Borderline personality disorder diagnosis in a new key
Abstract Background Conceptualizations of personality disorders (PD) are increasingly moving towards dimensional approaches. The definition and assessment of borderline personality disorder (BPD) in regard to changes in nosology are of great importance to theory and practice as well as consumers. We...
| Main Authors: | , , , , , , , , , , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2019-12-01
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| Series: | Borderline Personality Disorder and Emotion Dysregulation |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s40479-019-0116-1 |
| _version_ | 1818854324805042176 |
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| author | Abby L. Mulay Mark H. Waugh J. Parks Fillauer Donna S. Bender Anthony Bram Nicole M. Cain Eve Caligor Miriam K. Forbes Laurel B. Goodrich Jan H. Kamphuis Jared W. Keeley Robert F. Krueger John E. Kurtz Peter Jacobsson Katie C. Lewis Gina M. P. Rossi Jeremy M. Ridenour Michael Roche Martin Sellbom Carla Sharp Andrew E. Skodol |
| author_facet | Abby L. Mulay Mark H. Waugh J. Parks Fillauer Donna S. Bender Anthony Bram Nicole M. Cain Eve Caligor Miriam K. Forbes Laurel B. Goodrich Jan H. Kamphuis Jared W. Keeley Robert F. Krueger John E. Kurtz Peter Jacobsson Katie C. Lewis Gina M. P. Rossi Jeremy M. Ridenour Michael Roche Martin Sellbom Carla Sharp Andrew E. Skodol |
| author_sort | Abby L. Mulay |
| collection | DOAJ |
| description | Abstract Background Conceptualizations of personality disorders (PD) are increasingly moving towards dimensional approaches. The definition and assessment of borderline personality disorder (BPD) in regard to changes in nosology are of great importance to theory and practice as well as consumers. We studied empirical connections between the traditional DSM-5 diagnostic criteria for BPD and Criteria A and B of the Alternative Model for Personality Disorders (AMPD). Method Raters of varied professional backgrounds possessing substantial knowledge of PDs (N = 20) characterized BPD criteria with the four domains of the Level of Personality Functioning Scale (LPFS) and 25 pathological personality trait facets. Mean AMPD values of each BPD criterion were used to support a nosological cross-walk of the individual BPD criteria and study various combinations of BPD criteria in their AMPD translation. The grand mean AMPD profile generated from the experts was compared to published BPD prototypes that used AMPD trait ratings and the DSM-5-III hybrid categorical-dimensional algorithm for BPD. Divergent comparisons with DSM-5-III algorithms for other PDs and other published PD prototypes were also examined. Results Inter-rater reliability analyses showed generally robust agreement. The AMPD profile for BPD criteria rated by individual BPD criteria was not isomorphic with whole-person ratings of BPD, although they were highly correlated. Various AMPD profiles for BPD were generated from theoretically relevant but differing configurations of BPD criteria. These AMPD profiles were highly correlated and showed meaningful divergence from non-BPD DSM-5-III algorithms and other PD prototypes. Conclusions Results show that traditional DSM BPD diagnosis reflects a common core of PD severity, largely composed of LPFS and the pathological traits of anxiousness, depressively, emotional lability, and impulsivity. Results confirm the traditional DSM criterion-based BPD diagnosis can be reliably cross-walked with the full AMPD scheme, and both approaches share substantial construct overlap. This relative equivalence suggests the vast clinical and research literatures associated with BPD may be brought forward with DSM-5-III diagnosis of BPD. |
| first_indexed | 2024-12-19T07:50:54Z |
| format | Article |
| id | doaj.art-8bf791afbbce4c90a2cf7db58aa3e1af |
| institution | Directory Open Access Journal |
| issn | 2051-6673 |
| language | English |
| last_indexed | 2024-12-19T07:50:54Z |
| publishDate | 2019-12-01 |
| publisher | BMC |
| record_format | Article |
| series | Borderline Personality Disorder and Emotion Dysregulation |
