The International Personality Disorder Examination

Loranger, Armand W.

doi:10.1001/archpsyc.1994.03950030051005

Cited by 875 publications

(230 citation statements)

References 23 publications

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“…Furthermore, participants had to fulfil a minimum of four criteria of BPD as measured by the International Personality Disorder Examination (IPDE; Loranger et al, 1994). Patients had to be older than 17 years and had to give informed consent.…”

Section: Methodsmentioning

confidence: 99%

“…The International Personality Disorder Examination (IPDE; Loranger et al, 1994) is a semi-structured interview designed to assess personality disorders according to ICD-10. We used the Borderline section, where 15 questions are addressed to identify how many of the nine criteria of BPD are currently (last five years including the last month) fulfilled.…”

Section: Methodsmentioning

confidence: 99%

“…A dimensional score can be built using a three-point Likert scale for each question, ranging from zero to two (range: 0–30). The IPDE shows good interrater-reliability, with κ = .79 (Loranger et al, 1994). …”

Section: Methodsmentioning

confidence: 99%

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Dialectical behaviour therapy for posttraumatic stress disorder related to childhood sexual abuse: a pilot study in an outpatient treatment setting

Steil

Dittmann

Müller‐Engelmann

et al. 2018

European Journal of Psychotraumatology

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Background: Dialectical behaviour therapy for posttraumatic stress disorder (DBT-PTSD), which is tailored to treat adults with PTSD and co-occurring emotion regulation difficulties, has already demonstrated its efficacy, acceptance and safety in an inpatient treatment setting. It combines elements of DBT with trauma-focused cognitive behavioural interventions. Objective: To investigate the feasibility, acceptance and safety of DBT-PTSD in an outpatient treatment setting by therapists who were novice to the treatment, we treated 21 female patients suffering from PTSD following childhood sexual abuse (CSA) plus difficulties in emotion regulation in an uncontrolled clinical trial. Method: The Clinician Administered PTSD Symptom Scale (CAPS), the Davidson Trauma Scale (DTS), the Borderline Section of the International Personality Disorder Examination (IPDE) and the Borderline Symptom List (BSL-23) were used as primary outcomes. For secondary outcomes, depression and dissociation were assessed. Assessments were administered at pretreatment, post-treatment and six-week follow-up. Results: Improvement was significant for PTSD as well as for borderline personality symptomatology, with large pretreatment to follow-up effect sizes for completers based on the CAPS (Cohens d = 1.30), DTS (d = 1.50), IPDE (d = 1.60) and BSL-23 (d = 1.20). Conclusion: The outcome suggests that outpatient DBT-PTSD can safely be used to reduce PTSD symptoms and comorbid psychopathology in adults who have experienced CSA.

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Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

See 1 more Smart Citation

Dialectical behaviour therapy for posttraumatic stress disorder related to childhood sexual abuse: a pilot study in an outpatient treatment setting

Steil

Dittmann

Müller‐Engelmann

et al. 2018

European Journal of Psychotraumatology

View full text Add to dashboard Cite

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“…The following instruments were administered at baseline: the Structured Clinical Interview for DSM-IV Axis I Disorders (SCID-I) (First, Spitzer, Gibbon, & Williams, 1996) to diagnose Axis I disorders; the International Personality Disorder Examination (IPDE) (Loranger et al, 1994) to determine the severity of BPD, and the Beck Depression Inventory-II (BDI-II) (Beck, Steer, & Brown, 1996) to assess severity of depressive symptoms. Exposure to different types of traumatic events was assessed using the LEC (Blake et al, 1995) and the Posttraumatic Stress Diagnostic Scale (PDS) (Foa, 1995).…”

Section: Methodsmentioning

confidence: 99%

Defining the index trauma in post-traumatic stress disorder patients with multiple trauma exposure: impact on severity scores and treatment effects of using worst single incident versus multiple traumatic events

