OBJECTIVE: The development of a new structured interview for depressive
personality disorder is described. METHOD: A literature search yielded 32
traits associated with depressive personality; these traits were then used
to develop the interview. Interrater reliability for the interview was
tested in an initial group of 16 patients with longstanding depressive
personality traits. Data from a second group of 67 subjects--54 with a
possible clinical diagnosis of depressive personality and 13 normal
volunteers--were used to examine the interview's psychometric properties
and to modify its content. Factor analysis of the traits in the interview
and modification of the instrument's structure was carried out on the basis
of data from a third group of 526 subjects who were participating in a
large epidemiologic study of mood disorders. RESULTS: The Diagnostic
Interview for Depressive Personality, which emerged from this process,
assess 30 personality traits that were shown to have satisfactory
interrater reliability (kappa = 0.67), test-retest reliability (kappa =
0.41), and diagnostic reliability (kappa = 0.62). A cutoff score of 42
(from a total possible score of 60) on the interview offers a useful
threshold for diagnosis. CONCLUSIONS: This interview provides a reliable
method for assessing depressive personality traits and establishing the
diagnosis of depressive personality disorder.
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