Continuity between DSM-5 Categorical Criteria and Traits Criteria for Borderline Personality Disorder

Abstract

In addition to the proposed BPD traits criteria, Suspiciousness and features of Psychoticism also augment BPD features. Provided that these findings are replicated in forthcoming research, a modified traits operationalization of BPD is warranted.

Development and Validation of Personality Disorder Spectra Scales for the MMPI–2–RF

“…Hopwood et al, 2012), which are also not the traits deemed most conceptually relevant to the disorder (American Psychiatric Association, 2013). Borderline PD was not meaningfully associated with risk taking, which has also been observed in previous research (e.g., Anderson et al, 2014;Bach & Sellbom, 2016;Yam, & Simms, 2014). Furthermore, avoidant PD has consistently shown evidence that it is not related to intimacy avoidance, at least as strongly as with other core traits (e.g., Anderson et al, 2014;Yam & Simms, 2014).…”

“…Thus, the finding that the borderline PD scale showed substantial PD-wide associations is consistent with this point of view. It is also noteworthy that borderline PD is not linked to suspiciousness (r D. 45) and cognitive and perceptual dysregulation (r D. 50) in the DSM-5 Section III (American Psychiatric Association, 2013) despite both conceptual and empirical arguments for these links (Bach & Sellbom, 2016;Sellbom, Sansone, Songer, & Anderson, 2014). This underrepresentation of suspiciousness, perceptual dysregulation, and "anhedonic-like" states (emotional pain and dissociation leading to nonsuicidal self-harm; Zanarini & Frankenburg, 2007) in the Section III algorithm for borderline PD has also been noted as problematic by others (Evans & Simms, 2017).…”

Differentiating borderline personality disorder (BPD) from bipolar disorder: diagnostic efficiency of DSM BPD criteria

“…For the BPD diagnosis, traits include ‘emotional lability’, ‘anxiousness’ and ‘separation insecurity’ from the domain of ‘negative affectivity’; ‘depressivity’ from the domain of ‘detachment’; ‘hostility’ from the domain of ‘antagonism’; and ‘risk taking’ and ‘impulsivity’ from the domain of ‘disinhibition’ . These traits have been shown to have continuity with BPD categorical criteria and to offer differentiation from other personality disorders and healthy controls . Fowler et al recently used the Personality Inventory for DSM‐5 (PID‐5) BPD algorithm (based on Section III aforementioned BPD facet traits) in a sample of BPD and BP individuals, finding that this showed moderate‐to‐excellent accuracy in distinguishing the conditions (AUC = 0.83, SE = 0.04, P < 0.0001) with a good balance of specificity (0.79) and sensitivity (0.77).…”

Early maladaptive schemas and borderline personality disorder features in a nonclinical sample: A network analysis

“…Borderline personality disorder (BPD) is one of the most chronic, serious, and challenging mental disorders characterized by core symptoms such as emotional instability, impulsivity, identity disturbance, problematic interpersonal relationships, and self‐harming behaviours (American Psychiatric Association [APA], ; Bach & Sellbom, ). Epidemiological studies show that prevalence rates for BPD vary between 0.5% and 5.9% in the general population, running up to 25% in clinical populations (Grant, Chou, & Goldstein, ; Gunderson, ).…”