Dominick Gamache, C. Savard, Maude Payant, Philippe Leclerc, Renée-Claude Dompierre, David Roy, Marc Tremblay, Mélissa Verreault, É. Villeneuve
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This study aims to present data on this recent operationalization of BPD. More specifically, we will first introduce a procedure, based on self-reported questionnaires covering the two main MATP criteria, implemented to generate the BPD diagnosis from the AMPD. Then, we will assess its validity (a) by documenting its prevalence in a clinical sample; (b) by determining its degree of correspondence with the \"traditional\" BPD categorical diagnosis and with a dimensional measure of borderline symptomatology; (c) by presenting convergent validity data with constructs relevant to the study of BPD (impulsivity, aggression); and (d) by determining the incremental validity of the proposed procedure in contrast with a simplified approach where only Criterion B would be considered. Method Data from 287 patients recruited as part of the admission process at the Centre de traitement le Faubourg Saint-Jean of the CIUSSS-Capitale-Nationale were analyzed. The BPD diagnosis from the MATP was generated based on two validated self-report questionnaires, in their French version, namely the Self and Interpersonal Functioning Scale (Criterion A) and the Personality Inventory for DSM-5-Faceted Brief Form (Criterion B). Results The BPD diagnosis, as operationalized in the AMPD, had a prevalence of 39.7% in the sample. A moderate fit with the clinician's diagnosis of BPD according to the traditional DSM-5 categorical model was observed, as well as a strong correlation with a dimensional measure of borderline symptomatology. Nomological network analysis revealed high and theoretically expected correlations between the disorder and measures of aggression and impulsivity. The proposed diagnostic extraction procedure, which uses Criteria A and B, showed incremental validity in the statistical prediction of external variables (borderline symptomatology, aggression, impulsivity) compared to a simplified procedure using only Criterion B. Conclusions The proposed procedure for generating the BPD diagnosis according to the MATP definition yields promising results and could allow screening for the disorder based on this contemporary conceptualization of personality pathologies.","PeriodicalId":44148,"journal":{"name":"Sante Mentale au Quebec","volume":"56 1","pages":"17-39"},"PeriodicalIF":0.4000,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"23","resultStr":"{\"title\":\"[Validation of a screening procedure for borderline personality disorder based on the Alternative DSM-5 Model for Personality Disorders].\",\"authors\":\"Dominick Gamache, C. Savard, Maude Payant, Philippe Leclerc, Renée-Claude Dompierre, David Roy, Marc Tremblay, Mélissa Verreault, É. Villeneuve\",\"doi\":\"10.7202/1098893ar\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"Objectives The fifth edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5) includes an Alternative Model for Personality Disorders (DSM-5), which defines personality disorders based on two dimensional criteria. Criterion A corresponds to the severity of personality dysfunction in the areas of self and interpersonal functioning, while Criterion B comprises five pathological domains including a total of 25 facets. Six specific disorders, including borderline personality disorder (BPD), are defined in the AMPD based on Criteria A and B. However, there is currently very little data on these diagnoses as they are operationalized in the MATP. This study aims to present data on this recent operationalization of BPD. More specifically, we will first introduce a procedure, based on self-reported questionnaires covering the two main MATP criteria, implemented to generate the BPD diagnosis from the AMPD. Then, we will assess its validity (a) by documenting its prevalence in a clinical sample; (b) by determining its degree of correspondence with the \\\"traditional\\\" BPD categorical diagnosis and with a dimensional measure of borderline symptomatology; (c) by presenting convergent validity data with constructs relevant to the study of BPD (impulsivity, aggression); and (d) by determining the incremental validity of the proposed procedure in contrast with a simplified approach where only Criterion B would be considered. Method Data from 287 patients recruited as part of the admission process at the Centre de traitement le Faubourg Saint-Jean of the CIUSSS-Capitale-Nationale were analyzed. The BPD diagnosis from the MATP was generated based on two validated self-report questionnaires, in their French version, namely the Self and Interpersonal Functioning Scale (Criterion A) and the Personality Inventory for DSM-5-Faceted Brief Form (Criterion B). Results The BPD diagnosis, as operationalized in the AMPD, had a prevalence of 39.7% in the sample. A moderate fit with the clinician's diagnosis of BPD according to the traditional DSM-5 categorical model was observed, as well as a strong correlation with a dimensional measure of borderline symptomatology. Nomological network analysis revealed high and theoretically expected correlations between the disorder and measures of aggression and impulsivity. The proposed diagnostic extraction procedure, which uses Criteria A and B, showed incremental validity in the statistical prediction of external variables (borderline symptomatology, aggression, impulsivity) compared to a simplified procedure using only Criterion B. 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引用次数: 23