| spelling | doaj.art-8bf791afbbce4c90a2cf7db58aa3e1af2022-12-21T20:30:10ZengBMCBorderline Personality Disorder and Emotion Dysregulation2051-66732019-12-016111610.1186/s40479-019-0116-1Borderline personality disorder diagnosis in a new keyAbby L. Mulay0Mark H. Waugh1J. Parks Fillauer2Donna S. Bender3Anthony BramNicole M. Cain4Eve Caligor5Miriam K. Forbes6Laurel B. GoodrichJan H. Kamphuis7Jared W. Keeley8Robert F. Krueger9John E. Kurtz10Peter Jacobsson11Katie C. Lewis12Gina M. P. Rossi13Jeremy M. Ridenour14Michael Roche15Martin Sellbom16Carla Sharp17Andrew E. Skodol18Medical University of South CarolinaOak Ridge National Laboratory (ORNL) & University of Tennessee KnoxvilleUniversity of Tennessee KnoxvilleTulane UniversityRutgers University, Graduate School of Applied and Professional PsychologyColumbia UniversityMacquarie UniversityUniversity of Amsterdam (UvA)Virginia Commonwealth UniversityUniversity of MinnesotaVillanova UniversityInstitute of Neuroscience and Physiology, University of GothenburgAusten Riggs CenterDepartment of Psychology, Personality and Psychopathology Research group Vrije Universiteit Brussel (VUB)Austen Riggs CenterPenn State AltoonaUniversity of OtagoUniversity of HoustonUniversity of ArizonaAbstract Background Conceptualizations of personality disorders (PD) are increasingly moving towards dimensional approaches. The definition and assessment of borderline personality disorder (BPD) in regard to changes in nosology are of great importance to theory and practice as well as consumers. We studied empirical connections between the traditional DSM-5 diagnostic criteria for BPD and Criteria A and B of the Alternative Model for Personality Disorders (AMPD). Method Raters of varied professional backgrounds possessing substantial knowledge of PDs (N = 20) characterized BPD criteria with the four domains of the Level of Personality Functioning Scale (LPFS) and 25 pathological personality trait facets. Mean AMPD values of each BPD criterion were used to support a nosological cross-walk of the individual BPD criteria and study various combinations of BPD criteria in their AMPD translation. The grand mean AMPD profile generated from the experts was compared to published BPD prototypes that used AMPD trait ratings and the DSM-5-III hybrid categorical-dimensional algorithm for BPD. Divergent comparisons with DSM-5-III algorithms for other PDs and other published PD prototypes were also examined. Results Inter-rater reliability analyses showed generally robust agreement. The AMPD profile for BPD criteria rated by individual BPD criteria was not isomorphic with whole-person ratings of BPD, although they were highly correlated. Various AMPD profiles for BPD were generated from theoretically relevant but differing configurations of BPD criteria. These AMPD profiles were highly correlated and showed meaningful divergence from non-BPD DSM-5-III algorithms and other PD prototypes. Conclusions Results show that traditional DSM BPD diagnosis reflects a common core of PD severity, largely composed of LPFS and the pathological traits of anxiousness, depressively, emotional lability, and impulsivity. Results confirm the traditional DSM criterion-based BPD diagnosis can be reliably cross-walked with the full AMPD scheme, and both approaches share substantial construct overlap. This relative equivalence suggests the vast clinical and research literatures associated with BPD may be brought forward with DSM-5-III diagnosis of BPD.https://doi.org/10.1186/s40479-019-0116-1Borderline personality disorderAlternative model for personality disordersPersonality assessmentDSM-5Personality disorder |
| spellingShingle | Abby L. Mulay Mark H. Waugh J. Parks Fillauer Donna S. Bender Anthony Bram Nicole M. Cain Eve Caligor Miriam K. Forbes Laurel B. Goodrich Jan H. Kamphuis Jared W. Keeley Robert F. Krueger John E. Kurtz Peter Jacobsson Katie C. Lewis Gina M. P. Rossi Jeremy M. Ridenour Michael Roche Martin Sellbom Carla Sharp Andrew E. Skodol Borderline personality disorder diagnosis in a new key Borderline Personality Disorder and Emotion Dysregulation Borderline personality disorder Alternative model for personality disorders Personality assessment DSM-5 Personality disorder |
| title | Borderline personality disorder diagnosis in a new key |
| title_full | Borderline personality disorder diagnosis in a new key |
| title_fullStr | Borderline personality disorder diagnosis in a new key |
| title_full_unstemmed | Borderline personality disorder diagnosis in a new key |
| title_short | Borderline personality disorder diagnosis in a new key |
| title_sort | borderline personality disorder diagnosis in a new key |
| topic | Borderline personality disorder Alternative model for personality disorders Personality assessment DSM-5 Personality disorder |
| url | https://doi.org/10.1186/s40479-019-0116-1 |
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