Summary
In the present study the SSDBS, a reliable instrument for detecting borderline schizophrenia developed by Khouri and co-workers (1980), was used to determine the number of probands with this diagnosis in an index sample composed of heterogeneous borderline syndromes as well as in schizophrenic, manic and depressive control groups. On this basis, significant differences between borderlines, on the one hand, and those with mania and depression, on the other, came to light—even after controlling for Schneider's first rank symptoms-,whereas none occurred between borderline patients and probands with schizophrenia. The research problem of SSDBS-symptom overlap with the symptomatology found in the schizophrenics of the present investigation as well as the possibility that other borderline concepts not based on the SSDBS might overlap more with morbid affectivity was then discussed.
Zusammenfassung
Die vorliegende Studie benutzte den SSDBS, ein von Khouri et al. (1980) entwickeltes Untersuchungsinstrument zur Erfassung der Borderline-Schizophrenie. In einer Index-Gruppe heterogener Borderline-Syndrome und in 3 Kontrollgruppen mit Schizophrenien, Manien und endogenen Depressionen wurde die Zahl der Borderline-Schizophrenie-positiven Fälle nach dem SSDBS bestimmt. Auf dieser Basis fanden sich signifikante Unterschiede zwischen der Borderline-Gruppe einerseits und den Manien und endogenen Depressionen andererseits, während sich zwischen unseren Borderline-Syndromen und den Schizophrenien keine signifikante Trennung ergab. Dies Resultat blieb auch nach einer diagnostischen „Bereinigung“ aufgrund von Symptomen ersten Ranges bestehen. Das Forschungsproblem der Überlappung der SSDBS-Symptomatologie mit der Symptomatik bei den schizophrenen Patienten wird diskutiert, ebenso das Problem, daß bei Anwendung anderer Borderline-Konzepte eine Überlappung mit affektiven Störungen möglich ist.
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Saß, H., Koehler, K. Diagnostische Kriterien für die Borderline-Schizophrenie auf der Basis des SSDBS. Arch Psychiatr Nervenkr 232, 53–62 (1982). https://doi.org/10.1007/BF00343365
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DOI: https://doi.org/10.1007/BF00343365