Interdiagnostician Reliability of the DSM-5 Section II and Section III Alternative Model Criteria for Borderline Personality Disorder.

Abstract:

:This study examined the interdiagnostician reliability and potential gender bias of the DSM-IV/DSM-5 Section II and DSM-5 Alternative Model definitions of borderline personality disorder. A national sample of 123 mental health professionals provided diagnostic judgments on 12 case vignettes selected to represent a range of personality pathology. Two versions of each case were included, one identified as male and the other as female, but which were otherwise identical. Analyses examined the intraclass correlation between clinicians and also examined rates of diagnostic assignments as a function of case gender. Reliability of diagnosis of borderline personality did not differ across the two diagnostic approaches, and concordance of diagnoses across the two systems was significant. The dimensional components of the DSM-5 Alternative Model demonstrated significantly more diagnostic reliability than the DSM-IV categorical diagnoses. The DSM-5 Alternative Model conceptualization of borderline personality can be diagnosed with comparable or greater reliability than the extant DSM-IV definition.

journal_name

J Pers Disord

authors

Morey LC

doi

10.1521/pedi_2019_33_362

subject

Has Abstract

pub_date

2019-12-01 00:00:00

pages

721-S18

issue

6

eissn

0885-579X

issn

1943-2763

journal_volume

33

pub_type

杂志文章
  • Screening of personality disorders among chinese college students by Personality Diagnostic Questionnaire-4+.

    abstract::Four thousand eight hundred and eleven students were sampled from 26 universities in 21 cities of China and evaluated using the Personality Diagnostic Questionnaire-4+(PDQ-4+). Results showed that male students obtained significantly higher scores than female students on paranoid, schizotypal, antisocial, narcissistic...

    journal_title:Journal of personality disorders

    pub_type: 杂志文章

    doi:10.1521/pedi.2007.21.4.448

    authors: Huang X,Ling H,Yang B,Dou G

    更新日期:2007-08-01 00:00:00

  • The development of a psychodynamic treatment for patients with borderline personality disorder: a preliminary study of behavioral change.

    abstract::This study examines the effectiveness of a modified psychodynamic treatment called Transference Focused Psychotherapy (TFP) designed specifically for patients, with borderline personality disorder (BPD). Twenty-three female patients diagnosed with DSM-IV BPD began twice-weekly TFP. Patients were assessed at baseline a...

    journal_title:Journal of personality disorders

    pub_type: 杂志文章

    doi:10.1521/pedi.15.6.487.19190

    authors: Clarkin JF,Foelsch PA,Levy KN,Hull JW,Delaney JC,Kernberg OF

    更新日期:2001-12-01 00:00:00

  • Anger, preoccupied attachment, and domain disorganization in borderline personality disorder.

    abstract::Emotional dysregulation and attachment insecurity have been reported in borderline personality disorder (BPD). Domain disorganization, evidenced in poor regulation of emotions and behaviors in relation to the demands of different social domains, may be a distinguishing feature of BPD. Understanding the interplay betwe...

    journal_title:Journal of personality disorders

    pub_type: 杂志文章

    doi:10.1521/pedi.2009.23.3.240

    authors: Morse JQ,Hill J,Pilkonis PA,Yaggi K,Broyden N,Stepp S,Reed LI,Feske U

    更新日期:2009-06-01 00:00:00

  • Construct validity and prevalence rate of borderline personality disorder among Chinese adolescents.

    abstract::The construct of borderline personality disorder (BPD) among adolescents is a controversial topic. No research has examined the BPD construct among Chinese adolescents because the Chinese Classification of Mental Disorders-III rejects BPD as a valid diagnostic category. The present study explored the construct validit...

    journal_title:Journal of personality disorders

    pub_type: 杂志文章

    doi:10.1521/pedi.2009.23.5.494

    authors: Leung SW,Leung F

    更新日期:2009-10-01 00:00:00

  • Dimensional personality profiles of borderline personality disorder in comparison with other personality disorders and healthy controls.

