Validation of the French version of the McLean screening instrument for borderline personality disorder (MSI-BPD) in an adolescent sample (original) (raw)
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2020
Background: The study examines the psychometric properties of the French version of the McLean Screening Instrument for Borderline Personality Disorder (MSI-BPD) created by M. Zanarini to screen borderline personality disorder in clinical and non-clinical populations.Method: In this multicentric longitudinal study from the European Network on Borderline Personality Disorder, a sample of 84 adolescent patients from five psychiatric centres and 85 matched controls without psychiatric comorbidity completed the MSI-BPD, French version, and were interviewed with the Structured Interview for DSM-IV Personality (SIDP-IV), in order to assess the presence or absence of borderline personality disorder.Results: The MSI-BPD showed excellent internal consistency (α = 0.87 [0.84;0.90]). Compared to the semi-structured reference interview (SIDP-IV), the MSI-BPD showed substantial congruent validity (AUC = 0.93, CI 95%: 0.90 - 0.97). The optimal cut-off point in the present study was 5 or more, as ...
Adolescent Psychiatry
Background: The Borderline Personality Feature Scale for Children (BPFS-C) is currently the only dimensional measure of child and adolescent borderline features and the English version has been shown to have good psychometric properties. To extend the use of this measure with French speaking adolescents, it is essential to examine the reliability and validity of the French BPFS-C. Objective: The present study sought to assess the psychometric properties of the French BPFS-C. Methods: A community sample of 394 adolescents and young adults completed the Borderline Personality Features Scale for Children (BPFS-C), as well as the Million Adolescent Clinical Inventory (MACI) borderline tendency subscale, the Child Behavior Checklist- Youth Self-Report (CBCL-YSR) and the Beck Youth Inventories (BYI). Results: The findings show that both the long and short French BPFS-C have good internal consistency and convergent validity. Affect regulation, identity, relationship difficulties and self-h...
Personality and Individual Differences, 2009
This study explored reliability and validity of three self-report screening measures of borderline personality disorder (BPD): the Personality Assessment Inventory-Borderline Features Scale (PAI-BOR; Morey, 1991), Personality Diagnostic Questionnaire-4-BPD scale (PDQ4-BPD; Hyler, 1994) and Mclean Screening Instrument for BPD (MSI-BPD;. Participants (N = 523) were drawn predominantly from community and student populations. All three measures were internally consistent. Confirmatory Factor Analysis of the PAI-BOR did not support Jackson and Trull's (2001) six-factor structure or Morey's (1991) four-factor structure. The three measures converged highly, despite the broader theoretical basis of the PAI-BOR. Expected demographic differences on the measures supported construct validity, and concurrent validity in relation to theoretical-related criteria was also supported. Only the PAI-BOR and PDQ4-BPD showed incremental validity in predicting specific criteria, although, the amount of unique variance predicted was small.
Comprehensive Psychiatry, 2012
Empirical evidence is increasing in support of the validity of the construct of borderline personality disorder (BPD) in adolescence. There is growing consensus that the early identification and treatment of emerging borderline traits may be an important focus. However, few diagnostic (questionnaire-or interview-based) measures specifically developed or adapted for adolescents and children exist. The Childhood Interview for DSM-IV Borderline Personality Disorder (CI-BPD) ] is a promising interview-based measure of adolescent BPD. Currently, no studies have explicitly been designed to examine the psychometric properties of the CI-BPD. The aim of the current study was to examine various psychometric properties of the CI-BPD in an inpatient sample of adolescents (n = 245). A confirmatory factor analytic approach was used to examine the internal factor structure of the 9 CI-BPD items. In addition, internal consistency, interrater reliability, convergent validity (with clinician diagnosis and 2 questionnaire-based measures of BPD), and concurrent validity (with Axis I psychopathology and deliberate self-harm) were examined. Similar to several adult studies, the confirmatory factor analytic results supported a unidimensional factor structure for the CI-BPD, indicating that the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, criteria on which the CI-BPD is based constitute a coherent combination of traits and symptoms even in adolescents. In addition, other validity criteria were excellent. Taken together, the current study provides strong evidence for the validity of the CI-BPD for use in adolescents.
