Diagnostic Value of the Dutch Version of the McLean Screening Instrument for BPD (MSI-BPD)

Abstract

Borderline personality disorder (BPD) often goes unrecognized, and therefore a short but accurate screening tool is desired. The present study investigated the psychometric properties of the 10-item McLean Screening Instrument for BPD (MSI-BPD) in 159 well-diagnosed female participants. The MSI-BPD showed excellent internal consistency (α = .90). When compared to BPD diagnoses based on a structured clinical interview (SCID-II), the MSI-BPD showed substantial congruent validity (receiver operating characteristic area under the curve = 0.96). The cutoff point proposed by the developers of the MSI-BPD (7 or more) showed high specificity (.96) and good sensitivity (.71). The optimal cutoff point in the present study (5 or more) showed somewhat lower specificity (.86), but importantly better sensitivity (.94). Taken together, the Dutch version of the MSI-BPD demonstrated good psychometric properties for a screening tool.

Validation of the French version of the McLean Screening Instrument for Borderline Personality Disorder (MSI-BPD)

“…We found that the MSI-BPD demonstrated high diagnostic efficiency (ROC = 0.93), with a cut-off of 5 showing a good correlation with the SIDP IV (sensitivity = 0.87; specificity = 0.85). The optimal cut-off is below the initially defined threshold of 7 [5], and the score of 5 was also found in the study by van Alebeek and colleagues [14] in a sample of adolescents and young adults in psychiatric care and in the study by Andre and colleagues [16] in a sample of adult psychiatric in-and out-patients.…”

“…The recent literature review by Zimmerman and Balling [11] reports 12 studies of the MSI-BPD, including 3 studies in adolescent and young adult populations [12][13][14]. The sensibility of the scale ranged from 48.4% [12] to 91% [15] and the specificity of the scale ranged from 19.2% [15] to 90.2% [16]. A maximization approach to select an optimal cut-off (the best balance between sensitivity and specificity) was widely used and the authors recommended cut-offs ranging from 5 [12] to 8 [13].…”

“…Results 84 patients diagnosed as having a BPD according to the SIDP-IV participated in the study. The mean age of patients was 17 [16][17], 86 % (n = 73) were female, and 91 % were high school students. 87 controls participated in the assessments, with 3 controls being excluded because of prior psychological or psychiatric consultations.…”

“…87 controls participated in the assessments, with 3 controls being excluded because of prior psychological or psychiatric consultations. The mean age of the control group was 16 [15][16][17], 76 % (n = 64) were female, and all were of high school level. There was no significant difference between the two groups concerning age, gender and level of education, respectively p = 0.08, p = 0.073 and p = 0.35.…”

Borderline personality disorder traits and affect reactivity to positive affect induction followed by a stressor

“…The McLean Screening Instrument for Borderline Personality Disorder (MSI-BPD) is a brief, 10 item, self-report questionnaire used to measure BPD symptoms (Zanarini et al, 2003; scale range 0-10). For the Dutch version, adequate internal consistency, high specificity and sensitivity, and a high test-retest correlation after four months were found (André, Verschuere, & Lobbestael, 2015;Verschuere & Tibboel, 2011). In the current sample, internal consistency was good (α = .87).…”