    abstract::The present study examined the sensitivity and clinical specificity of dimensional personality profiles associated with borderline personality disorder (BPD) by comparing three groups of patients: (a) patients with BPD according to DSM-IV criteria (n = 31); (b) patients with other DSM-IV PD (n = 31); and (c) general p...

    journal_title:Journal of personality disorders

    pub_type: 杂志文章

    doi:10.1521/pedi.16.2.135.22550

    authors: Pukrop R

    更新日期:2002-04-01 00:00:00

  • Effortful Control, Rejection Sensitivity, and Borderline Personality Disorder Features in Adulthood.

    abstract::This investigation examined the moderating role of effortful control (EC) in the association between rejection sensitivity (RS) and its subsequent interpersonal distress (IP-distress) on borderline personality disorder (BPD) features. In total, 625 multicultural undergraduates (Study 1) and 562 community international...

    journal_title:Journal of personality disorders

    pub_type: 杂志文章

    doi:10.1521/pedi_2015_29_226

    authors: De Panfilis C,Meehan KB,Cain NM,Clarkin JF

    更新日期:2016-10-01 00:00:00

  • Self-concept correlates of the personality disorders.

    abstract::This study investigated the extent to which the DSM personality disorder dimensions are associated with discrete patterns of self-concept. Participants were 366 men and women who were receiving mental health services and who completed the Wisconsin Personality Disorders Inventory to assess the personality disorders an...

    journal_title:Journal of personality disorders

    pub_type: 杂志文章

    doi:10.1521/pedi.15.2.150.19214

    authors: Klein MH,Wonderlich SA,Crosby R

    更新日期:2001-04-01 00:00:00

  • Interpersonal competence across domains: relevance to personality pathology.

    abstract::Interpersonal problems are significant markers of personality disorders (PDs). There is little research examining the specific interpersonal problems which lead to social impairment in PD. This study used canonical correlation analyses to examine the relationship between interpersonal competence and PDs, first as cate...

    journal_title:Journal of personality disorders

    pub_type: 杂志文章

    doi:10.1521/pedi.2011.25.1.16

    authors: Muralidharan A,Sheets ES,Madsen J,Craighead LW,Craighead WE

    更新日期:2011-02-01 00:00:00

  • The development of borderline personality disorder--a mentalizing model.

    abstract::This paper describes a mentalization-based model of the development of borderline personality disorder (BPD). The model takes into account constitutional vulnerability and is rooted in attachment theory and its elaboration by contemporary developmental psychologists. The model suggests that disruption of the attachmen...

    journal_title:Journal of personality disorders

    pub_type: 杂志文章,评审

    doi:10.1521/pedi.2008.22.1.4

    authors: Fonagy P,Bateman A

    更新日期:2008-02-01 00:00:00

  • Antisocial Traits, Negative Emotionality, and Trajectories of Relationship Quality in Mexican-Origin Couples.

    abstract::The symptoms of antisocial personality disorder (ASPD) and broader personality trait domains such as negative emotionality (NEM) may prove detrimental for marital quality. Previous research with European Americans has found that ASPD negatively predicts couple functioning, even when controlling for NEM. The current st...

    journal_title:Journal of personality disorders

    pub_type: 杂志文章

    doi:10.1521/pedi_2019_33_410

    authors: Clark DA,Donnellan MB,Robins RW

    更新日期:2020-08-01 00:00:00

  • Stability and change in personality pathology: revelations of three longitudinal studies.

    abstract::Three major longitudinal studies of personality disorder jointly provide new insights into the nature of stability and change in this important domain of psychopathology. This commentary highlights some of the many convergent results, which indicate robust findings that can be considered "established," and also differ...

    journal_title:Journal of personality disorders

    pub_type: 评论,杂志文章

    doi:10.1521/pedi.2005.19.5.524

    authors: Clark LA

    更新日期:2005-10-01 00:00:00

  • Improving Attitudes Towards Personality Disorder: Is Training for Health and Social Care Professionals Effective?

    abstract::Health and social care professionals are more likely to hold negative attitudes towards people with a diagnosis of personality disorder than toward people with other mental health diagnoses. Negative attitudes have also been found to adversely impact care and service provision. This review sought to systemically evalu...

