DSM-III-R 성격장애 진단의 내용타당도

Content Validity of DSM-III-R Personality Disorder

The purpose of this study was to examine the content validity of DSM- ID -R personality disorders( PDs). A 3-point rating scale of 150 preliminary diagnostic criteria including 95 DSMm -R PD diagnostic criteria was sent to psychiatrists. Each item in this scale was rated by psychiatrists^ 101) in terms of prototypicality to every DSM-III-R PD. The results show that each PD criteria set of DSM- IE -R was registered high level of interrater consistency and items listed in the DSM- ID -R were, for the most part, rated as very prototypical to their DSM- DI -R diagnosis. Some criteria were, however, not rated to characteristic features to their DSM- DI -R diagnosis. 11 items of DSM-DI-R diagnostic criteria scored high not only to their DSM-DI-R diagnosis but also other diagnosis. 16 items rated as high prototypicality item of other diagnosis. Another 16 items seemed not to be appropriate to any of DSM-DI-R PD diagnosis. These results suggest that the content validity of the DSM- HI -R personality disorder is not so high.