Hostname: page-component-78c5997874-m6dg7 Total loading time: 0 Render date: 2024-11-10T23:27:52.358Z Has data issue: false hasContentIssue false
  • English
  • Français

Psychometric properties of the Spanish version of the Diagnostic Interview for Depressive Personality

Published online by Cambridge University Press:  05 February 2011

L.J. Irastorza ,
P. Rojano ,
T. Gonzalez-Salvador ,
J. Cotobal ,
M. Leira ,
C. Rojas ,
G. Rubio ,
C. Rodríguez-Rieiro ,
J.M. Bellon  and
M. Alvarez
...Show all authors
L.J. Irastorza*
Affiliation:
Mental Health Centre, Arganda del Rey, Hospital Virgen de la Torre, 28500Madrid, Spain
P. Rojano
Affiliation:
Mental Health Centre, Colmenar Viejo, Madrid, Spain
T. Gonzalez-Salvador
Affiliation:
Mental Health Centre, Colmenar Viejo, Madrid, Spain
J. Cotobal
Affiliation:
Mental Health Centre, Retiro, Madrid, Spain
M. Leira
Affiliation:
Mental Health Centre, Arganda del Rey, Hospital Virgen de la Torre, 28500Madrid, Spain
C. Rojas
Affiliation:
Madrid, Spain
G. Rubio
Affiliation:
Mental Health Centre, Retiro, Madrid, Spain
C. Rodríguez-Rieiro
Affiliation:
Service of Preventive Medicine-Statistics, Hospital Universitario Gregorio Marañon, Madrid, Spain
J.M. Bellon
Affiliation:
Service of Preventive Medicine-Statistics, Hospital Universitario Gregorio Marañon, Madrid, Spain
M. Alvarez
Affiliation:
Mental Health Centre, Retiro, Madrid, Spain
C. Rodríguez
Affiliation:
Mental Health Centre, Retiro, Madrid, Spain
C. Arango
Affiliation:
Department of Psychiatry, Hospital Universitario Gregorio Marañon, Centro de Investigación Biomédica en Red de Salud Mental, CIBERSAM, Madrid, Spain
*
*Corresponding author. Tel.: +34 918701125; fax: +34 918703937. E-mail address:ljirastorza@telefonica.net (L.J. Irastorza).
Get access

Abstract

The aim of this study was to evaluate the reliability and validity of the Spanish-language version of the Diagnostic Interview for Depressive Personality (DIDP). The DIDP was administered to 328 consecutive outpatients and the test–retest and inter-rater reliability were assessed. Factor analysis was used in search of factors capable of explaining the scale and a cutoff point was established. The DIDP scales showed adequate Cronbach's α values and acceptable test–retest and inter-rater reliability coefficients. Convergent and discriminant validity were explored, the latter with respect to avoidant and borderline personality disorders. The results of the factor analysis were consistent with the four-factor structure of the DIDP scales. The receiver operating characteristic (ROC) analysis revealed the area under the curve to be 0.848. We found 30 to be a good cutoff point, with a sensitivity of 74.5% and a specificity of 78.5%. The DIDP proved to be a reliable and valid instrument for assessing depressive personality disorder, at least among our outpatients. The psychometric properties of the DIDP support its clinical usefulness in assessing depressive personality.

Keywords

Depressive personality disorderDimensionsInterviewValidationFactor analysis
Type
Original articles
Information
European Psychiatry , Volume 27 , Issue 8 , November 2012 , pp. 582 - 590
Copyright
Copyright © European Psychiatric Association 2012

