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Title: It's not that Difficult: An Interrater Reliability Study of the DSM–5 Section III Alternative Model for Personality Disorders

Abstract

The Diagnostic and Statistical Manual of Mental Disorders (5th ed. [DSM–5]; American Psychiatric Association, 2013) Section III Alternative Model for Personality Disorders (AMPD) represents a novel approach to the diagnosis of personality disorder (PD). In this model, PD diagnosis requires evaluation of level of impairment in personality functioning (Criterion A) and characterization by pathological traits (Criterion B). Questions about clinical utility, complexity, and difficulty in learning and using the AMPD have been expressed in recent scholarly literature. We examined the learnability, interrater reliability, and clinical utility of the AMPD using a vignette methodology and graduate student raters. Results showed that student clinicians can learn Criterion A of the AMPD to a high level of interrater reliability and agreement with expert ratings. Interrater reliability of the 25 trait facets of the AMPD varied but showed overall acceptable levels of agreement. Examination of severity indexes of PD impairment showed the level of personality functioning (LPF) added information beyond that of global assessment of functioning (GAF). Clinical utility ratings were generally strong. Lastly, the satisfactory interrater reliability of components of the AMPD indicates the model, including the LPF, is very learnable.

Authors:
 [1];  [1];  [1];  [1];  [1];  [2]
  1. Univ. of Tennessee, Knoxville, TN (United States). Dept. of Psychology
  2. Univ. of Tennessee, Knoxville, TN (United States). Dept. of Psychology; Oak Ridge National Lab. (ORNL), Oak Ridge, TN (United States)
Publication Date:
Research Org.:
Oak Ridge National Lab. (ORNL), Oak Ridge, TN (United States)
Sponsoring Org.:
USDOE
OSTI Identifier:
1436951
Grant/Contract Number:
AC05-00OR22725
Resource Type:
Journal Article: Accepted Manuscript
Journal Name:
Journal of Personality Assessment
Additional Journal Information:
Journal Name: Journal of Personality Assessment; Journal ID: ISSN 0022-3891
Country of Publication:
United States
Language:
English
Subject:
99 GENERAL AND MISCELLANEOUS

Citation Formats

Garcia, Darren J., Skadberg, Rebecca M., Schmidt, Megan, Bierma, Shane, Shorter, Rebecca L., and Waugh, Mark H. It's not that Difficult: An Interrater Reliability Study of the DSM–5 Section III Alternative Model for Personality Disorders. United States: N. p., 2018. Web. doi:10.1080/00223891.2018.1428982.
Garcia, Darren J., Skadberg, Rebecca M., Schmidt, Megan, Bierma, Shane, Shorter, Rebecca L., & Waugh, Mark H. It's not that Difficult: An Interrater Reliability Study of the DSM–5 Section III Alternative Model for Personality Disorders. United States. doi:10.1080/00223891.2018.1428982.
Garcia, Darren J., Skadberg, Rebecca M., Schmidt, Megan, Bierma, Shane, Shorter, Rebecca L., and Waugh, Mark H. Mon . "It's not that Difficult: An Interrater Reliability Study of the DSM–5 Section III Alternative Model for Personality Disorders". United States. doi:10.1080/00223891.2018.1428982.
@article{osti_1436951,
title = {It's not that Difficult: An Interrater Reliability Study of the DSM–5 Section III Alternative Model for Personality Disorders},
author = {Garcia, Darren J. and Skadberg, Rebecca M. and Schmidt, Megan and Bierma, Shane and Shorter, Rebecca L. and Waugh, Mark H.},
abstractNote = {The Diagnostic and Statistical Manual of Mental Disorders (5th ed. [DSM–5]; American Psychiatric Association, 2013) Section III Alternative Model for Personality Disorders (AMPD) represents a novel approach to the diagnosis of personality disorder (PD). In this model, PD diagnosis requires evaluation of level of impairment in personality functioning (Criterion A) and characterization by pathological traits (Criterion B). Questions about clinical utility, complexity, and difficulty in learning and using the AMPD have been expressed in recent scholarly literature. We examined the learnability, interrater reliability, and clinical utility of the AMPD using a vignette methodology and graduate student raters. Results showed that student clinicians can learn Criterion A of the AMPD to a high level of interrater reliability and agreement with expert ratings. Interrater reliability of the 25 trait facets of the AMPD varied but showed overall acceptable levels of agreement. Examination of severity indexes of PD impairment showed the level of personality functioning (LPF) added information beyond that of global assessment of functioning (GAF). Clinical utility ratings were generally strong. Lastly, the satisfactory interrater reliability of components of the AMPD indicates the model, including the LPF, is very learnable.},
doi = {10.1080/00223891.2018.1428982},
journal = {Journal of Personality Assessment},
number = ,
volume = ,
place = {United States},
year = {Mon Mar 05 00:00:00 EST 2018},
month = {Mon Mar 05 00:00:00 EST 2018}
}

Journal Article:
Free Publicly Available Full Text
This content will become publicly available on March 5, 2019
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