UNLABELLED: Young people with borderline personality disorder (BPD) commonly seek help but often go unrecognized. Screening offers a means of identifying individuals for more detailed assessment for early intervention and for research. AIMS: This study compared the McLean Screening Instrument for Borderline Personality Disorder (MSI-BPD), Borderline Personality Questionnaire (BPQ), the BPD items from the International Personality Disorder Examination Screening Questionnaire and the BPD items from the Structured Clinical Interview for DSM-IV Axis II disorders (SCID-II) Personality Questionnaire. METHOD: 101 outpatient youth (aged 15-25 years) completed the screening measures and were interviewed, blind to screening status, with the SCID-II BPD module. The screening measures were readministered two weeks later to assess test-retest reliability. RESULTS: All four instruments performed similarly but the BPQ had the best mix of characteristics, with moderate sensitivity (0.68), the highest specificity (0.90), high negative predictive value (0.91) and moderate positive predictive value (0.65). Compared to the other three instruments, the BPQ had the highest overall diagnostic accuracy (0.85), a substantially higher kappa (0.57) with the criterion diagnosis, the highest test-retest reliability (ICC = 0.92) and the highest internal consistency (alpha = 0.92). The only clear difference to emerge in the Receiver Operator Curve (ROC) analysis was that the BPQ significantly outperformed the MSI (p = 0.05). CONCLUSION: Screening for BPD in out-patient youth is feasible but is not a replacement for clinical diagnosis.
UNLABELLED: Young people with borderline personality disorder (BPD) commonly seek help but often go unrecognized. Screening offers a means of identifying individuals for more detailed assessment for early intervention and for research. AIMS: This study compared the McLean Screening Instrument for Borderline Personality Disorder (MSI-BPD), Borderline Personality Questionnaire (BPQ), the BPD items from the International Personality Disorder Examination Screening Questionnaire and the BPD items from the Structured Clinical Interview for DSM-IV Axis II disorders (SCID-II) Personality Questionnaire. METHOD: 101 outpatient youth (aged 15-25 years) completed the screening measures and were interviewed, blind to screening status, with the SCID-II BPD module. The screening measures were readministered two weeks later to assess test-retest reliability. RESULTS: All four instruments performed similarly but the BPQ had the best mix of characteristics, with moderate sensitivity (0.68), the highest specificity (0.90), high negative predictive value (0.91) and moderate positive predictive value (0.65). Compared to the other three instruments, the BPQ had the highest overall diagnostic accuracy (0.85), a substantially higher kappa (0.57) with the criterion diagnosis, the highest test-retest reliability (ICC = 0.92) and the highest internal consistency (alpha = 0.92). The only clear difference to emerge in the Receiver Operator Curve (ROC) analysis was that the BPQ significantly outperformed the MSI (p = 0.05). CONCLUSION: Screening for BPD in out-patient youth is feasible but is not a replacement for clinical diagnosis.
Authors: Peter Fonagy; Mario Speranza; Patrick Luyten; Michael Kaess; Christel Hessels; Martin Bohus Journal: Eur Child Adolesc Psychiatry Date: 2015-08-14 Impact factor: 4.785
Authors: Lori N Scott; Paul A Pilkonis; Alison E Hipwell; Kate Keenan; Stephanie D Stepp Journal: Compr Psychiatry Date: 2014-12-30 Impact factor: 3.735
Authors: Alexandra Knafo; Jean-Marc Guilé; Jean-Jacques Breton; Réal Labelle; Vincent Belloncle; Nicolas Bodeau; Bernard Boudailliez; Sébastien Garny De La Rivière; Brahim Kharij; Christian Mille; Bojan Mirkovic; Cornelia Pripis; Johanne Renaud; Christine Vervel; David Cohen; Priscille Gérardin Journal: Can J Psychiatry Date: 2015-02 Impact factor: 4.356
Authors: Brian Greenfield; Melissa Henry; Eric Lis; Josh Slatkoff; Jean-Marc Guilé; Geoffrey Dougherty; Xun Zhang; Amir Raz; L Eugene Arnold; Londa Daniel; Brian L Mishara; Robert K Koenekoop; Filipa de Castro Journal: Eur Child Adolesc Psychiatry Date: 2014-08-02 Impact factor: 4.785
Authors: Diana J Whalen; Lori N Scott; Karen P Jakubowski; Dana L McMakin; Alison E Hipwell; Jennifer S Silk; Stephanie D Stepp Journal: Personal Disord Date: 2014-01