Journal of Research in Medical Sciences, 2020
and women. [1] BPD usually emerges during adolescence and is related with severe morbidity. [2] The prevalence of BPD in men is 5.6%. [3] Individuals with BPD seem to have higher than expected rates of affective and impulsive disorders, [4] substance-related disorders and antisocial characteristics, [5] some types of Axis II disorders, [6,7] and impulse-spectrum disorders. [8] Approximately 10%-26% of people with BPD have a history of suicide attempt. [9,10] They have a history of conflicts in Background: Screening for personality disorders through reliable instruments is of high importance for clinical and preventive purposes. Examining the psychometric properties of measures in societies with diverse cultures can improve their external validity. This research is specifically aimed to studying psychometric properties of the McLean Screening Instrument for Borderline Personality Disorder (MSI-BPD) in a sample of Iranian men serving military service. Materials and Methods: The Persian version of the MSI-BPD was prepared through forwarding translation, reconciliation, and back-translation. A sample of 254 soldiers was selected through the convenience sampling method in Tehran and completed a set of questionnaires, including the MSI-BPD, The Deliberate Self-harm Inventory (DSHI), Borderline Personality Scale (STB), Cognitive Flexibility Inventory (CFI), and Self-Compassion Scale (SCS) Short-Form. The construct validity of the MSI-BPD was assessed using confirmatory factor analysis and divergent and convergent validity. Internal Consistency and test-retest reliability (2 weeks'interval) were used to evaluate the reliability. Data analysis was conducted using LISREL (version 8.8) and SSPS (version 22) software. Results: MSI-BPD and its subscales were found to be valid and reliable measures, with good internal consistency and good test-retest reliability among soldiers. In terms of convergent validity, MSI-BPD and subscales showed a significant positive correlation with self-report measures of DSHI and STB. MSI-BPD and subscales showed negative correlation with SCS Short-Form and CFI, thus demonstrated a good divergent validity. The results of this study also provide support for both one-factor and two-factor models of the MSI-BPD. Conclusion: The MSI-BPD showed good validity and reliability, making it a useful measure to Screening borderline personality disorder in the Iranian population. Screening offers a means of identifying persons for more detailed evaluation for early intervention and for research. The MSI-BPD is an efficient instrument suitable for screening purposes among soldiers.
Scandinavian Journal of Child and Adolescent Psychiatry and Psychology, 2015
Background: The validity of borderline personality disorder (BPD) has been a topic of much controversy in psychiatry. Over the last two decades, a wealth of empirical work has challenged long-held concerns regarding the validity of adolescent BPD. However, this research has been conducted within a traditional approach to psychiatric nosology. Objective: In this article, we aim to evaluate the validity of adolescent BPD as guided by both the Robins and Guze criteria for the validity of psychiatric constructs and the new National Institute of Mental Health Research Domain Criteria (NIMH RDoC). Method: We used the five principles of the Robins and Guze approach to evaluate selected research from our own and other groups regarding the validity of adolescent BPD. These principles include clinical description studies, laboratory studies, studies that delimitate the disorder from other related syndromes, follow-up studies, and family studies. Results: Within the Robins and Guze criteria fr...
BMC Psychiatry
Background The screening instrument for borderline personality disorder (SI-Bord) consists of a 5-item self-reported questionnaire on the key features of BPD from the DSM-5 using a 5-point Likert scale. This study investigated its validity and reliability in screening for BPD in university students. Methods A cross-sectional study was conducted on a sample of university students in Thailand between November and December 2019. An online assessment gathered demographic data and results from the SI-Bord, the Perceived Stress Scale-10 (PSS-10) and the Patient Health Questionnaire-9 (PHQ-9). Participants whose SI-Bord scores were ≥ 1 were randomly selected to be interviewed and assessed for a BPD diagnosis by four psychiatrists using the Structured Clinical Interview for DSM-IV Axis II Personality Disorders (SCID-II) as a reference point. An intraclass correlation coefficient (ICC) of 0.925 (95% CI, 0.805–0.979) ensured inter-rater reliability between the four psychiatrists. The diagnost...
