Citation

Evans CM, Simms LJ. Personal. Disord. 2018; 9(3): 290-296.

Copyright

(Copyright © 2018, American Psychological Association)

DOI

10.1037/per0000243

PMID

28252983

PMCID

PMC5581731

Abstract

DSM-5 includes 2 competing models of borderline personality disorder (BPD) in Sections II and III. Empirical comparisons between these models are required to understand and improve intermodel continuity. We compared Section III BPD traits to Section II BPD criteria assessed via semistructured interviews in 455 current/recent psychiatric patients using correlation and regression analyses, and also evaluated the incremental predictive power of other Section III traits. In addition, we tested the hypothesis that self-harm would incrementally predict BPD Criterion 5 over the Section III traits.

RESULTS supported Section III BPD traits as an adequate representation of traditional BPD symptomatology, although modifications that would increase intermodel continuity were identified. Finally, we found support for the incremental validity of suspiciousness, anhedonia, perceptual dysregulation, and self-harm, suggesting possible gaps in the Section III PD trait definitions. (PsycINFO Database Record

Language: en

Keywords

Humans; Adult; Female; Male; Middle Aged; Psychiatric Status Rating Scales; Diagnostic and Statistical Manual of Mental Disorders; Borderline Personality Disorder