevista reducía hasta la mitad el número de diagnósticos obtenido por el cuestionario (83,4% a 38,3%; número medio de diagnósticos de 3,29 a .62). La concordancia diagnóstica era de escasa a moderada (kappa media de .45 para la puntuación total del PDQ-4+). Conclusiones: nuestros datos sugieren la administración conjunta del PDQ-4+ y su Escala de Significación Clínica para el cribage de presencia o ausencia de trastornos de personalidad (TPs). Modificaciones en los puntos de corte para TPs específicos y para la puntuación total del PDQ-4+ podrían mejorar la eficacia del instrumento.

  • English

    Background: The Personality Diagnostic Questionnaire-4+ (PDQ-4+) is composed of a self-report and an interview, the Clinical Significance Scale, but no studies have reported joint findings. This study is the first to examine the diagnostic agreement between the Spanish version of the PDQ-4+ self-report and its corresponding interview. Method: The sample comprised 235 psychiatric outpatients who were assessed with both instruments. Results: The interview reduced to one half the number of diagnoses provided by self-report (83.4% to 38.3%; mean number of diagnoses 3.29 to .62). Diagnostic agreement was between fair and moderate (mean kappa .45 for PDQ-4+ total score). Conclusions: Findings suggest the utility of jointly administering the PDQ-4+ and its Clinical Significance Scale to screen for the presence or absence of personality disorders (PDs). Modifications in the diagnostic cut-offs for individual PDs and the PDQ-4+ total score may improve the efficacy of the instrument.