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Abrams, K.Y., Yune, S.K., Kim, S.J., Jeon, H.J., Han, S.J., Hwang, J.et al.Trait and state aspects of harm avoidance and its implication for treatment in major depressive disorder, dysthymic disorder, and depressive personality disorder. Psychiatry Clin Neurosci. 2004; 58 3: 240–248.CrossRefGoogle ScholarPubMed
Akiskal, H.S.Dysthymic disorder: psychopathology of proposed chronic depressive subtypes. Am J Psychiatry. 1983; 140 1: 11–20.Google ScholarPubMed
Akiskal, H.S.Validating affective personality types.Robins, ., Barrett, .The validity of psychiatric diagnosis. 1989 Raven Press New York.Google Scholar
Bagby, R.M., Schuller, D.R., Marshall, M.B., Ryder, A.G.Depressive personality disorder: rates of comorbidity with personality disorders and relations to the five-factor model of personality. J Personal Disord. 2004; 18 6: 542–554.CrossRefGoogle ScholarPubMed
Beck, A.T., Ward, C.H., Mendelson, M., Mock, J., Erbaugh, J.An inventory for measuring depression. Arch Gen Psychiatry. 1961; 4: 561–571.CrossRefGoogle ScholarPubMed
Black, K.J., Sheline, Y.I.Personality disorder scores improve with effective pharmacotherapy of depression. J Affect Disord. 1997; 43 1: 11–18.CrossRefGoogle ScholarPubMed
Bradley, R., Shedler, J., Westen, D.Is the appendix a useful appendage? An empirical examination of depressive, passive-aggressive (negativistic), sadistic, and self-defeating personality disorders. J Pers Disord. 2006; 20 5: 524–540.CrossRefGoogle Scholar
Brown, S.L., Svrakic, D.M., Przybeck, T.R., Cloninger, C.R.The relationship of personality to mood and anxiety states: a dimensional approach. J Psychiatry Res. 1992; 26 3: 197–211.CrossRefGoogle ScholarPubMed
Chien, A.J., Dunner, D.L.The Tridimensional Personality Questionnaire in depression: state versus trait issues. J Psychiatry Res. 1996; 30 1: 21–27.CrossRefGoogle ScholarPubMed
Cicchetti, D.V., Sparrow, S.A.Developing criteria for establishing interrater reliability of specific items: applications to assessment of adaptive behavior. Am J Ment Defic. 1981; 86 2: 127–137.Google ScholarPubMed
Clark, L.A., Watson, D.Personality, disorder, and personality disorder: towards a more rational conceptualization. J Personal Disord. 1999; 13 2: 142–151.CrossRefGoogle ScholarPubMed
Cloninger, C.R., Przybecl, T.R., Svrakic, D.M.T., Wetzel, R.D.The Temperament and Character Inventory (TCI): a guide to its development and use. St Louis (Miss): Center for Psychology of Personality, Washington University; 1994.Google Scholar
Costa, P.T., McCrae, R.R.The NEO PI-R professional manual. Odessa, FL: Psychological Assessment Resources; 1992.Google Scholar
Dreessen, L., Hildebrand, M., Arntz, A.Patient-informant concordance on the Structured Clinical Interview for DSM-III-R personality disorders (SCID-II). J Personal Disord. 1998; 12 2: 149–161.CrossRefGoogle ScholarPubMed
First, M.B., Spitzer, R.L., Gibbon, M., Williams, J.B., Benjamin, L.S.The structured clinical interview for DSM-IV Axis II disorders. New York: Biometrics Department, New York State Psychiatric Institute; 1996.Google Scholar
First, M.B., Gibbon, M., Spitzer, R.L., Williams, J.B., Benjamin, L.S.User's guide for the structured clinical interview for DSM–IV axis II personality disorders. Washington, DC: American Psychiatric Press; 1997.Google Scholar
Gunderson, J.G., Phillips, K.A., Triebwasser, J., Hirschfeld, R.M.The Diagnostic Interview for Depressive Personality. Am J Psychiatry. 1994; 151 9: 1300–1304.Google ScholarPubMed
Hamilton, M.A rating scale for depression. J Neurol Neurosurg Psychiatry. 1960; 23: 56–62.CrossRefGoogle ScholarPubMed
Hartlage, S., Arduino, K., Alloy, L.B.Depressive personality characteristics: state dependent concomitants of depressive disorder and traits independent of current depression. J Abnorm Psychol. 1998; 107 2: 349–354.CrossRefGoogle ScholarPubMed
Hirschfeld, R.M., Holzer, C.E.3rd Depressive personality disorder: clinical implications. J Clin Psychiatry. 55 Suppl. 1994 10–17.Google ScholarPubMed