Nordic Journal of Psychiatry, 2009
Background: Detecting patients with borderline personality disorder (BPD) is important, and feasible screening instruments are needed. Aims : To investigate our Finnish translation of the McLean Screening Instrument for Borderline Personality Disorder (MSI-BPD) as a screen for BPD among psychiatric outpatients, its psychometric and screening properties, and feasibility in improving the recognition of BPD. Methods : We screened 302 consecutive psychiatric outpatients at the Department of Psychiatry at the Helsinki University Central Hospital in Finland for BPD using the Finnish MSI-BPD. Of the patients, 69 (23%) were assigned to a random sample that was stratifi ed according to the number of screens returned to the outpatient clinics, and further stratifi ed into the three strata, high scores deliberately enriched, according to the MSI-BPD scores. Finally, a stratifi ed random sample of 45 patients was interviewed with the Structured Clinical Interview for DSM-IV Axis II Personality Disorders (SCID-II) by the interviewers blind to the patients' MSI-BPD scores. Results : One third (29%) of 302 screened patients had a positive MSI-BPD. The internal consistency of the MSI-BPD was good (Cronbach's alpha ϭ 0.77). Of the 45 patients interviewed with the SCID-II, 11 (24%) were found to have BPD, fi ve (46%) of whom a previously clinical diagnosis. In a ROC analysis, the optimal cutoff score was 7. Conclusions : The translated MSI-BPD was found to be a feasible screen for BPD in Finnish psychiatric outpatient care. Further studies investigating the clinical utility of MSI-BPD in larger clinical samples are warranted. • Borderline personality disorder , Diagnosis , MSI-BPD , Screening .
Psychiatry Research, 2011
The diagnostic criteria for Borderline Personality Disorder (BPD) are heterogeneous, and include an admixture of personality traits, behaviours, and symptoms. The BPD DSM factor structure has been extensively studied, even though results are not consistent. In this study we performed a confirmatory factor analysis (CFA) to compare the five-factor model reported by Oldham, a three-factor model, and a unidimensional model of BPD diagnosis criteria. This study validates the findings of previous studies by performing a CFA with the DSM-IV BPD criteria and information derived from the DIB-R. A sample of 338 patients referred to our outpatient BPD program participated in the study. Results of the CFA support both the hypothesized unidimensional and the three-factor models, whereas the five-factor model was not confirmed. However, the three-factor model fits better than the unidimensional model. Thus, although the DSM-IV BPD criteria conceptualize BPD as a unidimensional structure, our results give support to the idea that the three-factor model could offer a better approach to further improve the current treatment of BPD, as well as lead to a better understanding of its ethiopathogenesis and comorbidity analysis.
Psychological Assessment
The present study sought to assess the performance of the Borderline Features (BOR) Scale of the adolescent version of the Personality Assessment Inventory (Morey, 2007b) in 2 high-risk samples: inpatient and justice-involved adolescents. This study is the first to evaluate the BOR scale in high-risk adolescent samples, outside the initial standardization studies. Across both samples (N Clinical ϭ 327, N Forensic ϭ 151), results indicated good internal consistency. Confirmatory factor analysis indicated poor fit of the 4-factor structure proposed by the measure's authors. Convergent validity and receiveroperating characteristics analyses, conducted in the clinical sample, indicated that the adolescent version of the Personality Assessment Inventory BOR scale had good diagnostic accuracy for predicting a borderline personality disorder diagnosis (via structured interview). Findings suggest that the BOR scale has adequate internal consistency, convergent validity, and clinical utility, although areas for future measure evaluation (including factor structure) remain. Still, the BOR scale may partially address the current hesitation to assess borderline personality disorder features in high-risk youth because it is embedded within a broadband psychopathology measure. Public Significance Statement Borderline personality disorder (BPD) is an impairing psychological disorder that commonly begins to emerge during adolescence, but the assessment of BPD in adolescents is uncommon and psychometric data are limited. The current study reported on the psychometric properties of the adolescent version of the Personality Assessment Inventory for assessing BPD among 2 high-risk groups: inpatient and justice-involved adolescents.