Validation of the French version of the Revised Diagnostic Interview for Borderlines (DIB-R) for assessing the psychopathology of borderline personality disorder.

IF 4 2区 医学 Q1 PSYCHIATRY
Ines Culina, Pauline Maillard, Janice Loosli, Chantal Martin-Soelch, Sylvie Berney, Stéphane Kolly, Ueli Kramer
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引用次数: 0

Abstract

Background: Borderline personality disorder (BPD) is frequently subject to misdiagnosis or underdiagnosis. As a matter of fact, its evaluation poses several challenges, highlighting the importance of having validated evaluation instruments. The Revised Diagnostic Interview for Borderlines (DIB-R) is widely used and recognized for its validity when it comes to assessing the psychopathology of BPD, but, as for now, no French version of the interview exists. The aim of the current work is to validate a French version of the DIB-R.

Methods: The sample consists of N = 65 patients with borderline personality disorder (BPD) and N = 57 treatment seeking patients (non-BPD comparison group). For inter-rater reliability, a subsample of N = 84 interviews will be assessed by two raters, n = 47 for the BPD group and n = 37 for the non-BPD comparison group.

Results: To assess reliability, we conducted analyses of internal consistency and inter-rater reliability. The results were good for the overall interview as well as for the four domains of the DIB-R. To assess validity, we calculated the receiver operating characteristic (ROC) curve, sensitivity, specificity, predictive values, convergent and discriminative validity. The optimal cutoff was found to be 7. Regarding convergent validity, we found strong convergence between the Borderline Symptom List (BSL-23) and the DIB-R total score. Additionally, the two groups statistically differed on all the DIB-R scores, which indicates that the interview discriminates between the two groups.

Conclusions: Our results indicate good psychometric properties of the French version of the DIB-R. This has important implications as the interview is useful both in clinical settings and for research purposes. Additionally, the present paper aims to contribute to the more general effort of demonstrating generalizability and transportability of the scale.

Abstract Image

法国版修订版边缘型诊断访谈(DIB-R)评估边缘型人格障碍精神病理学的有效性。
背景:边缘型人格障碍(BPD)经常被误诊或诊断不足。事实上,它的评价提出了若干挑战,突出了经过验证的评价工具的重要性。在评估BPD的精神病理学时,修订的边缘人群诊断访谈(DIB-R)被广泛使用,并因其有效性而得到认可,但目前还没有法语版的访谈。当前工作的目的是验证法国版本的DIB-R。方法:样本由N = 65例边缘型人格障碍(BPD)和N = 57名寻求治疗的患者(非BPD对照组)。对于评级机构间的可靠性,N的子样本 = 84次面试将由两名评分员进行评估,n = BPD组为47,n = 37用于非BPD对照组。结果:为了评估可靠性,我们进行了内部一致性和评分者间可靠性分析。结果对整个面试以及DIB-R的四个领域都很好。为了评估有效性,我们计算了受试者操作特征(ROC)曲线、敏感性、特异性、预测值、收敛有效性和判别有效性。最佳截止值为7。关于收敛有效性,我们发现边界症状表(BSL-23)和DIB-R总分之间有很强的收敛性。此外,两组在所有DIB-R得分上存在统计学差异,这表明访谈在两组之间存在差异。结论:我们的结果表明法语版DIB-R具有良好的心理测量特性。这具有重要意义,因为访谈在临床环境和研究目的中都很有用。此外,本文旨在为证明量表的可推广性和可移植性做出更普遍的努力。
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来源期刊
CiteScore
6.00
自引率
9.80%
发文量
30
审稿时长
28 weeks
期刊介绍: Borderline Personality Disorder and Emotion Dysregulation provides a platform for researchers and clinicians interested in borderline personality disorder (BPD) as a currently highly challenging psychiatric disorder. Emotion dysregulation is at the core of BPD but also stands on its own as a major pathological component of the underlying neurobiology of various other psychiatric disorders. The journal focuses on the psychological, social and neurobiological aspects of emotion dysregulation as well as epidemiology, phenomenology, pathophysiology, treatment, neurobiology, genetics, and animal models of BPD.
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