Factorial structure and diagnostic efficiency of DSM-IV criteria for avoidant personality disorder in patients with binge eating disorder

Behaviour Research and Therapy
Carlos M Grilo

Abstract

This study examined the factorial structure and diagnostic efficiency of the DSM-IV criteria for avoidant personality disorder (AVPD). Two hundred and twenty-eight consecutive outpatients (181 females and 47 males) with a primary diagnosis of binge eating disorder were reliably assessed with diagnostic interviews. Internal consistency of AVPD criteria was good, as suggested by coefficient alpha of 0.87, the pattern of inter-item correlations (range 0.41 to 0.64), and the lack of changes in alpha if any criteria are deleted. Exploratory factor analysis revealed a one-factor solution (56% of variance) supporting the unidimensionality of the AVPD criteria. Diagnostic efficiency indices (conditional probabilities, total predictive power, and kappa coefficients) were calculated for each AVPD criterion, for the entire study group and separately by gender. Overall, the best inclusion criterion was 'fears being ridiculed,' which was also the best predictor overall. These psychometric findings did not differ by gender. The findings support certain important aspects of the AVPD diagnosis.

References

Apr 1, 1976·Journal of Abnormal Psychology·R K Blashfield, J G Draguns
Jul 1, 1992·Comprehensive Psychiatry·R BlashfieldB Pfohl
Jun 1, 1987·The American Journal of Psychiatry·T J TrullA Frances
Nov 1, 1985·The American Journal of Psychiatry·W J LivesleyA Tanney
Oct 1, 1984·Archives of General Psychiatry·T A WidigerM Gilmore
May 1, 1983·Archives of General Psychiatry·R J BaldessariniG W Arana
Jan 1, 1993·Journal of the American Academy of Child and Adolescent Psychiatry·S V FaraoneM T Tsuang
Apr 30, 1998·The International Journal of Eating Disorders·J L Sanftner, J H Crowther
May 9, 1998·Journal of Personality Disorders·A J Baillie, L A Lampe
Nov 6, 1998·Journal of Consulting and Clinical Psychology·C F Telch, E Stice
Jan 19, 1999·Journal of Personality Disorders·S StuartR Cadoret
Feb 10, 1999·Journal of the American Academy of Child and Adolescent Psychiatry·D F BeckerT H McGlashan
Oct 13, 1999·The American Journal of Psychiatry·M Zimmerman, J I Mattia
Sep 29, 2000·The American Journal of Psychiatry·C A SanislowT H McGlashan
Feb 24, 2001·Journal of Personality Disorders·M C ZanariniJ G Gunderson
Jun 29, 2001·Archives of General Psychiatry·S TorgersenV Cramer
Dec 18, 2001·Obesity Research·R Puhl, K D Brownell
Mar 8, 2002·Journal of Personality Disorders·Lynn E AldenAndrew G Ryder

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