An investigation of the prototype validity of the borderline DSM-IV construct

被引：122

作者：

Johansen, M ^{[1
]}

Karterud, S

Pedersen, G

Gude, T

Falkum, E

机构：

[1] Ullevaal Univ Hosp, Div Psychiat, Dept Personal Psychiat, N-0407 Oslo, Norway

[2] Modum Bad, Res Inst, Vikersund, Norway

[3] Diakonhjemmet Hosp, Dept Psychiat, Oslo, Norway

来源：

ACTA PSYCHIATRICA SCANDINAVICA | 2004年 / 109卷 / 04期

关键词：

borderline personality disorder; DSM-IV; validity; personality disorders;

D O I：

10.1046/j.1600-0447.2003.00268.x

中图分类号：

R749 [精神病学];

学科分类号：

100205 ;

摘要：

Objective: To investigate the prototype validity of the borderline personality disorder (BPD) DSM-IV construct. Method: Patients (n = 930) from the Norwegian Network of Psychotherapeutic Day Hospitals. Exploratory/confirmatory factor analyses, correlation and reliability statistics, chi-square, and frequency distributions. Results: Number of BPD criteria showed no distinct threshold between No-BPD and BPD patients among whom 136 different combinations of criteria occurred. Both factor analyses supported that one component/latent variable accounted for the variance of the BPD criteria, showing a high convergent and discriminant validity. The criterion of unstable relationships displayed the highest diagnostic efficiency, and that of chronic feelings of emptiness the lowest. Conclusion: The prototype theoretical model for BPD fitted the data well and appeared to be satisfactory described by the current criteria. The emptiness criterion needs a more appropriate definition and the hierarchy of the criteria in DSM-IV should be revised.

引用

页码：289 / 298

页数：10

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