Journal of Korean Neuropsychiatric Association (신경정신의학)

Korean Neuropsychiatric Association (대한신경정신의학회)
권호 표지

Development of the Korean Version of the Structured Interview for DSM-IV Personality(K-SIDP-IV) : Interrater Reliability

한국어판 DSM-IV 인격장애 구조화된 면담도구 개발 : 신뢰도 연구

  • Hong, Jin-Pyo (Department of Psychiatry, Asan Medical Center, University of Ulsan College of Medicine) ;
  • Song, Hae-Cheol (Department of Psychiatry, Asan Medical Center, University of Ulsan College of Medicine) ;
  • Lee, Dong-Eun (Chook Ryoung Evangelical Hospital) ;
  • Bhang, Soo-Young (Department of Psychiatry, Ulsan University Hospital, University of Ulsan College of Medicine) ;
  • Lee, Sun-Hyung (Department of Psychiatry, Asan Medical Center, University of Ulsan College of Medicine) ;
  • Kwon, Soo-Hie (Department of Psychiatry, Asan Medical Center, University of Ulsan College of Medicine) ;
  • Park, Su-Bin (Department of Psychiatry, Asan Medical Center, University of Ulsan College of Medicine)
  • 홍진표 (울산대학교 의과대학 서울아산병원 정신과학교실) ;
  • 송해철 (울산대학교 의과대학 서울아산병원 정신과학교실) ;
  • 이동은 (축령복음병원) ;
  • 방수영 (울산대학교 의과대학 울산대학교병원 정신과학교실) ;
  • 이선형 (울산대학교 의과대학 서울아산병원 정신과학교실) ;
  • 권수희 (울산대학교 의과대학 서울아산병원 정신과학교실) ;
  • 박수빈 (울산대학교 의과대학 서울아산병원 정신과학교실)
  • Received : 2009.01.09
  • Accepted : 2009.09.28
  • Published : 2010.01.30
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Abstract

Objectives The diagnosis and assessment of personality disorders are crucial for research, as well as for clinical practice. The Structured Interview for the DSM-IV Personality (SIDP-IV) is a structured diagnostic interview for DSM-IV personality disorders (PD). This study aimed to develop the Korean version of the SIDP-IV and to test its inter-rater reliability. Methods A panel consisting of 7 psychiatrists translated the SIDP-IV into Korean. Six psychiatrists and 1 psychiatric nurse, all trained to apply the SIPD-IV, interviewed 70 inpatients (male, 30; female, 40) using this translation, two joint-examiners per patient interview. We used kappa coefficients to test diagnosis agreement, the Pearson correlation coefficient to test K-SIDP-IV total score agreement, and percent agreement to test the agreement on the number of DSM-IV criteria met. Results The kappa coefficients for most of the PDs, such as paranoid, borderline, histrionic, narcissistic, avoidant, dependent, and obsessive-compulsive, were excellent (${\geq}$ 0.80). Moreover, the kappa coefficients for schizoid and antisocial PD were acceptable (k=0.66). The Pearson correlation coefficient for the K-SIDP-IV total scores were high for all personality disorders (r=0.91-0.97). Percent agreement regarding the number of DSM-IV criteria met varied from 92.9% to 100%. Conclusion The Korean version of the SIDP-IV is a reliable instrument for the assessment and diagnosis of personality disorders.

Keywords

References

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