The factor structure of the Zanarini Rating Scale for Borderline Personality Disorder: Exploratory Structural Equation Modelling and measurement invariance over time
Abstract Objectives There is a lack of independent longitudinal evidence on the factor structure and validity of the Zanarini Rating Scale for Borderline Personality Disorder (ZAN‐BPD). This study aimed to investigate the dimensionality of ZAN‐BPD and its conceptual consistency over time. Methods Ad...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Wiley
2021-09-01
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| Series: | International Journal of Methods in Psychiatric Research |
| Subjects: | |
| Online Access: | https://doi.org/10.1002/mpr.1874 |
| _version_ | 1811234743123968000 |
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| author | Boliang Guo Lingyan Li Michael J. Crawford Richard Morriss |
| author_facet | Boliang Guo Lingyan Li Michael J. Crawford Richard Morriss |
| author_sort | Boliang Guo |
| collection | DOAJ |
| description | Abstract Objectives There is a lack of independent longitudinal evidence on the factor structure and validity of the Zanarini Rating Scale for Borderline Personality Disorder (ZAN‐BPD). This study aimed to investigate the dimensionality of ZAN‐BPD and its conceptual consistency over time. Methods Adult BPD participants (n = 276) were recruited for a multicentre, two‐arm randomised clinical trial with ZAN‐BPD measured at baseline and follow up at 12, 24 and 52 weeks. The construct and stability of the ZAN‐BPD across 52 weeks was examined through a measurement equivalence/invariance procedure via Exploratory Structural Equation Modelling. Results Factor analysis results showed that the ZAN‐BPD had a bi‐2 factor structure that was stable over 52 weeks with a general factor and two specific factors. Factor loadings for eight of the nine items were greater for the general factor than the two specific factors. Factor 1 contrasts externalising distress with internalising distress. Factor 2 contrasts depression and self‐destruction with interpersonal anxiety and conflict. Conclusion ZAN‐BPD is a conceptually and empirically valid measure of total BPD symptom severity in BPD patients over time suitable for use in clinical trials. Two factors related to the expression of distress and self‐harm may be utilised as possible predictors of outcome. |
| first_indexed | 2024-04-12T11:40:55Z |
| format | Article |
| id | doaj.art-83fea86155724d7a837897ee8366a3fb |
| institution | Directory Open Access Journal |
| issn | 1049-8931 1557-0657 |
| language | English |
| last_indexed | 2024-04-12T11:40:55Z |
| publishDate | 2021-09-01 |
| publisher | Wiley |
| record_format | Article |
| series | International Journal of Methods in Psychiatric Research |
| spelling | doaj.art-83fea86155724d7a837897ee8366a3fb2022-12-22T03:34:37ZengWileyInternational Journal of Methods in Psychiatric Research1049-89311557-06572021-09-01303n/an/a10.1002/mpr.1874The factor structure of the Zanarini Rating Scale for Borderline Personality Disorder: Exploratory Structural Equation Modelling and measurement invariance over timeBoliang Guo0Lingyan Li1Michael J. Crawford2Richard Morriss3Division of Psychiatry and Applied Psychology Institute of Mental Health University of Nottingham London UKDepartment of Nursing Nanchang University Nanchang PR ChinaCentre for Psychiatry Imperial College London Nottingham UKDivision of Psychiatry and Applied Psychology Institute of Mental Health University of Nottingham London UKAbstract Objectives There is a lack of independent longitudinal evidence on the factor structure and validity of the Zanarini Rating Scale for Borderline Personality Disorder (ZAN‐BPD). This study aimed to investigate the dimensionality of ZAN‐BPD and its conceptual consistency over time. Methods Adult BPD participants (n = 276) were recruited for a multicentre, two‐arm randomised clinical trial with ZAN‐BPD measured at baseline and follow up at 12, 24 and 52 weeks. The construct and stability of the ZAN‐BPD across 52 weeks was examined through a measurement equivalence/invariance procedure via Exploratory Structural Equation Modelling. Results Factor analysis results showed that the ZAN‐BPD had a bi‐2 factor structure that was stable over 52 weeks with a general factor and two specific factors. Factor loadings for eight of the nine items were greater for the general factor than the two specific factors. Factor 1 contrasts externalising distress with internalising distress. Factor 2 contrasts depression and self‐destruction with interpersonal anxiety and conflict. Conclusion ZAN‐BPD is a conceptually and empirically valid measure of total BPD symptom severity in BPD patients over time suitable for use in clinical trials. Two factors related to the expression of distress and self‐harm may be utilised as possible predictors of outcome.https://doi.org/10.1002/mpr.1874borderline personality disorderfactor structureExploratory Structural Equation Modellingmeasurement invarianceZAN‐BPD |
| spellingShingle | Boliang Guo Lingyan Li Michael J. Crawford Richard Morriss The factor structure of the Zanarini Rating Scale for Borderline Personality Disorder: Exploratory Structural Equation Modelling and measurement invariance over time International Journal of Methods in Psychiatric Research borderline personality disorder factor structure Exploratory Structural Equation Modelling measurement invariance ZAN‐BPD |
| title | The factor structure of the Zanarini Rating Scale for Borderline Personality Disorder: Exploratory Structural Equation Modelling and measurement invariance over time |
| title_full | The factor structure of the Zanarini Rating Scale for Borderline Personality Disorder: Exploratory Structural Equation Modelling and measurement invariance over time |
| title_fullStr | The factor structure of the Zanarini Rating Scale for Borderline Personality Disorder: Exploratory Structural Equation Modelling and measurement invariance over time |
| title_full_unstemmed | The factor structure of the Zanarini Rating Scale for Borderline Personality Disorder: Exploratory Structural Equation Modelling and measurement invariance over time |
| title_short | The factor structure of the Zanarini Rating Scale for Borderline Personality Disorder: Exploratory Structural Equation Modelling and measurement invariance over time |
| title_sort | factor structure of the zanarini rating scale for borderline personality disorder exploratory structural equation modelling and measurement invariance over time |
| topic | borderline personality disorder factor structure Exploratory Structural Equation Modelling measurement invariance ZAN‐BPD |
| url | https://doi.org/10.1002/mpr.1874 |
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