Interrater reliability of Criterion A of the Alternative Model for Personality Disorder (DSM 5 - Section III): A Meta-analysis

Samantha Young; Peter Beazley

doi:10.1037/per0000631

Interrater reliability of Criterion A of the Alternative Model for Personality Disorder (DSM 5 - Section III): A Meta-analysis

Samantha Young, Peter Beazley

Norwich Medical School

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Abstract

The Alternative Model of Personality Disorder (AMPD) is currently included in Section III of the Diagnostic and Statistical Manual for Mental Disorders – Fifth Edition (DSM-5). This review sought to summarise the literature concerning interrater reliability (IRR) of the AMPD. Despite high heterogeneity, meta-analysis provided tentative support for the IRR of Criterion A of the AMPD, with pooled ICCs for the Level of Personality Functioning Scale (LPFS) and its domains falling above DSM acceptability levels. Sub-group analysis of the LPFS suggested IRR scores could be improved by using a specific AMPD Structured Clinical Interview (SCI). Further research should in particular consider the IRR of Criterion B elements of the AMPD and overall PD diagnosis, where insufficient data was available to draw conclusions in the present study.

Original language	English
Journal	Personality Disorders: Theory, Research, and Treatment
Early online date	30 May 2023
DOIs	https://doi.org/10.1037/per0000631
Publication status	E-pub ahead of print - 30 May 2023

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10.1037/per0000631

PD TRT Submission Dec 22 - Resubmission Changes Accepted Deposited Version
© 2023, American Psychological Association. This paper is not the copy of record and may not exactly replicate the final, authoritative version of the article. Please do not copy or cite without authors' permission. The final article will be available, upon publication, via its DOI: 10.1037/per0000631
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Cite this

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abstract = "The Alternative Model of Personality Disorder (AMPD) is currently included in Section III of the Diagnostic and Statistical Manual for Mental Disorders – Fifth Edition (DSM-5). This review sought to summarise the literature concerning interrater reliability (IRR) of the AMPD. Despite high heterogeneity, meta-analysis provided tentative support for the IRR of Criterion A of the AMPD, with pooled ICCs for the Level of Personality Functioning Scale (LPFS) and its domains falling above DSM acceptability levels. Sub-group analysis of the LPFS suggested IRR scores could be improved by using a specific AMPD Structured Clinical Interview (SCI). Further research should in particular consider the IRR of Criterion B elements of the AMPD and overall PD diagnosis, where insufficient data was available to draw conclusions in the present study. ",

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