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Published in: Psychiatric Quarterly 1/2007

01-03-2007 | Original Paper

The Personality Disorders Institute/Borderline Personality Disorder Research Foundation Randomized Control Trial for Borderline Personality Disorder: Reliability of Axis I and II Diagnoses

Authors: Kenneth L. Critchfield, Ph.D., Kenneth N. Levy, Ph.D., John F. Clarkin, Ph.D.

Published in: Psychiatric Quarterly | Issue 1/2007

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Abstract

The Personality Disorder Institute/Borderline Personality Disorder Research Foundation randomized control trial (PDI/BPDRF RCT) is a randomized control trial comparing three treatments for borderline personality disorder (BPD). An important issue for any RCT is diagnostic reliability, demonstration of which is necessary to evaluate claims of a treatment’s efficacy for a given population. The present paper examines the interrater reliability of Axis I and II disorders in the context of a high base rate of BPD features for participants referred for inclusion in the RCT. Our results indicate good to excellent levels of interrater reliability for all Axis I and II disorders in this context. Assessors were able to reliably diagnose BPD, exclusionary criteria, and comorbid diagnoses. This data is important for comparing findings and sample composition across different studies using similar sampling strategies, especially as treatments are increasingly being developed and tested for BPD.
Footnotes
1
Subjects could meet criteria for past major depression or past substance dependence. Subjects could be re-assessed for inclusion in the study if they received treatment for these problems prior to returning.
 
2
Low IQ (below 85) was also a rule out criterion. It is not detailed in this report because a separate interview was used for its assessment.
 
3
Difference in sample size between Tables 2 and 3 reflects a clerical error that resulted in loss of dimensional data for 3 subjects who had been rated.
 
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Metadata
Title
The Personality Disorders Institute/Borderline Personality Disorder Research Foundation Randomized Control Trial for Borderline Personality Disorder: Reliability of Axis I and II Diagnoses
Authors
Kenneth L. Critchfield, Ph.D.
Kenneth N. Levy, Ph.D.
John F. Clarkin, Ph.D.
Publication date
01-03-2007
Publisher
Springer US
Published in
Psychiatric Quarterly / Issue 1/2007
Print ISSN: 0033-2720
Electronic ISSN: 1573-6709
DOI
https://doi.org/10.1007/s11126-006-9023-x

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