The cross-cultural generalizability of Axis-II constructs: an evaluation of two personality disorder assessment instruments in the People's Republic of China

J Pers Disord. 2000 Fall;14(3):249-63. doi: 10.1521/pedi.2000.14.3.249.

Abstract

We examined the reliability, cross-instrument validity, and factor structure of Chinese adaptations of the Personality Diagnostic Questionnaire (PDQ-4+; N = 1,926) and Personality Disorders Interview (PDI-IV; N = 525) in psychiatric patients. Comparisons with data from Western countries suggest that the psychometric properties of these two instruments are comparable across cultures. Low to modest agreement between the PDQ-4+ and PDI-IV was observed for both dimensional and categorical personality disorder evaluations. When the PDI-IV was used as the diagnostic standard, the PDQ-4+ showed higher sensitivity than specificity, and higher negative predictive power than positive predictive power. Factor analyses of both instruments replicated the four-factor structure O'Connor and Dyce (1998) found in Western samples. Results suggested that conceptions and measures of DSM-IV personality disorders are cross-culturally generalizable to Chinese psychiatric populations.

Publication types

  • Validation Study

MeSH terms

  • Adult
  • China
  • Cross-Cultural Comparison
  • Cultural Characteristics*
  • Factor Analysis, Statistical
  • Female
  • Humans
  • Male
  • Mental Disorders / diagnosis
  • Personality Disorders / diagnosis*
  • Personality Disorders / ethnology
  • Personality Disorders / psychology
  • Predictive Value of Tests
  • Psychiatric Status Rating Scales / standards*
  • Psychometrics
  • Reproducibility of Results
  • Sensitivity and Specificity
  • United States