Priebe

Kleindienst

Schropp

et al. 2018

European Journal of Psychotraumatology

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Background: A diagnosis of post-traumatic stress disorder (PTSD) requires the identification of one or more traumatic events, designated the index trauma, which serves as the basis for assessment of severity of PTSD. In patients who have experienced more than one traumatic event, severity may depend on the exact definition of the index trauma. Defining the index trauma as the worst single incident may result in PTSD severity scores that differ from what would be seen if the index trauma included multiple events.Objective: This study aimed to investigate the impact of the definition of the index trauma on PTSD baseline severity scores and treatment outcome.Method: A planned secondary analysis was performed on data from a subset (N = 58) of patients enrolled in a trial evaluating the efficacy of a 12 week residential dialectical behavioural therapy programme for PTSD related to childhood abuse (DBT-PTSD). Assessments of the severity of PTSD were conducted at admission, at the end of the 12 week treatment period, and at 6 and 12 weeks post-treatment, using the Clinician-Administered PTSD Scale. The index trauma was defined with respect to both the worst single incident and up to three qualitatively distinct traumatic events.Results: When the index trauma included multiple traumas, PTSD severity scores were significantly higher and improvements from pre- to post-treatment were significantly lower than when the index trauma was defined as the worst single incident.Conclusions: In patients with PTSD who have experienced multiple traumas, defining the index trauma as the worst single incident may miss some aspects of clinically relevant symptomatology, thereby leading to a possibly biased interpretation of treatment effects. In DBT-PTSD, treatment effects were lower when the index trauma included multiple traumatic events. More research is needed to determine the impact of the various index trauma definitions on the evaluation of other trauma-focused treatments.

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“…much work was devoted to the development of high-quality diagnostic instruments for the assessment of all Axis II disorders. Thus, this period saw the emergence of the International Personality Disorders Examination~IPDE; Loranger, 1988Loranger, , 1999!, the Structured Clinical Interview for DSM-III-R Axis II Disorders SCID-II; Spitzer, Williams, &Gibbon, 1987!, andthe Structured Interview for DSM-III Personality~Pfohl, Stangl, &Zimmerman, 1983!. This period also witnessed significant interest in the patterns of covariation among disorders comorbidity!, as well as evaluation of the predictive value of specific symptoms in the personality disorders~PDs!.…”

Section: Phases Of Inquiry Into Bpdmentioning

confidence: 99%

Toward a developmental psychopathology approach to borderline personality disorder

Lenzenweger

Cicchetti

2005

Develop. Psychopathol.

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Borderline personality disorder (BPD) is one of the more vexing forms of psychopathology for researchers and clinicians alike to understand. Currently, the etiology and pathogenesis of the disorder remain unclear; however, steady progress has been made in several important areas that bear upon informing a more complete understanding of this condition. Long known to clinicians in office practice and mental health staff at clinics and hospitals, BPD is a heterogenous phenotype characterized by a complex array of features such as emotional dysregulation, interpersonal dysfunction, impulsivity, self-damaging behaviors, excessive anger and fear, and identity disturbance (American Psychiatric Association, 1994). The individual afflicted with BPD frequently experiences substantial social and occupational impairment, as well as frequent emotional turmoil. Those individuals who spend considerable time with a BPD-affected person, such as parents, partners, spouses, children, coworkers, and others, also encounter appreciable stresses and strains associated with the impact of BPD on the family, social, and occupational milieu.

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The International Personality Disorder Examination

Abstract: It is possible to assess personality disorders with reasonably good reliability in different nations, languages, and cultures using a semistructured clinical interview that experienced clinicians find relevant, meaningful, and user-friendly.

Cited by 875 publications

References 23 publications

Dialectical behaviour therapy for posttraumatic stress disorder related to childhood sexual abuse: a pilot study in an outpatient treatment setting

Dialectical behaviour therapy for posttraumatic stress disorder related to childhood sexual abuse: a pilot study in an outpatient treatment setting

Defining the index trauma in post-traumatic stress disorder patients with multiple trauma exposure: impact on severity scores and treatment effects of using worst single incident versus multiple traumatic events

Toward a developmental psychopathology approach to borderline personality disorder

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