The SCID-II is optimally administered by trained clinicians. Complete administration of the SCID-II typically takes less than 1 hour. Collection of diagnostic information from ancillary sources is permitted. Clinicians who administer the SCID-II are expected to use their clinical judgment to clarify responses, gently challenge inconsistencies, and ask for additional information as required to rate accurately each criterion. Each personality disorder is assessed completely and diagnoses are made before proceeding to the next disorder. Consistent with its strong link to DSM-IV, the formal diagnostic criteria are printed on the interview page permitting interviewers to see the criteria to which SCID-II questions pertain.ĭuring the interview, responses are coded as follows: "?" = inadequate information, "1" = absent or false, "2" = subthreshold, and "3" = threshold or true. At times, open-ended prompts are followed by closed-ended questions to fully clarify a particular personality disorder symptom. The SCID-II has many open-ended prompts that encourage respondents to elaborate freely about their symptoms. During the structured interview component, the pathologically endorsed screening responses are further pursued to ascertain whether the symptoms are actually experienced at clinically significant levels. The purpose of the Personality Questionnaire is to reduce overall administration time because only those items that are scored in the pathological direction are further evaluated during the structured interview portion. The format and sequence of the SCID-II was designed to approximate the flow of experienced diagnostic interviewers.Ī useful feature of the SCID-II is that it includes a self-report Personality Questionnaire, which is a 119-item self-report, forced choice yes/no screening component that can be administered prior to the interview portion and takes about 20 minutes.
For example, the interview can be shortened or lengthened to include only those disorders of interest and the order of modules can be altered. This design is a strength of the SCID-II because administration can be customized easily to meet the unique needs of the user. In contrast to the SIDP-IV and IPDE, the SCID-II has a modular approach in which the personality disorders are assessed one at a time. The Axis I SCID is commonly administered prior to personality disorder assessment so that the patient's mental state can be considered. The SCID-II has semi-structured format (like the Axis I version) but it covers the 10 standard DSM-IV Axis II personality disorders, as well as Personality Disorder Not Otherwise Specified, and Depressive Personality Disorder and Passive-Aggressive Personality Disorder from DSM-IV Appendix B (see Table 9.2). The Structured Clinical Interview for DSM-IV Axis II Personality Disorders ( SCID-II First, Gibbon, Spitzer, Williams, & Benjamin, 1997) was developed to complement the widely used Axis I version of the SCID (First, Spitzer, Gibbon, & Williams, 1997).
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