A screening measure for BPD: The McLean Screening Instrument for Borderline Personality Disorder (MSI-BPD)
A screening measure for BPD: The McLean Screening Instrument for Borderline Personality Disorder (MSI-BPD)
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DOI：
10.1521/pedi.17.6.568.25355
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发表时间：
2003-12-01
影响因子：
2.3
通讯作者：
Hennen, J
中科院分区：
文献类型：
--
作者：
Zanarini, MC;Vujanovic, AA;Hennen, J
边缘型人格障碍（BPD）是一种常见的精神障碍，在治疗环境中经常被忽视。本报告描述了一种新的DSM-IV bpd自我报告筛查措施的验证- McLean边缘型人格障碍筛查工具（MSI-BPD）。200名年龄在18岁到59岁之间有治疗史的受试者填写了MSI-BPD。然后使用DSM-IV人格障碍诊断性访谈（DIPD-IV; Zanarini, Frankenburg, Sickel, & Yong, 1996）中的BPD模块对每个受试者进行访谈，对MSI-BPD结果不知情。在这200名受试者中，139名（69.5%）符合DSM-IV中通过DIPD-IV的BPD模块评估的BPD标准，其余61名（30.5%）不符合。通过逻辑回归分析，MSI-BPD的截止值达到10个项目中的7个或更多被认为是最佳截止值。这是因为它在诊断DSM-IV BPD时产生了良好的敏感性（0.81，正确识别病例的百分比）和特异性（0.85，正确识别非病例的百分比）。对于年轻的受试者，诊断效率更高。例如，敏感性是。90，特异性为。在63名25岁或以下的受试者中，93人的年龄为7分。本研究结果提示MSI-BPD可能是一种有用的筛查DSM-IV边缘型人格障碍存在的工具。
Borderline personality disorder (BPD) is a common psychiatric disorder that is often overlooked in treatment settings. This report describes the validation of a new self-report screening measure for DSM-IV BPD-the McLean Screening Instrument for Borderline Personality Disorder (MSI-BPD). Two hundred subjects with treatment histories whose ages ranged from 18 to 59 filled out the MSI-BPD. Each subject was then interviewed, blind to MSI-BPD results, with the BPD module of the Diagnostic Interview for DSM-IV Personality Disorders (DIPD-IV; Zanarini, Frankenburg, Sickel, & Yong, 1996). Of these 200 subjects, 139 (69.5%) met DSM-IV criteria for BPD as assessed by the BPD module of the DIPD-IV and the remaining 61 subjects (30.5%) did not. Using logistic regression analyses, an MSI-BPD cutoff of 7 or more of the measure's 10 items was judged to be the best cutoff. This was so because it yielded both good sensitivity (.81; percentage of correctly identified cases) and specificity (.85; percentage of correctly identified noncases) for the diagnosis of DSM-IV BPD. For younger subjects, diagnostic efficiency was even greater. For example, sensitivity was .90 and specificity was .93 at a cutoff of 7 for the 63 subjects who were 25 years old or younger. The results of this study suggest that the MSI-BPD may be a useful screening instrument for the presence of DSM-IV borderline personality disorder.