Hisli, N.The validity and reliability of the Beck Depression Inventory. Turk Psikol Derg. 1989; 7: 3–13.Google Scholar
Huprich, S.K.Depressive personality and its relationship to depressed mood, interpersonal loss, negative parental perceptions, and perfectionism. J Nerv Ment Dis. 2003; 191 2: 73–79.CrossRefGoogle ScholarPubMed
Huprich, S.K.Evaluating facet-level predictions and construct validity of depressive personality disorder. J Personal Disord. 2003; 17 3: 219–232.CrossRefGoogle ScholarPubMed
Huprich, S.K.Convergent and discriminant validity of three measures of depressive personality disorder. J Personal Assess. 2004; 82 3: 321–328.CrossRefGoogle ScholarPubMed
Huprich, S.K.Differentiating avoidant and depressive personality disorders. J Personal Disord. 2005; 19 6: 659–673.CrossRefGoogle ScholarPubMed
Huprich, S.K.What should become of depressive personality disorder in DSM-V?. Harvard Rev Psychiatry. 2009; 17 1: 41–59.CrossRefGoogle ScholarPubMed
Huprich, S.K., Margrett, J., Barthelemy, K.J., Fine, M.A.The Depressive Personality Disorder Inventory: an initial examination of its psychometric properties. J Clin Psychol. 1996; 52 2: 153–159.3.0.CO;2-V>CrossRefGoogle ScholarPubMed
Huprich, S.K., Sanford, K., Smith, M.Psychometric evaluation of the depressive personality disorder inventory. J Personal Disord. 2002; 16 3: 255–269.CrossRefGoogle ScholarPubMed
Huprich, S.K., Porcerelli, J., Binienda, J., Karana, D.Functional health status and its relationship to depressive personality disorder, dysthymia, and major depression: preliminary findings. Depress Anxiety. 2005; 22 4: 168–176.CrossRefGoogle ScholarPubMed
Huprich, S.K., Zimmerman, M., Chelminski, I.Disentangling depressive personality disorder from avoidant, borderline, and obsessive-compulsive personality disorders. Compr Psychiatry. 2006; 47 4: 298–306.CrossRefGoogle ScholarPubMed
Irastorza, L.Distimia y personalidad depresiva: diferenciación clínica. Actas Esp Psiquiatr. 2001; 29 5: 318–326.Google Scholar
Irastorza, L.J.Trastorno de personalidad depresiva y distimia:diferenciación clínica. Persona. 2002; 1: 12–19 [Available from Instituto Argentino para el estudio de la personalidad, http://www.iaepd.com.ar.].Google Scholar
Kleifield, E.I., Sunday, S., Hurt, S., Halmi, K.A.The effects of depression and treatment on the Tridimensional Personality Questionnaire. Biol Psychiatry. 1994; 36 1: 68–70.CrossRefGoogle ScholarPubMed
Klein, D.N.Depressive personality: reliability, validity, and relation to dysthymia. J Abnorm Psychol. 1990; 99 4: 412–421.CrossRefGoogle ScholarPubMed
Klein, D.N.Commentary on Ryder and Bagby's Diagnostic viability of depressive personality disorder: theoretical and conceptual issues. J Personal Disord. 1999; 13: 118–127.CrossRefGoogle Scholar
Klein, D.N., Miller, G.A.Depressive personality in nonclinical subjects. Am J Psychiatry. 1993; 150 11: 1718–1724.Google ScholarPubMed
Klein, D.N., Shih, J.H.Depressive personality: associations with DSM-III-R mood and personality disorders and negative and positive affectivity, 30-month stability, and prediction of course of Axis I depressive disorders. J Abnorm Psychol. 1998; 107 2: 319–327.CrossRefGoogle ScholarPubMed
Kwon, J.S., Kim, Y.M., Chang, C.G., Park, B.J., Kim, L., Yoon, D.J.et al.Three-year follow-up of women with the sole diagnosis of depressive personality disorder: subsequent development of dysthymia and major depression. Am J Psychiatry. 2000; 157 12: 1966–1972.CrossRefGoogle ScholarPubMed
Laptook, R.S., Klein, D.N., Dougherty, L.R.Ten-year stability of depressive personality disorder in depressed outpatients. Am J Psychiatry. 2006; 163 5: 865–871.CrossRefGoogle ScholarPubMed
Lynam, D.R., Widiger, T.A.Using the five-factor model to represent the DSM-IV personality disorders: an expert consensus approach. J Abnorm Psychol. 2001; 110 3: 401–412.CrossRefGoogle ScholarPubMed
Markowitz, J.C., Skodol, A.E., Petkova, E., Xie, H., Cheng, J., Hellerstein, D.J.et al.Longitudinal comparison of depressive personality disorder and dysthymic disorder. Compr Psychiatry. 2005; 46 4: 239–245.CrossRefGoogle ScholarPubMed
