Assessing inter-model continuity between the Section II and Section III conceptualizations of borderline personality disorder in DSM-5.
Assessing inter-model continuity between the Section II and Section III conceptualizations of borderline personality disorder in DSM-5.
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DOI:
10.1037/per0000243
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发表时间:
2018-05
期刊:
影响因子:
--
通讯作者:
Simms LJ
中科院分区:
文献类型:
--
作者:
Evans CM;Simms LJ
DSM-5 includes two competing models of Borderline Personality Disorder (BPD) in Sections II and III. Empirical comparisons between these models are required to understand and improve inter-model continuity. We compared Section III BPD traits to Section II BPD criteria assessed via semi-structured interviews in 455 current/recent psychiatric patients using correlation and regression analyses, and also evaluated the incremental predictive power of other Section III traits. In addition, we tested the hypothesis that self-harm would incrementally predict BPD Criterion 5 over the Section III traits. Results supported Section III BPD traits as an adequate representation of traditional BPD symptomatology, although modifications that would increase inter-model continuity were identified. Finally, we found support for the incremental validity of suspiciousness, anhedonia, perceptual dysregulation, and self-harm, suggesting possible gaps in the Section III PD trait definitions.
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