A SELF-REPORT BORDERLINE SCALE - DISCRIMINATIVE VALIDITY AND PRELIMINARY NORMS
A SELF-REPORT BORDERLINE SCALE - DISCRIMINATIVE VALIDITY AND PRELIMINARY NORMS
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DOI：
10.1097/00005053-198007000-00007
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发表时间：
1980-01-01
影响因子：
1.9
通讯作者：
JERRETT, I
中科院分区：
文献类型：
--
作者：
CONTE, HR;PLUTCHIK, R;JERRETT, I
在对边缘性心理障碍患者的重要理论讨论和实证研究进行综述的基础上，构建了边缘性心理障碍患者自我报告问卷——边缘性心理障碍综合征指数（BSI）。其目的是提供一个评估的边缘综合征，将增加信息量迅速提供给临床医生。这些项目反映了文献中引用的作为边缘患者重要特征的标准，也纳入了DSM-III草案中列出的边缘人格组织标准。50名正常人、36名非精神病性抑郁症门诊患者、35名边缘性抑郁症患者和20名精神分裂症住院患者完成了BSI。52项BSI的内部一致性为。92. 该方法能显著区分边缘性人格障碍患者与正常人、抑郁症门诊患者和精神分裂症住院患者，从而提供了一种判别效度的度量。项目分析表明，最具辨别性的项目与客体关系受损、冲动、空虚和抑郁、人格解体和缺乏自我同一性有关。对边缘型和非边缘型患者的独立样本进行了BSI交叉验证，发现两者之间存在显著差异。提出初步的百分位数标准是为了向临床医生提供额外的信息，以协助他们进行诊断评估。
On the basis of a selected review of some important theoretical discussions and empirical investigations of patients characterized as borderline, a self-report questionnaire, the Borderline Syndrome Index (BSI), was constructed. Its purpose was to provide an assessment of the borderline syndrome that would increase the amount of information rapidly available to the clinician. The items reflect criteria cited in the literature as important characteristics of borderline patients and also incorporate the criteria for the borderline personality organization as listed in the DSM-III draft. The BSI was completed by 50 normal individuals, 36 nonpsychotic depressed outpatients, 35 patients diagnosed as borderline, and 20 inpatients diagnosed as schizophrenic. The internal consistency of the 52-item BSI was. 92. It significantly discriminated the borderline patients from the normal individuals, from the depressed outpatients, and from the schizophrenic inpatients, thereby providing a measure of discriminative validity. An item analysis indicated that the most discriminating items were concerned with impaired object relations, impulsivity, emptiness and depression, depersonalization, and lack of self-identity. Cross-validation of the BSI was carried out on independent samples of borderline and nonborderline patients, and it was found to discriminate significantly between the two. Preliminary percentile norms are presented in order to provide clinicians with additional information to assist them in their diagnostic assessments.