McDermut, W., Zimmerman, M., Chelminski, I.The construct validity of depressive personality disorder. J Abnorm Psychol. 2003; 112 1: 49–60.CrossRefGoogle ScholarPubMed
McLean, P., Woody, S.Commentary of depressive personality disorder: a false start.Livesley, W.The DSM-IV Personality Disorders. 1995 Guilford Press New York303–311.Google Scholar
Miller, J.D., Tant, A., Bagby, R.M.Depressive personality disorder: a comparison of three self-report measures. Assessment. 2009.Google ScholarPubMed
Orstavik, R.E., Kendler, K.S., Czajkowski, N., Tambs, K., Reichborn-Kjennerud, T.Genetic and environmental contributions to depressive personality disorder in a population-based sample of Norwegian twins. J Affect Disord. 99 1–3: 2007 181–189.CrossRefGoogle Scholar
Phillips, K.A., Gunderson, J.G., Hirschfeld, R.M., Smith, L.E.A review of the depressive personality. Am J Psychiatry. 1990; 147 7: 830–837.Google ScholarPubMed
Phillips, K.A., Hirschfeld, R.M., Shea, M.T., Gunderson, J.G.Depressive personality disorder. Livesley, W.J.The DSM-IV personality disorders. 7 1995 Guilford Press New York287–302.Google Scholar
Phillips, K.A., Gunderson, J.G., Triebwasser, J., Kimble, C.R., Faedda, G., Lyoo, I.K.et al.Reliability and validity of depressive personality disorder. Am J Psychiatry. 1998; 155 8: 1044–1048.CrossRefGoogle ScholarPubMed
Ryder, A.G., Bagby, R.M.Diagnostic viability of depressive personality disorder: theoretical and conceptual issues. J Personal Disord. 1999; 13 2: 99–117 [discussion 8–27, 52–6].CrossRefGoogle ScholarPubMed
Ryder, A.G., Bagby, R.M., Dion, K.L.Chronic, low-grade depression in a nonclinical sample: depressive personality or dysthymia?. J Personal Disord. 2001; 15 1: 84–93.CrossRefGoogle ScholarPubMed
Ryder, A.G., Bagby, R.M., Schuller, D.R.The overlap of depressive personality disorder and dysthymia: a categorical problem with a dimensional solution. Harvard Rev Psychiatry. 2002; 10 6: 337–352.CrossRefGoogle ScholarPubMed
Ryder, A.G., Schuller, D.R., Bagby, R.M.Depressive personality and dysthymia: evaluating symptom and syndrome overlap. J Affect Disord. 91 2–3: 2006 217–227.CrossRefGoogle ScholarPubMed
Schneider, K.Psychopathic personalities. London: Cassell; 1958.Google Scholar
SCID-II, Cuestionario de Personalidad. 1999 Masson S.A.Google Scholar
Shedler, J., Westen, D.Refining personality disorder diagnosis: integrating science and practice. Am J Psychiatry. 2004; 161 8: 1350–1365.CrossRefGoogle ScholarPubMed
Sprock, J., Fredendall, L.Comparison of prototypic cases of depressive personality disorder and dysthymic disorder. J Clin Psychol. 2008; 64 12: 1293–1317 [discussion 318–22].CrossRefGoogle ScholarPubMed
Strakowski, S.M., Faedda, G.L., Tohen, M., Goodwin, D.C., Stoll, A.L.Possible affective-state dependence of the Tridimensional Personality Questionnaire in first-episode psychosis. Psychiatry Res. 1992; 41 3: 215–226.CrossRefGoogle ScholarPubMed
Svrakic, D.M., Whitehead, C., Przybeck, T.R., Cloninger, C.R.Differential diagnosis of personality disorders by the seven-factor model of temperament and character. Arch Gen Psychiatry. 1993; 50 12: 991–999.CrossRefGoogle ScholarPubMed
Tanaka, E., Kijima, N., Kitamura, T.Correlations between the temperament and character inventory and the self-rating depression scale among Japanese students. Psychol Rep. 1997; 80 1: 251–254.CrossRefGoogle ScholarPubMed
Westen, D., Shedler, J.Revising and assessing axis II. Part I: developing a clinically and empirically valid assessment method. Am J Psychiatry. 1999; 156 2: 258–272.Google ScholarPubMed
Widiger, T.A., Trull, T.J., Clarkin, J.F., Sanderson, C., Costa, P.T.A description of the DSM-IV personality disorders with the five factor model of personality.Costa, P., Widiger, T.Personality disorders and the five-factor model of personality. 2nd ed. 2002 American Psychological Association Washington, DC89–102.CrossRefGoogle Scholar
Submit a response

Comments

No Comments have been published for this article.