User’s Guide for the Structured Clinical Interview for DSM-5 Personality Disorders (SCID-5-PD)
The Structured Clinical Interview for DSM-5 Personality Disorders (SCID-5-PD) is a semistructured diagnostic interview for clinicians and researchers to assess the 10 DSM-5 Personality Disorders across Clusters A, B, and C as well as Other Specified Personality Disorder. Designed to build rapport, the SCID-5-PD can be used to make personality disorder diagnoses, either categorically (present or absent) or dimensionally. The SCID-5-PD includes the indispensable User's Guide for the SCID-5-PD, as well as a handy self-report screening questionnaire for patients or subjects, the Structured Clinical Interview for DSM-5 Screening Personality Questionnaire (SCID-5-SPQ).
The SCID-5-PD is the updated version of the former Structured Clinical Interview for DSM-IV Axis II Personality Disorders (SCID-II). The SCID-5-PD name reflects the elimination of the multiaxial system in DSM-5. Although the DSM-IV Personality Disorder criteria are unchanged in DSM-5, the SCID-5-PD interview questions have been thoroughly reviewed and revised to optimally capture the construct embodied in the diagnostic criteria. In addition, a dimensional scoring component has been added to the SCID-5-PD.
The basic structure of the SCID-5-PD is similar to the other SCID-5 interviews (such as the Research Version, SCID-5-RV; and the Clinician Version, SCID-5-CV) that cover non–personality DSM-5 disorders. Features include the following:
- Questions assessing the DSM-5 criteria for each of the 10 personality disorders: Avoidant Personality Disorder, Dependent Personality Disorder, Obsessive-Compulsive Personality Disorder, Paranoid Personality Disorder, Schizotypal Personality Disorder, Schizoid Personality Disorder, Histrionic Personality Disorder, Narcissistic Personality Disorder, Borderline Personality Disorder, and Antisocial Personality Disorder.
- A User's Guide for the SCID-5-PD containing essential guidance for use of the SCID-5-PD, including an appendix of a completed SCID-5-PD and SCID-5-SPQ for a sample patient.
- An optional SCID-5-SPQ that serves as a brief, 20-minute self-report screening tool to reduce the time of the SCID-5-PD clinical interview. The SCID-5-SPQ requires an eighth grade or higher reading level (as determined by the Flesch-Kincaid formula). Its 106 questions correspond directly to each first question in the full SCID-5-PD.
The SCID-5-PD can be used in various types of research studies, just as the SCID-II. It has been used to investigate patterns of Personality Disorders co-occurring with other mental disorders or medical conditions; select a group of study subjects with a particular Personality Disorder; investigate the underlying structure of personality pathology; and compare with other assessment methods for Personality Disorders.
The SCID-5-PD will serve as a valuable resource to help clinicians and researchers more accurately diagnose Personality Disorders.
- Chapter 1. Introduction
- Chapter 2. History
- Chapter 3. Features of the SCID-5-PD
- Chapter 4. Administration of the SCID-5-PD
- Chapter 5. SCID-5-PD Item-by-Item Commentary
- Chapter 6. Training
- Chapter 7. Reliability and Validity
- Appendix: SCID-5-SPQ and SCID-5-PD Example
- Michael B. First M.D.
Janet B.W. Williams, Ph.D.
Lorna Smith Benjamin, Ph.D.
Robert L. Spitzer, M.D.
About the Authors
Michael B. First M.D., is a Professor of Clinical Psychiatry at Columbia University and a Research Psychiatrist at the Division of Clinical Phenomenology at the New York State Psychiatric Institute.
Janet B.W. Williams, Ph.D., is Professor Emerita of Clinical Psychiatric Social Work (in Psychiatry and Neurology), Columbia University and Senior Vice President of Global Science, at MedAvante, Inc.
Lorna Smith Benjamin, Ph.D., Adjunct Professor of Psychiatry and Professor Emerita of Psychology, University of Utah, Salt Lake City, Utah.
Robert L. Spitzer, M.D., is Professor Emeritus of Psychiatry at Columbia University.
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