Psychometric Properties of the German Version of the Borderline Personality Disorder Severity Index - Version IV

Abstract

Background: Although the Borderline Personality Disorder Severity Index - Version IV (BPDSI-IV) has already been used in several studies, psychometric properties are only known from two developing studies. Sampling and Methods: To examine item characteristics, reliability, and validity indicators, a large sample including subjects with borderline personality disorder (n = 163), a mixed psychiatric group (n = 58), and a healthy control group (n = 43) were interviewed with the German version of the Structured Clinical Interview for DSM-IV Personality Disorders (SCID-II) as well as the BPDSI-IV. Results: The indices for interrater reliability as well as internal consistency of the BPDSI-IV were excellent to good. The total score and the subscales of the BPDSI-IV discriminated between diagnostic subgroups. As expected, its subscales were associated with the scores in the SCID-II and applied self-rating measures. Conclusions: In a subsequent version, subscales might have to be adapted to the proposed traits of the borderline type in DSM-V.

Feasibility of Group Schema Therapy for Outpatients with Severe Borderline Personality Disorder in Germany: A Pilot Study with Three Year Follow-Up

“…Inclusion criteria were age ≥18 years, a primary diagnosis of BPD according to SCID-II, severity of BPD > 20 in the BPD Severity Index, fourth edition (BPDSI-IV) (Giesen-Bloo et al, 2010; Kröger et al, 2013), an well validated semi-structured clinical interview. Exclusion criteria were Major Psychotic disorder (lifetime diagnosis), intellectual deficit ( IQ < 80), inadequate communication skills in the German language and acute serious substance dependencies (DSM-IV) requiring clinical detoxification.…”

“…The scores on subscales of the BPDSI-IV provide information on the severity of each of the nine dimensions of BPD. The BPDSI-IV shows excellent psychometric features (Cronbach's alpha = 0.85; interrater reliability 0.99, high validity and sensitivity to change) (Giesen-Bloo et al, 2010; Kröger et al, 2013). A cutoff of 15 points has been empirically found to differ people with BPD from people without BPD; our inclusion criterion of >20 has been used in several studies (Giesen-Bloo et al, 2006a; Nadort et al, 2009; Dickhaut and Arntz, 2013), as it reliable distinguished BPD from non-BPD PDs, and indicates a severe BPD in need of treatment.…”

Always on guard: emotion regulation in women with

“…19 We preferred that patients had not started treatment yet before entering the study; however, if they had, measurements had to be finished within 3 months from the start of therapy. Patients with BPD were further screened using the BPD Severity Index; [20][21][22] to be included their score had to be higher than 20. Patients with narcissistic and antisocial personality disorders, full-or subthreshold, were excluded for reasons related to the clinical trial in which this study sample participated.…”

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

“…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 sensitivity 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].…”

“…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]. It should be noted that 5 authors recommended a threshold of 7 [5,15,[17][18][19].…”