    journal_title:Journal of personality disorders

    pub_type: 杂志文章

    doi:10.1521/pedi_2019_33_458

    authors: Attwood J,Wilkinson-Tough M,Lambe S,Draper E

    更新日期:2019-11-04 00:00:00

  • The Independent Contributions of Emotion Dysregulation and Hypermentalization to the "Double Dissociation" of Affective and Cognitive Empathy in Female Adolescent Inpatients With BPD.

    abstract::Harari, Shamay-Tsoory, Ravid, and Levkovitz (2010) demonstrated a "double dissociation" in empathy in borderline personality disorder (BPD), such that BPD patients had higher affective than cognitive empathy, whereas controls exhibited the opposite pattern. Two processes that may relate to this dissociation are emotio...

    journal_title:Journal of personality disorders

    pub_type: 杂志文章

    doi:10.1521/pedi_2015_29_192

    authors: Kalpakci A,Vanwoerden S,Elhai JD,Sharp C

    更新日期:2016-04-01 00:00:00

  • Factors related to dropout from treatment in two outpatient treatments for borderline personality disorder.

    abstract::Patients with borderline personality disorder frequently drop out prematurely from psychotherapy. This study examined factors related to treatment attrition in 180 patients enrolled in a randomized controlled trial comparing 1 year of Dialectical Behavior Therapy (DBT) to General Psychiatric Management (GPM). Complete...

    journal_title:Journal of personality disorders

    pub_type: 杂志文章,随机对照试验

    doi:10.1521/pedi_2013_27_106

    authors: Wnuk S,McMain S,Links PS,Habinski L,Murray J,Guimond T

    更新日期:2013-12-01 00:00:00

  • Impact of Childhood Maltreatment in Borderline Personality Disorder on Treatment Response to Intensive Dialectical Behavior Therapy.

    abstract::Childhood maltreatment (CM), including emotional, physical, and sexual abuse and emotional and physical neglect, is associated with severity of borderline personality disorder (BPD). However, knowledge on the impact of CM on treatment response is scarce. The authors investigated whether self-reported CM or one of its ...

    journal_title:Journal of personality disorders

    pub_type: 杂志文章

    doi:10.1521/pedi_2019_33_461

    authors: Euler S,Stalujanis E,Lindenmeyer HJ,Nicastro R,Kramer U,Perroud N,Weibel S

    更新日期:2019-12-30 00:00:00

  • A meta-analysis of the prevalence and usage of the personality disorder not otherwise specified (PDNOS) diagnosis.

    abstract::The primary aim of the current study was to determine the prevalence and usage of the diagnosis of personality disorder not otherwise specified (PDNOS). As a secondary objective, this study explores the impact of assessment method and definition of PDNOS on observed prevalence. A meta-analysis is reported of 51 studie...

    journal_title:Journal of personality disorders

    pub_type: 杂志文章,meta分析

    doi:10.1521/pedi.18.4.309.40350

    authors: Verheul R,Widiger TA

    更新日期:2004-08-01 00:00:00

  • Dramatic-erratic personality disorder symptoms: II. Developmental pathways from early adolescence to adulthood.

    abstract::This study examined the relationship over time between Cluster B personality disorder symptoms (borderline, histrionic, and narcissistic symptoms) and comorbid internalizing and externalizing symptoms in a community sample of 407 adolescents. Cross-lagged longitudinal models tested (a) the hypothesis that Cluster B sy...

    journal_title:Journal of personality disorders

    pub_type: 杂志文章

    doi:10.1521/pedi.15.4.336.19185

    authors: Crawford TN,Cohen P,Brook JS

    更新日期:2001-08-01 00:00:00

  • A longitudinal study of the 10-year course of interpersonal features in borderline personality disorder.

    abstract::The literature on borderline personality disorder (BPD) describes interpersonal disturbances as a core sector of psychopathology. The longitudinal course of these features remains poorly understood. Our aim is to describe the course of interpersonal features of BPD in a more detailed way than has been done previously....

