Temporal reliability of psychological assessments for patients in a special hospital with severe personality disorder: a preliminary note

Crim Behav Ment Health. 2005;15(2):87-92. doi: 10.1002/cbm.40.

Abstract

Background: The new programme for assessing those with dangerous and severe personality disorder relies heavily on psychological assessments of personality disorder and risk.

Methods: The temporal reliability of assessments of psychopathy (PCL-R), risk (HCR-20) and personality was assessed using the International Personality Disorder Examination (IPDE) in 15 randomly selected male prisoners in a high secure hospital carried out at intervals varying between a mean of nine and 19 months after initial assessments by a variety of assessors.

Results: Using the intra-class correlation coefficient the agreement varied between 0.57 (HCR-20), 0.58 (PCL-R) and 0.38-0.70 for IPDE personality disorders, with the best agreement for antisocial personality disorder (0.70).

Comment: These levels of agreement are consistent with other recent work on temporal reliability of personality instruments but are a little too low for confidence in these measures alone in the assessment process.

Publication types

  • Research Support, Non-U.S. Gov't
  • Validation Study

MeSH terms

  • Adult
  • Antisocial Personality Disorder / diagnosis*
  • Dangerous Behavior
  • Hospitals, Psychiatric
  • Humans
  • Male
  • Personality Tests / standards*
  • Prisoners / psychology*
  • Psychopathology / methods*
  • Time Factors
  • United Kingdom