• Referencias bibliográficas
  • Abdin, E., Koh, K., Subramaniam, M., Guo, M.-E., Leo, T., Teo, C., Chong, S.A. (2011). Validity of the Personality Diagnostic Questionnaire-4...
  • Aboraya, A. (2009). Use of structured interviews by psychiatrists in real clinical settings: Results of an open-question survey. Psychiatry...
  • American Psychiatric Association (1994). Diagnostic and statistical manual of mental disorders (4th ed.). Washington, DC: Author.
  • Begg, C.B., & Greenes, R.A. (1983). Assessment of diagnostic tests when disease verification is subject to selection bias. Biometrics,...
  • Blackburn, R., Donnelly, J.P., Logan, C., & Renwick, S.J.D. (2004). Convergent and discriminative validity of interview and questionnaire...
  • Calvo, N. (2007). Adaptació al castellà del Personality Diagnostic Questionnaire-4+: Propietats psicomètriques en población clínica i...
  • Calvo, N., Caseras, X., Gutiérrez, F., & Torrubia, R. (2002). Adaptación Española del Personality Diagnostic Questionnaire-4+ (PDQ-4+)...
  • Calvo, N., Gutiérrez, F., Andión, O., Caseras, X., Torrubia, R., & Casas, M. (2012). Psychometric properties of the Spanish version of...
  • Clark, L.A., & Harrison, J.A. (2001). Assessment instruments. In W.J. Livesley (Ed.), Handbook of personality disorders. Theory, research,...
  • Clark, L.A., Livesley, W.J., & Morey, L. (1997). Personality disorder assessment: The challenge of construct validity. Journal of Personality...
  • Costa, P.T., Samuels, J., Bagby, R.M., Daffin, L., & Norton, H. (2005). Obsessive-compulsive personality disorder: A review. In M. Maj,...
  • de Reus, R.J., van den Berg, J.F., & Emmelkamp, P.M.G. (2013). Personality Diagnostic Questionnaire-4+ is not useful as a screener...
  • Duijsens, I.J, Bruinsma, M, Jansen, S.J.T., Eurelings-Bontekoe, E.H.M., & Diekstra, R.F.W. (1996). Agreement between self-report and semistructured...
  • Fonseca-Pedrero, E., Lemos-Giráldez, S., Paino, M., & Muñiz, J. (2011). Schizotypy, emotional-behavioural problems and personality disorder...
  • Fonseca-Pedrero E., Santarén-Rosell, M., Paino, M., & Lemos Giraldez, S., (2013). Cluster A maladaptative personality patterns in a non-clinical...
  • Fossati, A., Maffei, C., Bagnato, M., Donati, D., Donini, M., Fiorilli, M., Ansoldi, M. (1998). Brief communication: Criterion validity of...
  • Fossati, A., Porro, F. V., Maffei, C., & Borroni, S. (2012). Are the DSMIV personality disorders related to mindfulness? An Italian study...
  • Gárriz, M., & Gutiérrez, F. (2009). Personality disorder screenings: A meta-analysis. Actas Españolas de Psiquiatría, 37(3), 148-153.
  • Guy, L.S., Poythress, N.G., Douglas, K.S., Skeem, J.L., & Edens, J.F. (2008). Correspondence between self-report and interview-based assessment...
  • Ha, J.H., Kim, E.E., Abbey, S.E., & Kim, T.S. (2007). Relationship between personality disorder symptoms and temperament in the young...
  • Hopwood, C.J., Donnellan, M.B., Ackerman, R.A., Thomas, K.M., Morey, L.C., & Skodol, A.E. (2013). The validity of the Personality Diagnostic...
  • Hopwood, C.J., Morey, L.C., Edelen, M.O., Shea, M.T., Grilo, C.M., Sanislow, C.A. Skodol A.E. (2008). A comparison of interview and self-report...
  • Hopwood, C.J., Thomas, K.M., Markon, K.E., Wright, A.G.C., & Krueger, R.F. (2012). DSM-5 Personality traits and DSM-IV personality disorders....
  • Hyler, S.E. (1994). PDQ-4+ Personality Diagnostic Questionnaire-4+. New York: New York State Psychiatric Institute.
  • Hyler, S.E., Skodol, A.E., Kellman, H.D., Oldham, J.M., & Rosnick, L. (1990). Validity of the Personality Diagnostic Questionnaire-Revised:...
  • Kim, D.I., Choi, M.R., & Cho, E.C. (2000). The preliminary study of reliability and validity on the Korean version of the Personality...
  • Livesley, W.J. (2001). Commentary on reconceptualizing personality disorder categories using trait dimensions. Journal of Personality, 69(2),...
  • Livesley, W.J., & Jang, K.L. (2000). Toward an empirically based classification of personality disorder. Journal of Personality Disorders,...
  • McDermutt, W., & Zimmerman, M. (2005). Assessment instruments and standardized evaluation. In J.M. Oldham, A.E. Skodol, & D.S. Bender...
  • Mealey, L. (1995). The sociobiology of sociopathy: An integrated evolutionary model. Behavioral and Brain Sciences, 18(3), 523-599.
  • Miller, J.D., Bagby, R.M., & Pilkonis, P.A. (2005). A comparison of the validity of the five-factor model (FFM) personality disorder prototypes...
  • Miller, J.D., Campbell, W.K., Pilkonis, P.A., & Morse, J.Q. (2008). Assessment procedures for Narcissistic Personality Disorder. Assessment,...
  • Parker, G., & Barret, E. (2000). Personality and personality disorder: Current issues and directions [Editorial]. Psychological Medicine,...
  • Perry, J.C. (1992). Problems and considerations in the valid assessment of personality disorders. American Journal of Psychiatry, 149, 1645-1653.
  • Segal, D.L., & Coolidge, F.L. (2003). Structured interviewing and DSM classification. In M. Hersen & S.M. Turner (Eds.), Adult psychopathology...
  • Shea, M.T., & Yen, S. (2003). Stability as a distinction between Axis I and Axis II disorders. Journal of Personality Disorders, 17, 373-386.
  • Skodol, A.E., Oldham, J.M., Rosnick, L., Kellman, H.D., & Hyler, S.E. (1991). Diagnosis of DSM-III-R personality disorders: A comparison...
  • Wakefield, J.C. (2008). The perils of dimensionalization: Challenges in distinguishing negative traits from Personality Disorders. Psychiatric...
  • Wang, L., Ross, C.A., Zhang, T., Dai, Y., Zhang, H., Tao, M., Xiao, Z. (2012). Frequency of borderline personality disorder among psychiatric...
  • Widiger, T.A., & Samuel, D.B. (2005). Evidence-based assessment of personality disorder. Journal of Personality Assessment, 17, 278-287.
  • Wilberg, T., Dammen, T., & Friis, S. (2000). Comparing Personality Diagnostic Questionnaire-4+ with Longitudinal, Expert, All Data...
  • Yang, J., McCrae, R.R., Costa, P.T., Yao, S., Dai, X., Cai, T., & Gao, B. (2000). The cross-cultural generalizability of Axis II constructs:...
  • Zanarini, M.C., Frankenburg, F.R., Hennen, J., Reich, B., & Silk, K.R. (2005). The McLean Study of Adult Development (MSAD): Overview...
  • Zimmerman, M. (1994). Diagnosing personality disorders. A review of issues and research methods. Archives General of Psychiatry, 51, 225-245.
  • Zimmerman, M., Rothschild, L., & Chelminski, I. (2005). The prevalence of DSM-IV personality disorders in psychiatric outpatients. American...