    journal_title:Journal of personality disorders

    pub_type: 杂志文章

    doi:10.1521/pedi.2010.24.3.365

    authors: Choi-Kain LW,Zanarini MC,Frankenburg FR,Fitzmaurice GM,Reich DB

    更新日期:2010-06-01 00:00:00

  • CYP2D6 polymorphism and mental and personality disorders in suicide attempters.

    abstract::Prior studies on the association between the CYP2D6 polymorphism and suicide did not explore whether mental and personality disorders mediate this association. The main objective of the present study was to test an association between CYP2D6 polymorphism and mental and personality disorders among suicide attempters. T...

    journal_title:Journal of personality disorders

    pub_type: 杂志文章

    doi:10.1521/pedi_2012_26_080

    authors: Blasco-Fontecilla H,Peñas-Lledó E,Vaquero-Lorenzo C,Dorado P,Saiz-Ruiz J,Llerena A,Baca-García E

    更新日期:2014-12-01 00:00:00

  • Dissociation predicts poor response to Dialectial Behavioral Therapy in female patients with Borderline Personality Disorder.

    abstract::A substantial proportion of Borderline Personality Disorder (BPD) patients respond by a marked decrease of psychopathology when treated with Dialectical Behavioral Therapy (DBT). To further enhance the rate of DBT-response, it is useful to identify characteristics related to unsatisfactory response. As DBT relies on e...

    journal_title:Journal of personality disorders

    pub_type: 杂志文章

    doi:10.1521/pedi.2011.25.4.432

    authors: Kleindienst N,Limberger MF,Ebner-Priemer UW,Keibel-Mauchnik J,Dyer A,Berger M,Schmahl C,Bohus M

    更新日期:2011-08-01 00:00:00

  • Sadistic personality disorder in sex offenders: relationship to antisocial personality disorder and sexual sadism.

    abstract::To investigate the relationship of sadistic personality disorder (SPD), as defined in the appendix of DSM-III-R, to other personality disorders and to sexual sadism, 70 sex offenders (27 child molesters, 33 rapists, and 10 murderers) were assessed by the International Personality Disorder Examination. In 19 subjects (...

    journal_title:Journal of personality disorders

    pub_type: 杂志文章

    doi:10.1521/pedi.1999.13.2.175

    authors: Berger P,Berner W,Bolterauer J,Gutierrez K,Berger K

    更新日期:1999-07-01 00:00:00

  • Mental Health Support in the Perinatal Period for Women With a Personality Disorder Diagnosis: A Qualitative Study of Women's Experiences.

    abstract::Women who receive a diagnosis of personality disorder may face particular challenges in the context of having a baby. However, this area has received little attention. This study aimed to qualitatively explore experiences of mental health support during the perinatal period in a group of mothers who self-reported havi...

    journal_title:Journal of personality disorders

    pub_type: 杂志文章

    doi:10.1521/pedi_2020_34_482

    authors: Zacharia A,Taylor BL,Sweeney A,Morant N,Howard LM,Johnson S

    更新日期:2020-06-15 00:00:00

  • Toward a more psychometrically sound brief measure of schizotypal traits: introducing the SPQ-Brief Revised.

    abstract::Psychometric case identification of individuals at risk for developing schizophrenia-spectrum disorders is an important enterprise. Unfortunately, current instruments for this purpose are limited. The present studies sought to improve the Schizotypal Personality Questionnaire-Brief (SPQ-Brief), a measure of schizotypa...

    journal_title:Journal of personality disorders

    pub_type: 杂志文章

    doi:10.1521/pedi.2010.24.4.516

    authors: Cohen AS,Matthews RA,Najolia GM,Brown LA

    更新日期:2010-08-01 00:00:00

  • Toward a model of self pathology underlying personality disorders: narratives, metacognition, interpersonal cycles and decision-making processes.

    abstract::If we want to explain the links between the various and heterogeneous elements--symptoms, dysfunctional forms of behavior and poor social functioning--making up personality disorders, we need model a self pathology that portrays dysfunctions, the links among them, and how their interactions maintain disorders over tim...

