The Iowa Personality Disorder Screen: development and preliminary validation of a brief screening interview

J Pers Disord. 1999 Spring;13(1):75-89. doi: 10.1521/pedi.1999.13.1.75.

Abstract

The length and expense of comprehensive personality disorder interviews makes them unwieldy for routine use. A brief but sensitive screen could eliminate administration of longer instruments in many instances. We describe the development of the Iowa Personality Disorder Screen (IPDS)--a mini-structured interview which can be completed in less than 5 minutes. Retrospective analyses using 1,203 SIDP-R interviews suggested that the IPDS items should provide good sensitivity and specificity. We present results from a prospective validation study, using a mixed group of 52 nonpsychotic inpatients and outpatients who were diagnosed using the SIDP-IV. Blind administration of the IPDS yielded excellent sensitivity (92%) and good specificity (79%), using a subset of five screening items. Addition of two more items leads to an estimated sensitivity of 79% and specificity of 86%. The IPDS shows promise as a quick personality disorder screen for use in research settings or standard clinical interviews.

Publication types

  • Research Support, Non-U.S. Gov't
  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Adult
  • Aged
  • Ambulatory Care
  • Cluster Analysis
  • Female
  • Health Surveys
  • Hospitalization
  • Humans
  • Male
  • Middle Aged
  • Personality Assessment / statistics & numerical data
  • Personality Disorders / classification
  • Personality Disorders / diagnosis*
  • Personality Disorders / psychology
  • Personality Inventory / statistics & numerical data
  • Predictive Value of Tests
  • Prospective Studies
  • Psychiatric Status Rating Scales / statistics & numerical data*
  • Psychometrics
  • Reproducibility of Results
  • Sensitivity and Specificity