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Reliability and diagnostic efficiency of the abbreviated-diagnostic interview for borderlines in an adolescent clinical population

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Abstract

Examine the reliability as well as the concurrent validity and diagnostic efficiency of the Abbreviated version of the diagnostic interview for borderlines revised (Ab-DIB) as a screening measure of borderline psychopathology in an adolescent clinical population. The Ab-DIB is a DIB-R-derived self-report covering the impulsiveness as well as the affect and cognitive components of the borderline construct. Its administration lasts 10 min. The Ab-DIB was tested on 139 suicidal youths for reliability and concurrent validity against the DIB-R and the Columbia Impairment Scale (CIS). Internal consistencies and test–retest Intra-Class-Correlations ranged from 0.80 to 0.86 and 0.77 to 0.95, respectively. ROC analysis yielded an area under the curve of 0.87 (p < 0.001). Sensitivity was 0.88 and specificity ranged from 0.82 to 0.73 depending on the age-range. Correlation of the Ab-DIB’s continuous score with the CIS was 0.42 (p < 0.001). In conclusion, The Ab-DIB’s brief duration and psychometric properties suggest its utility in time-limited settings.

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References

  1. American Psychiatric Association (2000) Diagnostic and statistical manual of mental disorders, 4th edn. American Psychiatric Association, Washington, DC revised

    Google Scholar 

  2. Becker DF, Grilo CM, Edell WS, McGlashan TH (2002) Diagnostic efficiency of borderline personality disorder criteria in hospitalized adolescents: comparison with hospitalized adults. Am J Psychiatry 159:2042–2047

    Article  PubMed  Google Scholar 

  3. Bergeron L, Valla JP, Breton JJ (1992) Pilot study for the Quebec Child Mental Health Survey. Can J Psychiatry 37:374–386

    PubMed  CAS  Google Scholar 

  4. Berstein DP, Cohen P, Velez N, Schwab-Stone M, Siever LJ, Shinsato L (1993) Prevalence and stability of the DSM-III-R personality disorders in a community-based survey of adolescents. Am J Psychiatry 150:1237–1243

    Google Scholar 

  5. Bird HR, Shaffer D, Fisher P, Gould M, Stachezza B, Chen JY et al (1993) The Columbia Impairment Scale (CIS): pilot findings on a measure of global impairment for children and adolescents. Int J Psychiatric Res 3:167–176

    Google Scholar 

  6. Bondurant H, Greenfield B, Sze W (2004) Validity of the Borderline construct in adolescence. Can Child Adolescent Psychiatry Rev 13:53–58

    Google Scholar 

  7. Boyle MH, Offord DR, Racine Y, Szatmari P, Fleming JE, Sanford M (1996) Identifying thresholds for classifying childhood psychiatric disorders: issues and prospects. J Am Acad Child Adolesc Psychiatry 35:1440–1448

    Article  PubMed  CAS  Google Scholar 

  8. Chabrol H, Montovany A, Callahan S, Chouicha K, Duconge E (2002) Factor analyses of the DIB-R in adolescents. J Personality Disorders 16:374–384

    Article  Google Scholar 

  9. Chanen AM, Jackson HJ, McGorry PD, Allot KA, Clarkson V, Yuen HP (2004) Two-year stability of personality disorder in older adolescent outpatients. J Personality Disorders 18(6):526–541

    Article  Google Scholar 

  10. Clark LA (2005) Stability and change in personality pathology: revelations of three longitudinal studies. J Personality Disorders 19:524–532

    Article  Google Scholar 

  11. Cohen J (1988) Statistical power analysis for the behavioral sciences. Lawrence Erlbaum Ass, New Jersey

    Google Scholar 

  12. Cohen P, Crawford TN, Johnson JG, Kasen S (2005) The children in the community study of developmental course of personality disorder. J Personality Disorders 19:466–486

    Article  Google Scholar 

  13. Crawford TN, Cohen P, Johnson JG, Kasen S, First MB, Gordon K et al (2005) Self-reported personality disorder in the children in the community sample: convergent and prospective validity in late adolescence and adulthood. J Personality Disorders 19:30–52

    Article  Google Scholar 

  14. Crawford TN, Cohen P, Brook JS (2001) Dramatic-erratic personality disorder symptoms: II. Developmental pathways from early adolescence to adulthood. J Personality Disorders 15:336–350

    Article  CAS  Google Scholar 

  15. Durrett C, Westen D (2005) The structure of axis II disorders in adolescents: a cluster- and factor-analytic investigation of DSM-IV categories and criteria. J Personality Disorders 19:440–461

    Article  Google Scholar 

  16. Greenfield B, Larson C, Hechtman L, Rousseau C, Platt R (2002) A rapid-response outpatient model for reducing hospitalization rates among suicidal adolescents. Psychiatr Serv 53:1574–1579

    Article  PubMed  Google Scholar 

  17. Guile JM (1999) États limites et troubles de personnalité chez l’enfant et l’adolescent. In: Habimana E, et Toussignant M (eds) Psychopathologie de l’enfant et de l’adolescent. Gaétan Morin, Montréal, pp 257–278

