Factor Structure of Borderline Personality Disorder Criteria

Clarkin, John F.; Hull, James W.; Hurt, Stephen W.

doi:10.1521/pedi.1993.7.2.137

Cited by 149 publications

(128 citation statements)

References 8 publications

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“…29 Personality disorder diagnoses were assigned based on results of the Structured Interview for DSM-IV Personality (SIDP-IV). 30 To obtain a more differentiated index of BPD severity, BPD criteria were scored on a 6-point scale 31 in addition to the conventional 4-point scale used with the SIDP-IV. BPD dimensional scores were created by summing the scores of each of the nine BPD criteria.…”

Section: Assessmentmentioning

confidence: 99%

Race and Sexually Transmitted Diseases in Women With and Without Borderline Personality Disorder

Genna

Feske

Angiolieri

et al. 2011

Journal of Women's Health

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Background: The purpose of this study was to examine the history of sexually transmitted diseases (STDs) among women with borderline personality disorder (BPD) with and without a lifetime substance use disorder (SUD) and to compare their histories to those of a group of women with a current nonpsychotic axis I disorder. Methods: Two-hundred fifteen women completed the Structured Clinical Interview for DSM-IV Axis I diagnoses (SCID-I), Structured Interview for DSM-IV Personality for Axis II diagnoses (SIDP-IV), and a sexual health interview. African American women were oversampled because little is known about BPD in African American women and because they are at greater risk for STDs than non-African American women. Results: Women with a lifetime SUD (especially cannabis use disorder) reported more STD risk factors and STDs than women without a lifetime SUD. BPD dimensional scores and African American race were predictors of STD, even after controlling for age, socioeconomic status (SES), SUDs, and participation in the sex trade. Conclusions: Determining predictors of STDs within at-risk subpopulations may help reduce the spread of STDs and prevent HIV infection within these groups by helping providers identify women at the highest risk of infection.

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Section: Assessmentmentioning

confidence: 99%

Race and Sexually Transmitted Diseases in Women With and Without Borderline Personality Disorder

Genna

Feske

Angiolieri

et al. 2011

Journal of Women's Health

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“…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%

“…We are aware of four factor analytic studies of borderline personality disorder that have appeared since the introduction of DSM-III. One study (7) examined DSM-III criteria, two (8,9) examined DSM-III-R criteria, and one (10) looked at DSM-IV criteria for borderline personality disorder.…”

mentioning

confidence: 99%

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

286

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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“…A core problem of borderline personality disorder (BPD) is emotional dysregulation (Clarkin et al 1993;Sanislow et al 2000), which results from a combination of emotional vulnerability and an inability to modulate emotional responses (Gunderson and Zanarini 1989;Linehan 1993Linehan , 1995. Emotional vulnerability is characterized by a marked sensitivity to emotional stimuli (low threshold) and unusually strong reactions (high amplitude) that are abnormally slow in returning to baseline (long duration).…”

Section: Introductionmentioning

confidence: 99%

Amygdala hyperreactivity in borderline personality disorder: implications for emotional dysregulation

Donegan

Sanislow

Blumberg

et al. 2003

Biological Psychiatry

580

327

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Factor Structure of Borderline Personality Disorder Criteria

Cited by 149 publications

References 8 publications

Race and Sexually Transmitted Diseases in Women With and Without Borderline Personality Disorder

Race and Sexually Transmitted Diseases in Women With and Without Borderline Personality Disorder

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

Amygdala hyperreactivity in borderline personality disorder: implications for emotional dysregulation

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