Assessing the DSM-IV structure of personality disorder with a sample of Chinese psychiatric patients

J Pers Disord. 2002 Aug;16(4):317-31. doi: 10.1521/pedi.16.4.317.24127.

Abstract

The validity of the three-cluster system of personality disorders (PDs) in the latest version of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV; APA, 1994) was examined in a sample of Chinese psychiatric patients (n = 227), who completed the self-report Personality Disorders Questionnaire for DSM-IV (PDQ-4; Hyler, 1994) and who were also administered the clinician-rated Personality Disorders Interview-IV (PDI-IV; Widiger, Mangine, Corbit, Ellis, & Thomas,). Using confirmatory factor analysis, a three-factor model corresponding to the DSM-IV clusters was tested and compared statistically to a one-factor model and a set of random, three-factor models. Only the clinician-rated instrument supported the DSM-IV three-cluster model, and then only when the factors were allowed to correlate. Results from the theoretically more rigorous uncorrelated model testing did not support the DSM-IV model for either assessment modality.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • China
  • Diagnostic and Statistical Manual of Mental Disorders
  • Female
  • Humans
  • Interviews as Topic
  • Male
  • Models, Psychological
  • Personality Disorders / diagnosis*
  • Personality Disorders / ethnology
  • Personality Disorders / psychology
  • Psychiatric Status Rating Scales / standards
  • Reproducibility of Results
  • Surveys and Questionnaires