  18. Guile JM, Greenfield B, Fombonne E, Dray P, Ahmadi S, Larson C (2003) Development of an abbreviated version of the diagnostic interview for borderlines. Eur Child Adolesc Psychiatry 12:139

    Google Scholar 

  19. Huth-Bocks CA, Kerr DC, Ivey AZ, Kramer AC, King AC (2007) Assessment of psychiatrically hospitalized suicidal adolescents: self-report instruments as predictors of suicidal thoughts and behavior. J Am Acad Child Adolesc Psychiatry 46:387–395

    Article  PubMed  Google Scholar 

  20. Hyler SE, Skodol AE, Kellman HD, Oldham JM, Rosnick L (1990) Validity of the personality diagnostic questionnaire-revised: comparison with two semistructured interviews. Am J Psychiatry 147:1043–1048

    PubMed  CAS  Google Scholar 

  21. Koenigsberg HW, O’Keefe D, Greiner L, Bergman A, Mitropoulou V, Siever LJ (1998) The neurobiology of affective instability and its relationship to identity diffusion. Biol Psychiatry 43:S96

    Article  Google Scholar 

  22. LeGris J, van Reekum R (2006) The neuropsychological correlates of borderline personality disorder and suicidal behaviour. Can J Psychiatry 51:131–142

    PubMed  Google Scholar 

  23. Lewinsohn PM, Rohde P, Seeley JR, Baldwin CL (2001) Gender differences in suicide attempts from adolescence to young adulthood. J Am Acad Child Adolesc Psychiatry 40:427–434

    Article  PubMed  CAS  Google Scholar 

  24. Links P, Heslegrave R, van Reekum R (1999) Impulsivity: core aspect of Borderline Personality Disorder. J Personality Disorders 13:1–9

    CAS  Google Scholar 

  25. Links PS, Gould B, Ratnayake R (2003) Assessing suicidal youth with antisocial, borderline, or narcissistic personality disorder. Can J Psychiatry 48:301–310

    PubMed  Google Scholar 

  26. Miller AL, Muehlenkamp JJ, Jacobson CM (2008) Fact or fiction: diagnosing borderline personality disorder in adolescents. Clinical Psychol Rev (in press)

  27. Paris J (2004) Borderline or bipolar? distinguishing BPD from bipolar spectrum disorders. Harvard Rev Psychiatry 12:140–145

    Article  Google Scholar 

  28. Paris J (2005) Outcome and epidemiological research on personality disorders: implications for classification. J Personality Disorders 19:557–562

    Article  Google Scholar 

  29. Ramklint M, von Knorring AL, von Knorring L, Ekselius L (2003) Child and adolescent psychiatric disorders predicting adult personality disorder: a follow-up study. Nord J Psychiatry 57:23–28

    PubMed  Google Scholar 

  30. Shaffer D, Schwab-Stone M, Fisher P, Cohen P, Piacentini J, Davies M, Conners K, Regier D, The Diagnostic Interview Schedule for Children-Revised version (DISC-R) (1993) I. Preparation, field testing, interrater reliability and acceptability. J Am Acad Child Adolesc Psychiatry 32:643–650

    Article  PubMed  CAS  Google Scholar 

  31. Siever LJ, Torgersen S, Gunderson JG, Livesley WJ, Kendler KS (2002) The borderline diagnosis III: identifying endophenotypes for genetic studies. Biol Psychiatry 51:964–968

    Article  PubMed  Google Scholar 

  32. Skodol AE, Siever LJ, Livesley WJ, Gunderson JG, Pfohl B, Widiger TA (2002) The borderline diagnosis II: biology, genetics and clinical course. Biol Psychiatry 51:951–963

    Article  PubMed  Google Scholar 

  33. Tse SM, Bondurant H, Greenfield B, Guile JM (2005) Evolution of the BPD construct among previously suicidal adolescents, AACAP-CACAP joint annual meeting, Toronto, Oct 18–23

  34. Widiger TA (2005) CIC, CLPS and MSAD. J Personality Disorders 19:586–593

    Article  Google Scholar 

  35. Zanarini MC, Gunderson JG, Frankenburg FR, Chauncey DL (1989) The revised diagnostic interview for borderlines: discriminating BPD from other axis II disorders. J Personality Disorders 3:10–18

    Google Scholar 

  36. Zanarini MC, Vujanovic AA, Parachini EA, Boulanger JL, Frankenburg FR, Hennen J (2003) A screening measure for BPD: the McLean screening instrument for borderline personality disorder (MSI-BPD). J Personality Disorders 17(6):568–573

    Article  Google Scholar 

  37. Zlotnick C, Rothschild L, Zimmerman M (2002) The role of gender in the clinical presentation of patients with Borderline Personality Disorder. J Personality Disorders 16:277–282

    Article  Google Scholar 

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Guilé, J.M., Greenfield, B., Berthiaume, C. et al. Reliability and diagnostic efficiency of the abbreviated-diagnostic interview for borderlines in an adolescent clinical population. Eur Child Adolesc Psychiatry 18, 575–581 (2009). https://doi.org/10.1007/s00787-009-0015-x

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