@article {Renn:August 2008:1438-3608:214, author = "Renn, Daniela", author = "Hofer, Stefan", author = "Schusharpler, Gerhard", author = "Rumpold, Gerhard", author = "Smrekar, Ulrike", author = "Janecke, Nicola", author = "Doering, Stephan", title = "A dimensional diagnostic approach using the Assessment of DSM-IV Personality Disorders (ADP-IV) Questionnaire", journal = "Zeitschrift für Psychosomatische Medizin und Psychotherapie", volume = "54", year = "August 2008", abstract = "Objectives: The ADP-IV is a self-assessment instrument of personality disorders providing categorical as well as dimensional diagnoses. The German translation of the Dutch original has already shown sufficient reliability as well as a rather weak convergent validity of categorical diagnoses. This study investigates the validity of the dimensional assessment of personality disorders.

Methods: Four hundred patients and a community sample of 385 subjects completed the ADP-IV. A SCID-II interview and an expert consensus rating were also performed in 210 patients. Norms for patients and the community sample were calculated by using z-transformation. Receiver operator curves (ROC) were employed for the determination of cut-offs for categorical diagnoses on the basis of the dimensional scores.

Results: The ROC analyses resulted in negative predictive values of 99 % for the five most frequent personality disorders in the sample; in contrast, positive predictive values were low.

Conclusions: The instrument is well suited for screening purposes, allowing for a reliable exclusion of personality disorders. For diagnosing personality disorders, however, clinical interviewing remains necessary. Norms and a dimensional personality disorder profile provide hints concerning the presence of pathological personality traits with respect to the reference group. The ADP-IV represents the only German-language questionnaire for the assessment of DSM-IV personality disorders which has been sufficiently validated. It is freely available on the internet at http://zmkweb.uni-muenster.de/einrichtungen/proth/dienstleistungen/psycho/diag/index.html.", pages = "214-226(13)", url = "http://www.ingentaconnect.com/content/vr/zfpm/2008/00000054/00000003/art00002" }