Cross-cultural bias in the diagnosis of borderline personality disorder

Jani, Suni; Johnson, R. Scott; Banu, Sophia; Shah, Asim A

doi:10.1521/bumc.2016.80.2.146

Cited by 16 publications

(5 citation statements)

References 27 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…The consistency of the association between BPD and bipolar I disorder and suicide attempt history across racial and ethnic groups suggest that these disorders are consistent factors associated with suicide risk. The clinical significance of these findings should be considered within the context of regular misdiagnosis of BPD and bipolar I disorder, particularly among racial and ethnic minority groups [ 61 , 62 ]. For instance, in the USA, emotional expression norms are typically based on White individuals, who are the dominant racial group of the USA, and deviations from these norms may be pathologized as mood disturbances or affective lability even when they adhere to an individual’s cultural norms [ 63 , 64 ].…”

Section: Discussionmentioning

confidence: 99%

Suicide Attempts Among Racial and Ethnic Groups in a Nationally Representative Sample

Carter

Campbell

Wee

et al. 2021

J. Racial and Ethnic Health Disparities

View full text Add to dashboard Cite

Objective Evaluate suicide attempt prevalence and potentially related sociodemographic and psychiatric factors among racial and ethnic groups. Methods Between 2012 and 2013, the National Epidemiologic Survey on Alcohol and Related Conditions-III (NESARC-III) conducted semi-structured interviews with 36,309 adults in the USA. We identified lifetime suicide attempt prevalence and significant predictors for each racial/ethnic group using stratified logistic regressions. Analyses were exploratory without a priori hypotheses. Results Asian/Native Hawaiian/other Pacific Islander and Black individuals had the lowest prevalence of suicide attempts while Alaska Native/American Indian and White individuals had the highest prevalence. Identifying as female and meeting criteria for psychiatric diagnoses featuring mood regulation difficulties (depression, borderline personality disorder, bipolar I disorder) were consistently related to a suicide attempt history across racial and ethnic groups, whereas substance abuse disorders and other sociodemographic factors differed between racial and ethnic groups in their associations with suicide attempt history. Conclusions Although several factors were consistently related to suicide risk across racial and ethnic groups, the prevalence of suicide attempts and overall pattern of related factors were not uniform between racial and ethnic groups. Policy Implications Study findings highlight the importance of considering suicide risk within the context of race and ethnicity both regarding the overall prevalence of risk and in determining personal factors associated with elevated risk. A failure to appreciate experiences related to race and ethnicity may adversely impact suicide risk assessment and treatment, ultimately contributing to health disparities. Results suggest that additional research is warranted.

show abstract

Section: Discussionmentioning

confidence: 99%

Suicide Attempts Among Racial and Ethnic Groups in a Nationally Representative Sample

Carter

Campbell

Wee

et al. 2021

J. Racial and Ethnic Health Disparities

View full text Add to dashboard Cite

show abstract

“…Studies demonstrate that psychopathology patterns do tend to vary across cultures (Viswanath & Chaturvedi, 2012). For example, British patients with BPD display less derealization and depersonalization and less counter-dependency compared to American patients with BPD, whereas Japanese patients with BPD demonstrate higher derealization and depersonalization, and lower manipulative suicide threats (Jani et al, 2016). Future studies should aim to assess whether varying definitions of BPD may have affected treatment integrity and also possibly the quality of supervision.…”

Section: Discussionmentioning

confidence: 99%

Supervisees perspectives of challenges and opportunities in cross-cultural implementation of psychodynamically oriented therapy in Israel.

Sedoff,

Shalev,

Netzer

et al. 2024

Practice Innovations

View full text Add to dashboard Cite

“…Method of culture-adapted translation and step-by-step test construction was successful. It was possible to build a version AIDA Panama with 58 items with excellent psychometric properties, equivalent to the original version of AIDA and other translated versions, Moreover, an inventory using a dimensional model as AIDA is relevant to study identity diffusion as a component of personality functioning across culture ( 89 , 90 ). In this study we found that diffusion scale accounts for the majority of variance, indicating an unidimensional measure.…”

Section: Discussionmentioning

confidence: 99%

Psychometric Properties of a Cultural Adapted Version of the Assessment of Identity Development in Adolescence in Panama

2022

View full text Add to dashboard Cite

The Assessment of Identity Development in Adolescence (AIDA) is a self-report instrument to detect pathological development of Identity. In Panamá, psychometric instruments for assessment of psychopathology in adolescence are lacking. Our aim was to develop a valid and reliable version of the AIDA Inventory for Panamanian Population. AIDA was adapted to Spanish considering cultural aspects of Panamanian population. Two pilot tests were performed prior to main test to assess item-total correlation at subscale, primary scale and total scale levels and internal consistency at subscale level. A mixed sample of students and PD patients (N = 315) completed the AIDA inventory, the “Strength and Difficulties Questionnaire” and “Defense Style Questionnaire−40.” AIDA was retested in a sub sample from school population (n = 98). The Structured Clinical Interview for Axis II Disorders was used for diagnosis of personality disorders in the patient sample (n = 25). Psychometric properties were tested to assess internal consistency, reliability, factorial validity, convergent validity, and criterion validity. AIDA Panama showed excellent internal consistency for the total scale Identity Diffusion with Cronbach's α:0.94 and a retest reliability of 0.84. A Bifactorial CFA was modeled to assess the dimensionality of the inventory. The proportion between OmegaH and Omega at total scales 96% of the variance is explained by a general factor. Furthermore, the Explained Common Variance for the General Factor is 73% supporting unidimensionality. In line with theory, AIDA total scale showed a high positive correlation (r = 0.67) with Total Difficulties scale and high positive correlation (r = 0.71) with Immature Defense scale. The AIDA total score differed highly significant (p = 0.000) between the patient sample and the students with a large effect size (d = 1.02).ConclusionThe adaptation and validation of AIDA for Panamanian adolescent population was successful with good psychometric properties and significant correlations with related psychopathological constructs. AIDA showed high clinical validity by providing a valid discrimination between the school sample and a diagnosed PD sample, in line with the assumption that impaired identity functioning is at the core of personality disorders, especially in adolescence.

show abstract

Cross-cultural bias in the diagnosis of borderline personality disorder

Cited by 16 publications

References 27 publications

Suicide Attempts Among Racial and Ethnic Groups in a Nationally Representative Sample

Suicide Attempts Among Racial and Ethnic Groups in a Nationally Representative Sample

Supervisees perspectives of challenges and opportunities in cross-cultural implementation of psychodynamically oriented therapy in Israel.

Psychometric Properties of a Cultural Adapted Version of the Assessment of Identity Development in Adolescence in Panama

Contact Info

Product

Resources

About