Measurement invariance on two self-report instruments for men and women with borderline personality disorder.

IF 4 2区医学 Q1 PSYCHIATRY

Borderline Personality Disorder and Emotion Dysregulation Pub Date : 2025-05-12 DOI:10.1186/s40479-025-00296-1

Leonie Strunk, Kathrin Dreyße, Christoph Kröger

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Abstract

Background: In clinical practice and research, self-report instruments are frequently used for assessing the severity of borderline personality disorder (BPD) symptomatology experienced by men and women. Men with BPD are often underrepresented in samples used to evaluate self-report questionnaires. Measurement invariance (MI) is used to examine whether self-report questionnaires determine the same latent construct across groups or varying conditions (e.g., measurement occasions).

Methods: The present study investigated measurement invariance for two self-report measures of BPD features: the Borderline Symptom List (BSL-23) and the Impulsivity and Emotion Dysregulation Scale (IES-27). An inpatient sample of N = 3507 individuals (n = 560 males) was used to test for measurement variance between males and females, and over time from pre- to post-treatment.

Results: Confirmatory factor analysis results supported a unidimensional structure for the BSL-23 and a three-factor model for the IES-27. Both instruments were found to be measurement invariant with regard to sex and time.

Conclusions: The results suggest that the BSL-23 and IES-27 can be used to assess BPD symptoms in men and women, as well as to assess treatment effects at admission and at the end of treatment.

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边缘型人格障碍男性和女性两种自我报告工具的测量不变性。

背景：在临床实践和研究中，自我报告工具经常被用于评估男性和女性边缘型人格障碍（BPD）症状的严重程度。在用于评估自我报告问卷的样本中，患有BPD的男性通常代表性不足。测量不变性（MI）用于检查自我报告问卷是否在不同的群体或不同的条件下（例如，测量场合）确定相同的潜在构念。方法：本研究对边缘性人格障碍（BPD）特征的两种自述量表：边缘性症状表（BSL-23）和冲动与情绪失调量表（IES-27）的测量不变性进行了研究。住院患者样本N = 3507人（N = 560名男性）用于检验男性和女性之间的测量方差，以及治疗前后的测量方差。结果：验证性因子分析结果支持BSL-23的一维结构和IES-27的三因素模型。研究发现，这两种仪器在性别和时间方面都是测量不变的。结论：BSL-23和IES-27可用于评估男性和女性BPD症状，以及在入院和治疗结束时评估治疗效果。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Borderline Personality Disorder and Emotion Dysregulation Psychology-Clinical Psychology

CiteScore

6.00

自引率

9.80%

发文量

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.