Continuity between DSM-5 Categorical Criteria and Traits Criteria for Borderline Personality Disorder
Continuity between DSM-5 Categorical Criteria and Traits Criteria for Borderline Personality Disorder
复制标题
DOI：
10.1177/0706743716640756
复制
发表时间：
2016-08-01
影响因子：
4
通讯作者：
Sellbom, Martin
中科院分区：
文献类型：
--
作者：
Bach, Bo;Sellbom, Martin
目的：边缘性人格障碍 (BPD) 包括一系列异质症状，可通过 9 个分类标准进行操作。随着人格障碍 (PD) 研究领域在其操作化中强调维度特征，重要的是要描绘 9 DSM-IV/精神障碍诊断和统计手册第五版 (DSM-5) BPD 分类标准与 DSM-5 第 III 部分中的特征维度之间的连续性。迄今为止，还没有研究尝试进行此类验证。 方法：我们在连续招募的精神科门诊患者（N = 142；68% 女性；年龄：平均值 29.02，SD 8.38）中检查了 BPD 的 9 种 DSM-IV/DSM-5 标准与 PD 替代 DSM-5 模型的特征维度之间的关联。这是通过双变量相关性进行调查，然后进行多元逻辑回归分析。结果：除了长期空虚感的标准外，分类 BPD 标准与概念上相关的 DSM-5 第 III 部分特征相关（P > 0.001）。与 DSM-5 第 III 部分中提出的 BPD 特征标准一致，我们发现情绪不稳定、焦虑、分离不安全感、抑郁、冲动、冒险和敌意来捕获概念上一致的 BPD 分类标准，而多疑也与 BPD 标准密切相关。在领域层面，这适用于消极情感、抑制解除和精神病。值得注意的是，情绪不稳定、冲动和多疑成为 BPD 的独特预测因素 (P > 0.05)。结论：除了提出的 BPD 特征标准外，多疑和精神病特征也增强了 BPD 特征。如果这些发现在即将进行的研究中得到重复，那么 BPD 的修改特征操作化是有必要的。
Objective: Borderline personality disorder (BPD) includes a heterogeneous constellation of symptoms operationalized with 9 categorical criteria. As the field of personality disorder (PD) research moves to emphasize dimensional traits in its operationalization, it is important to delineate continuity between the 9 DSM-IV/Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5) categorical criteria for BPD and the trait dimensions in DSM-5 Section III. To date, no study has attempted such validation.Methods: We examined the associations between the 9 categorical DSM-IV/DSM-5 criteria for BPD and the trait dimensions of the alternative DSM-5 model for PDs in consecutively recruited psychiatric outpatients (N = 142; 68% female; age: mean 29.02, SD 8.38). This was investigated by means of bivariate correlations, followed by multiple logistic regression analysis.Results: The categorical BPD criteria were associated with conceptually related DSM-5 Section III traits (P > 0.001), except for the criterion of chronic feelings of emptiness. Consistent with the proposed traits criteria for BPD in DSM-5 Section III, we found Emotional lability, Anxiousness, Separation insecurity, Depressivity, Impulsivity, Risk taking, and Hostility to capture conceptually coherent BPD categorical criteria, while Suspiciousness was also strongly associated with BPD criteria. At the domain level, this applied to Negative affectivity, Disinhibition, and Psychoticism. Notably, Emotional lability, Impulsivity, and Suspiciousness emerged as unique predictors of BPD (P > 0.05).Conclusions: In addition to the proposed BPD traits criteria, Suspiciousness and features of Psychoticism also augment BPD features. Provided that these findings are replicated in forthcoming research, a modified traits operationalization of BPD is warranted.