{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T03:59:13Z","timestamp":1790827153083,"version":"4.1.0"},"reference-count":38,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2020,3,20]],"date-time":"2020-03-20T00:00:00Z","timestamp":1584662400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Acta Psychiatr Scand"],"published-print":{"date-parts":[[2020,5]]},"abstract":"<jats:sec><jats:title>Aims<\/jats:title><jats:p>The Swedish National Patient Register (NPR) is an exceptional source of information in clinical epidemiological research. The register is, however, not validated for the diagnosis of personality disorder (PD). We therefore assessed its validity in this patient group, and the group with emotionally unstable PD (EUPD)\/borderline personality disorder (BPD).<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Records from 100 random adult patients (aged 15\u201365\u00a0years) diagnosed with any PD in the NPR between 1987 and 2015 were analysed using a protocol based on general diagnostic criteria for PD, as well as specific criteria for EUPD\/BPD in both ICD and DSM classification systems.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Of the 100 patients, 27 had been given a diagnosis of EUPD, 23 another specific PD and 50 an unspecified PD. Using ICD criteria, 88 of 95 evaluable patients could be confirmed to have a PD, that is an agreement rate of 93%. Using DSM criteria, the agreement was lower (77 patients or 81%). Of 26 evaluable patients with a diagnosis of EUPD\/BPD, the diagnosis was confirmed in all cases when using the ICD criteria, but in only 20 when using the DSM criteria.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>The NPR is a valid source of data for the diagnosis of PD <jats:italic>per se<\/jats:italic> and also of EUPD in women.<\/jats:p><\/jats:sec>","DOI":"10.1111\/acps.13166","type":"journal-article","created":{"date-parts":[[2020,2,24]],"date-time":"2020-02-24T19:22:23Z","timestamp":1582572143000},"page":"432-438","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":20,"title":["Validity of the personality disorder diagnosis in the Swedish National Patient Register"],"prefix":"10.1111","volume":"141","author":[{"given":"E.","family":"Kouppis","sequence":"first","affiliation":[{"name":"Department of Neuroscience Psychiatry Uppsala University Uppsala Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8360-5387","authenticated-orcid":false,"given":"L.","family":"Ekselius","sequence":"additional","affiliation":[{"name":"Department of Neuroscience Psychiatry Uppsala University Uppsala Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2020,3,20]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2458-11-450"},{"key":"e_1_2_9_3_1","unstructured":"National Board of Health and Welfare.Information available in the National Patient Register (NPR). Available from:https:\/\/www.socialstyrelsen.se\/globalassets\/sharepoint\u2010dokument\/dokument\u2010webb\/statistik\/information\u2010in\u2010the\u2010national\u2010patient\u2010register.pdf. Accessed July 28 2019."},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00127-002-0582-3"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1080\/08039480500360906"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-0447.2011.01747.x"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2014-007520"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41380-018-0248-5"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1176\/appi.books.9780890425596"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1080\/03009734.2018.1526235"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(14)61995-4"},{"key":"e_1_2_9_12_1","unstructured":"World Health Organization.The ICD\u201010 Classification of Mental and Behavioural Disorders: Clinical Descriptions and Diagnostic Guidelines;1992."},{"key":"e_1_2_9_13_1","volume-title":"Diagnostic and statistical manual of mental disorders: DSM\u2010IV\u2010TR","author":"American Psychiatric Association","year":"2000"},{"key":"e_1_2_9_14_1","doi-asserted-by":"publisher","DOI":"10.1192\/bjp.bp.108.058552"},{"key":"e_1_2_9_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.biopsych.2006.09.019"},{"key":"e_1_2_9_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.psc.2008.03.015"},{"key":"e_1_2_9_17_1","doi-asserted-by":"publisher","DOI":"10.1097\/YCO.0b013e3283558491"},{"key":"e_1_2_9_18_1","doi-asserted-by":"publisher","DOI":"10.1002\/pmh.1252"},{"key":"e_1_2_9_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpsychores.2012.05.001"},{"key":"e_1_2_9_20_1","doi-asserted-by":"publisher","DOI":"10.1017\/S0033291709005790"},{"key":"e_1_2_9_21_1","doi-asserted-by":"publisher","DOI":"10.1192\/bjp.173.1.11"},{"key":"e_1_2_9_22_1","doi-asserted-by":"publisher","DOI":"10.1192\/bjpo.bp.115.000356"},{"key":"e_1_2_9_23_1","doi-asserted-by":"publisher","DOI":"10.1192\/bjp.bp.114.149583"},{"key":"e_1_2_9_24_1","doi-asserted-by":"publisher","DOI":"10.1521\/pedi_2018_32_403"},{"key":"e_1_2_9_25_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.f557"},{"key":"e_1_2_9_26_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(01)07216-6"},{"key":"e_1_2_9_27_1","unstructured":"World Health Organization.International Statistical Classification of Diseases and Related Health Problems (ICD\u20139);1978."},{"key":"e_1_2_9_28_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0222916"},{"key":"e_1_2_9_29_1","doi-asserted-by":"publisher","DOI":"10.1016\/0895-4356(93)90018-V"},{"key":"e_1_2_9_30_1","unstructured":"National Board of Health and Welfare.National Patient Register in Sweden. Available fromhttps:\/\/sdb.socialstyrelsen.se\/if_par\/val.aspx"},{"key":"e_1_2_9_31_1","doi-asserted-by":"publisher","DOI":"10.1521\/pedi.16.3.283.22537"},{"key":"e_1_2_9_32_1","doi-asserted-by":"publisher","DOI":"10.1002\/pmh.1335"},{"key":"e_1_2_9_33_1","doi-asserted-by":"publisher","DOI":"10.1097\/NMD.0000000000000300"},{"key":"e_1_2_9_34_1","doi-asserted-by":"publisher","DOI":"10.1002\/pmh.1305"},{"key":"e_1_2_9_35_1","unstructured":"WHO.ICD\u201011; International Statistical Classification of Diseases and Related Health Problems \u2013 Eleventh Revision. Available fromhttps:\/\/icd.who.int\/browse11\/l\u2010m\/en. Accessed July 22 2019."},{"key":"e_1_2_9_36_1","doi-asserted-by":"publisher","DOI":"10.1146\/annurev-clinpsy-050718-095736"},{"key":"e_1_2_9_37_1","doi-asserted-by":"publisher","DOI":"10.1176\/appi.ajp.2015.14101220"},{"key":"e_1_2_9_38_1","doi-asserted-by":"publisher","DOI":"10.1037\/a0030060"},{"key":"e_1_2_9_39_1","doi-asserted-by":"publisher","DOI":"10.1002\/pmh.1337"}],"container-title":["Acta Psychiatrica Scandinavica"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Facps.13166","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/acps.13166","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/acps.13166","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/acps.13166","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,8,29]],"date-time":"2023-08-29T03:00:38Z","timestamp":1693278038000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/acps.13166"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,3,20]]},"references-count":38,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2020,5]]}},"alternative-id":["10.1111\/acps.13166"],"URL":"https:\/\/doi.org\/10.1111\/acps.13166","archive":["Portico"],"relation":{},"ISSN":["0001-690X","1600-0447"],"issn-type":[{"value":"0001-690X","type":"print"},{"value":"1600-0447","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,3,20]]},"assertion":[{"value":"2019-11-11","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2020-02-19","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2020-03-20","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}