摘要
第五版《精神障碍诊断与统计手册》(DSM-5)包括一个人格障碍的替代模型(DSM-5),该模型基于二维标准定义了人格障碍。标准A对应于自我和人际功能领域的人格功能障碍的严重程度,而标准B包括五个病理领域,总共包括25个方面。包括边缘性人格障碍(BPD)在内的六种特定疾病,在AMPD中是基于标准A和b来定义的。然而,由于这些诊断在MATP中被操作,目前关于这些诊断的数据很少。本研究旨在提供最近BPD操作化的数据。更具体地说,我们将首先介绍一种程序,该程序基于涵盖两个主要MATP标准的自我报告问卷,用于从AMPD中生成BPD诊断。然后,我们将评估其有效性(a)通过记录其在临床样本中的患病率;(b)通过确定其与“传统的”BPD分类诊断和边缘性症状的维度测量的对应程度;(c)提供与BPD研究相关构念(冲动性、攻击性)的收敛效度数据;(d)与只考虑标准B的简化方法相比,确定拟议程序的增量有效性。方法分析287例患者的资料,这些患者是法国国立国际科学院圣让郊区医疗中心(ciusss - capital - nationale)入院过程中的一部分。来自MATP的BPD诊断基于两份经过验证的自我报告问卷,即自我和人际功能量表(标准A)和dsm -5面简要表人格量表(标准B)。结果在AMPD中操作的BPD诊断在样本中的患病率为39.7%。根据传统的DSM-5分类模型,观察到中度符合临床医生对BPD的诊断,并且与边缘性症状的维度测量有很强的相关性。逻辑网络分析显示,障碍与攻击性和冲动性的测量之间存在高度的和理论上预期的相关性。建议的诊断提取程序,使用标准A和B,在外部变量(边缘性症状学,攻击性,结论根据MATP定义生成BPD诊断的拟议程序产生了有希望的结果,并且可以基于这种当代人格病理学的概念来筛查这种障碍。
[Validation of a screening procedure for borderline personality disorder based on the Alternative DSM-5 Model for Personality Disorders].
Objectives The fifth edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5) includes an Alternative Model for Personality Disorders (DSM-5), which defines personality disorders based on two dimensional criteria. Criterion A corresponds to the severity of personality dysfunction in the areas of self and interpersonal functioning, while Criterion B comprises five pathological domains including a total of 25 facets. Six specific disorders, including borderline personality disorder (BPD), are defined in the AMPD based on Criteria A and B. However, there is currently very little data on these diagnoses as they are operationalized in the MATP. This study aims to present data on this recent operationalization of BPD. More specifically, we will first introduce a procedure, based on self-reported questionnaires covering the two main MATP criteria, implemented to generate the BPD diagnosis from the AMPD. Then, we will assess its validity (a) by documenting its prevalence in a clinical sample; (b) by determining its degree of correspondence with the "traditional" BPD categorical diagnosis and with a dimensional measure of borderline symptomatology; (c) by presenting convergent validity data with constructs relevant to the study of BPD (impulsivity, aggression); and (d) by determining the incremental validity of the proposed procedure in contrast with a simplified approach where only Criterion B would be considered. Method Data from 287 patients recruited as part of the admission process at the Centre de traitement le Faubourg Saint-Jean of the CIUSSS-Capitale-Nationale were analyzed. The BPD diagnosis from the MATP was generated based on two validated self-report questionnaires, in their French version, namely the Self and Interpersonal Functioning Scale (Criterion A) and the Personality Inventory for DSM-5-Faceted Brief Form (Criterion B). Results The BPD diagnosis, as operationalized in the AMPD, had a prevalence of 39.7% in the sample. A moderate fit with the clinician's diagnosis of BPD according to the traditional DSM-5 categorical model was observed, as well as a strong correlation with a dimensional measure of borderline symptomatology. Nomological network analysis revealed high and theoretically expected correlations between the disorder and measures of aggression and impulsivity. The proposed diagnostic extraction procedure, which uses Criteria A and B, showed incremental validity in the statistical prediction of external variables (borderline symptomatology, aggression, impulsivity) compared to a simplified procedure using only Criterion B. Conclusions The proposed procedure for generating the BPD diagnosis according to the MATP definition yields promising results and could allow screening for the disorder based on this contemporary conceptualization of personality pathologies.
期刊介绍:
In 1976, the community mental health centre (Centre de santé mentale communautaire) of Saint-Luc Hospital organized the first symposium on sector psychiatry. During deliberations, the participants expressed the idea of publishing the various experiences that were then current in the field of mental health. With the help of the symposium’s revenues and the financial support of professionals, the Centre de santé mentale communautaire edited the first issue of Santé mentale au Québec in September 1976, with both objectives of publishing experiences and research in the field of mental health, as well as facilitating exchange between the various mental health professionals.