한국어판 DSM-IV 인격장애 구조화된 면담도구 개발：신뢰도 연구

• 영문명: Development of the Korean Version of the Structured Interview for DSM-IV Personality(K-SIDP-IV)：Interrater Reliability
• 발행기관: 대한신경정신의학회
• 저자명: 홍진표 송해철 이동은 방수영 이선형 권수희 박수빈
• 간행물 정보: 『신경정신의학』제49권 제1호, 64~70쪽, 전체 7쪽
• 주제분류: 의약학 > 정신과학
• 파일형태: PDF
• 발행일자: 2010.01.30

영문 초록

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 (≥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.

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키워드

Reliability Psychiatric interview Personality disorder