Structured interview versus self-report test vantages for the assessment of personality pathology in cocaine dependence

Douglas B. Marlowe, Stephen D. Husband, Lynda M. Bonieskie, Kimberly C. Kirby, Jerome J. Platt

Research output: Contribution to journalArticlepeer-review

27 Scopus citations

Abstract

The study compared structured interview (SCID-II) and self-report test (MCMI-II) vantages for the detection and characterization of personality pathology among 144 urban, poor, cocaine-addicted individuals seeking outpatient treatment. Diagnostic agreement was inadequate for most disorders, and the instruments at best shared only modest common variance. Positive predictive power was poor for all MCMI-II scales, though negative predictive power was good to excellent. This lends support for the use of the MCMI-II as a screening measure to rule out Axis II disorders; however, confirmation of positive diagnoses will require follow-up interview assessment. Future development of self-report personality inventories for substance abusers should focus on controlling for the acute dysphoric effects of drug use and related dysfunction, expanding attention to Cluster B content domains, and incorporating more objective criteria for assessing paranoia and 'odd/eccentric' traits.

Original languageEnglish (US)
Pages (from-to)177-190
Number of pages14
JournalJournal of Personality Disorders
Volume11
Issue number2
DOIs
StatePublished - 1997

All Science Journal Classification (ASJC) codes

  • Clinical Psychology
  • Psychiatry and Mental health

Fingerprint

Dive into the research topics of 'Structured interview versus self-report test vantages for the assessment of personality pathology in cocaine dependence'. Together they form a unique fingerprint.

Cite this