Latent structure analysis of DSM-IV borderline personality disorder criteria

Fossati, Andrea; Maffei, Cesare; Bagnato, María José; Donati, Deborah; Namia, Caterina; Novella, Liliana

doi:10.1016/s0010-440x(99)90080-9

Cited by 108 publications

(108 citation statements)

References 22 publications

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“…Their study group of 564 outpatients was diagnosed by means of version 2.0 of the SCID-II. In contrast to the exploratory factor-analytic studies already reviewed (7-9), the Fossati et al (10) findings, obtained by using the SCID-II, were generally consistent with the concept of borderline personality disorder reflecting a unidimensional or singular construct, thus supporting the DSM-IV borderline personality disorder diagnosis. Fossati et al (10), however, noted that such homogeneity does not rule out natural subgroups and that their results suggested a possible dimensional gradient involving impulsivity and anger dyscontrol that stood apart from the overall construct of borderline personality disorder.…”

supporting

confidence: 49%

“…Findings from prior factor-analytic studies have produced useful results that identify key components of borderline personality disorder, but differences in the various editions of diagnostic systems employed, as well as the variety of populations studied, make comparisons of results difficult (7)(8)(9)(10). Nonetheless, studies that have examined axis II personality disorders more broadly have demonstrated consistencies across various editions of DSM (33)(34)(35).…”

Section: Affective Dysregulationmentioning

confidence: 99%

“…Fossati and colleagues' study (10) was the only work that we could locate that used confirmatory factor analysis to examine the construct of borderline personality disorder. Their study group of 564 outpatients was diagnosed by means of version 2.0 of the SCID-II.…”

mentioning

confidence: 99%

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Confirmatory Factor Analysis of DSM-IV Criteria for Borderline Personality Disorder: Findings From the Collaborative Longitudinal Personality Disorders Study

Sanislow¹,

Grilo²,

Morey³

et al. 2002

AJP

282

172

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Objective: This study tested the factor structure of the DSM-IV criteria for borderline personality disorder by using confirmatory methods for the analysis of covariance structures in a large group from a multisite study.Method: A total of 668 primarily treatment-seeking subjects were reliably assessed for personality disorders by using the Diagnostic Interview for DSM-IV Personality Disorders. Associations among criteria for borderline personality disorder were examined. A confirmatory factor analysis was performed to test diagnosis as a unitary construct and to test an earlier-reported three-factor model comprising disturbed relatedness, behavioral dysregulation, and affective dysregulation. The three-factor model was subsequently tested by using a subset (N=498) of the study group that was reassessed 2 years later by independent evaluators who were blind to original diagnoses. Results:Internal consistency of the borderline personality disorder diagnosis was adequate for both baseline and follow-up assessments. A confirmatory factor analysis model testing the borderline personality disorder diagnosis as a unitary construct provided good fit, and the threefactor model offered a significantly better fit for the baseline assessment. The threefactor model was replicated with the 2-year follow-up data. Conclusions:The diagnostic criteria for borderline personality disorder appear to reflect a statistically coherent construct. Three homogeneous components were supported empirically, lending conceptual clarity to different classes of the criteria for borderline personality disorder.

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supporting

confidence: 49%

Section: Affective Dysregulationmentioning

confidence: 99%

See 1 more Smart Citation

Confirmatory Factor Analysis of DSM-IV Criteria for Borderline Personality Disorder: Findings From the Collaborative Longitudinal Personality Disorders Study

Sanislow¹,

Grilo²,

Morey³

et al. 2002

AJP

282

172

View full text Add to dashboard Cite

show abstract

“…41,51 Because of this interpersonal instability, less than half of women with the disorder marry, and even less have children. 29 Patients with the disorder also make frantic efforts to avoid abandonment.…”

mentioning

confidence: 99%

Diagnosing borderline personality disorder

Biskin

Paris

2012

CMAJ

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“…Für andere Autoren steht die emotionale Dysregulation oder die Beziehungsstörung bei der Borderline-Persönlich-keitsstörung im Zentrum der Psychopathologie [37,38]. Ergebnisse von Validitätsstudien der DSM-IV-Kriterien deuten darauf hin, dass das Kriterium «instabile Beziehungen» die höchste diagnostische Effizienz aufweist [39,40]. Dieses diagnostische Kriterium ist phänomenologisch-psychopathologisch leichter zu fassen als das «instabile Selbstbild», das im DSM-IV als «Identitätsstörung» klassifiziert wird [41].…”

Section: Diskussionunclassified

Identität und Identiätsstörung bei Persönlichkeitsstörungen: Definition, Konzeptionen und Perspektiven aus psychodynamischer Sicht

2008

Swiss Arch Neurol Psychiatr

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Latent structure analysis of DSM-IV borderline personality disorder criteria

Cited by 108 publications

References 22 publications

Confirmatory Factor Analysis of DSM-IV Criteria for Borderline Personality Disorder: Findings From the Collaborative Longitudinal Personality Disorders Study

Confirmatory Factor Analysis of DSM-IV Criteria for Borderline Personality Disorder: Findings From the Collaborative Longitudinal Personality Disorders Study

Diagnosing borderline personality disorder

Identität und Identiätsstörung bei Persönlichkeitsstörungen: Definition, Konzeptionen und Perspektiven aus psychodynamischer Sicht

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