    journal_title:Journal of personality disorders

    pub_type: 杂志文章,评审

    doi:10.1521/pedi.2006.20.6.597

    authors: Dimaggio G,Semerari A,Carcione A,Procacci M,Nicolò G

    更新日期:2006-12-01 00:00:00

  • A preliminary, randomized trial of psychoeducation for women with borderline personality disorder.

    abstract::The main objective of this study was to determine whether being taught the latest information concerning borderline personality disorder (BPD) leads to a decline in core BPD symptoms and an improvement in psychosocial functioning. Fifty-five late adolescent women participated in a rigorous diagnostic assessment and 50...

    journal_title:Journal of personality disorders

    pub_type: 杂志文章,随机对照试验

    doi:10.1521/pedi.2008.22.3.284

    authors: Zanarini MC,Frankenburg FR

    更新日期:2008-06-01 00:00:00

  • Short-Term Psychodynamic Psychotherapy for personality disorders: a critical review of randomized controlled trials.

    abstract::The research evidence for Short-Term Psychodynamic Psychotherapy (STPP) in the treatment of personality disorders (PD) was examined through consideration of studies utilizing randomized controlled designs. An extensive literature search revealed eight published Randomized Controlled Trials (RCT) of moderate study qual...

    journal_title:Journal of personality disorders

    pub_type: 杂志文章,meta分析,评审

    doi:10.1521/pedi.2011.25.6.723

    authors: Town JM,Abbass A,Hardy G

    更新日期:2011-12-01 00:00:00

  • A Head-to-Head Comparison of the Personality Inventory for DSM-5 (PID-5) With the Personality Diagnostic Questionnaire-4 (PDQ-4) in Predicting the General Level of Personality Pathology Among Community Dwelling Subjects.

    abstract::In order to evaluate if measures of DSM-5 Alternative PD Model domains predicted interview-based scores of general personality pathology when compared to self-report measures of DSM-IV Axis II/DSM-5 Section II PD criteria, 300 Italian community adults were administered the Iowa Personality Disorder Screen (IPDS) inter...

    journal_title:Journal of personality disorders

    pub_type: 杂志文章

    doi:10.1521/pedi_2105_29_184

    authors: Fossati A,Somma A,Borroni S,Maffei C,Markon KE,Krueger RF

    更新日期:2016-01-01 00:00:00

  • Normative warrant in diagnostic criteria: the case of DSM-IV-TR personality disorders.

    abstract::This article focuses on the kinds of evaluative judgments made when applying DSM-IV-TR diagnostic criteria within the diagnostic interview between clinician and patient. The authors name these kinds of value judgments in diagnosis "normative warrant" because they involve one or more justifications (warrants) for stand...

    journal_title:Journal of personality disorders

    pub_type: 杂志文章,评审

    doi:10.1521/pedi.2006.20.2.170

    authors: Sadler JZ,Fulford B

    更新日期:2006-04-01 00:00:00

  • Defense mechanisms associated with borderline personality disorder.

    abstract::This study assessed the defensive functioning of 290 criteria-defined borderline patients and compared it to that of 72 patients with other forms of axis II psychopathology. The Defense Style Questionnaire (DSQ), a self-report measure with demonstrated criterion validity and internal consistency, was administered to 3...

    journal_title:Journal of personality disorders

    pub_type: 杂志文章

    doi:10.1521/pedi.2009.23.2.113

    authors: Zanarini MC,Weingeroff JL,Frankenburg FR

    更新日期:2009-04-01 00:00:00

  • Brief communication: investigating the relationship between psychopathy and interoceptive awareness.

    abstract::Psychopathy is a disorder that is characterized by marked emotional deficiencies. Because previous studies suggest that an individual's sensitivity to bodily signals--or "interoceptive awareness"--is associated with various components of emotional functioning, the authors expected this capacity to be reduced in psycho...

    journal_title:Journal of personality disorders

    pub_type: 杂志文章

    doi:10.1521/pedi_2013_27_105

    authors: Nentjes L,Meijer E,Bernstein D,Arntz A,Medendorp W

    更新日期:2013-10-01 00:00:00