Parent–adolescent concordance on the Revised Diagnostic Interview for Borderlines (DIB‐R) and the Childhood Interview for Borderline Personality Disorder (CI‐BPD)

Wall, Kiana; Sharp, Carla; Ahmed, Yusra; Goodman, Marianne; Zanarini, Mary C.

doi:10.1002/pmh.1376

Cited by 7 publications

(3 citation statements)

References 38 publications

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“…These studies have shown that interrater agreement varies across traits, potentially due to differences in observability, as reflected in higher agreement for more externalizing versus internalizing traits. From a DSM-perspective, Wall, Sharp, Ahmed, Goodman, and Zanarini (2017) found high diagnostic concordance for adolescent BPD between inpatient adolescents and their parents on the Revised Diagnostic Interview for Borderlines (DIB-R; Zanarini et al, 1989) and the CI-BPD (Zanarini, 2003). Sharp et al (2010) also found significant but modest concordance in a community sample of parent and child reports on the Borderline Personality Features Scale (BPFSC).…”

Section: Phenomenology Assessment and Construct Validity Personalitmentioning

confidence: 99%

Personality Pathology in Youth

Sharp¹,

Clercq²

2020

The Cambridge Handbook of Personality Disorders

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Section: Phenomenology Assessment and Construct Validity Personalitmentioning

confidence: 99%

Personality Pathology in Youth

Sharp¹,

Clercq²

2020

The Cambridge Handbook of Personality Disorders

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“…Borderline personality disorder diagnosis was made using the Diagnostic Interview for Borderline—Revised (DIB‐R) administered by one of the investigators who is a board‐certified child and adolescent psychiatrist, previously trained on the administration of the DIB‐R. The DIB‐R is a common measure of BPD diagnosis and is valid for use in adolescents . Importantly, this measure does not include an explicit assessment of irritable mood quality.…”

Section: Methodsmentioning

confidence: 99%

Examining the predictive association of irritability with borderline personality disorder in a clinical sample of female adolescents

Dyce

Sassi

Boylan

2020

Personality & Mental Health

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Objectives -Borderline personality disorder (BPD) is a disorder associated with emotion dysregulation and is common in clinical samples of adolescents. The identification and delineation of BPD from other disorders is important, yet methods for effectively screening for BPD are lacking. Here, we examine whether irritability can be used as a screening item for BPD in adolescents at risk for the disorder. Methods -We assessed Diagnostic Interview for Borderline-Revised and Development of Well-Being Assessment scores in a clinical sample of female adolescents ages 12-17 (n = 78) to identify BPD and group cases into 'irritable' and 'non-irritable' mood types, respectively. We then examined the prevalence of irritability and its predictive association with BPD. Results -The prevalence of BPD was 26% (n = 20). There was a significant association between irritable mood and BPD, specifically (χ 2 (1) = 17.740, p < 0.001). Irritability was endorsed in all (n = 20) BPD cases (sensitivity: 100%), while in non-BPD cases (n = 58), irritability was endorsed in 27 (specificity: 53%; positive predictive value: 0.33; and negative predictive value: 1.0). Conclusion -Irritability is a highly sensitive screening item for BPD in adolescents. The absence of irritability in an adolescent may be an important clinical tool to rule out BPD.

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“…This study also points to the need for further research regarding peer relationships and strengths among young people with BPD, with important clinical implications for prevention. Wall and colleagues remind us that a key feature of treatment programmes for young people with BPD is the high level of family involvement. Although preliminary, the findings from this study suggest a high level of diagnostic concordance between young people and their parents and an important role for interview‐based measures of BPD.…”

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confidence: 99%

Borderline personality disorder is not a variant of normal adolescent development

Chanen

2017

Personality & Mental Health

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It now seems extraordinary to recall the time when clinicians believed that young people could not become depressed. Yet, it was only in the 1980s that the contemporary concept of depression entered mainstream child and adolescent psychiatry. Three decades later and this special issue of the Journal asks a variant of this question about BPD. It does say something about the crisis of legitimacy for BPD in mainstream psychiatry that we are still asking if BPD is non-normative in young people, when a wealth of evidence now suggests that BPD can take its rightful place as a severe mental disorder across the life course. 1 This series of papers systematically asks whether young people with BPD differ from their healthy peers on a range of parameters. It should not be surprising to learn that the answer is an emphatic yes. These data add to what is now a coherent literature demonstrating that young people with BPD differ from their healthy peers, not only on the parameters presented in this special issue but also on many others, such as substance use. 2 Zanarini and colleagues 3 note that psychiatrically healthy adolescents are not devoid of BPD features. They conceive of these features as 'manifestations of adolescent angst'. However, the normative adolescent development literature has tended to move away from such ideas. It might be that these are 'subthreshold' features, which point to the dimensional nature of the BPD construct. This does raise the issue of whether the arbitrary categorical threshold set by DSM-5 (five of nine criteria) is the appropriate cut point for treatment initiation, which brings us to the paper by Stepp and colleagues. 4 This begins to address this question in new analyses from the informative high-risk community sample in the Pittsburgh Girls Study. This study identifies dimensions of childhood temperament and psychopathology symptom severity that predict 'conversion' to a positive screen for BPD over a 14-year follow-up. This study highlights the need for a broad-based, integrated model of disorder 'onset', rather than one for each diagnostic 'silo'.A key premise of Stepp and Lazarus' study seems to be that childhood temperament and psychopathology are qualitatively different to BPD. Yet, existing research highlights substantial overlap in the content covered across the domains of temperament, normal-range child personality and child personality pathology. 5 This suggests that the same phenomena (in this case, emotion dysregulation and impulsivity) might be being measured but given different labels during different developmental periods. Nonetheless, this

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Parent–adolescent concordance on the Revised Diagnostic Interview for Borderlines (DIB‐R) and the Childhood Interview for Borderline Personality Disorder (CI‐BPD)

Cited by 7 publications

References 38 publications

Personality Pathology in Youth

Personality Pathology in Youth

Examining the predictive association of irritability with borderline personality disorder in a clinical sample of female adolescents

Borderline personality disorder is not a variant of normal adolescent development

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