Johansen M, Karterud S, Pedersen G, Gude T, Falkum E
Research Institute, Modum Bad, Vikersund, Norway.
Acta Psychiatr Scand. 2004 Apr;109(4):289-98. doi: 10.1046/j.1600-0447.2003.00268.x.
To investigate the prototype validity of the borderline personality disorder (BPD) DSM-IV construct.
Patients (n = 930) from the Norwegian Network of Psychotherapeutic Day Hospitals. Exploratory/confirmatory factor analyses, correlation and reliability statistics, chi-square, and frequency distributions.
Number of BPD criteria showed no distinct threshold between No-BPD and BPD patients among whom 136 different combinations of criteria occurred. Both factor analyses supported that one component/latent variable accounted for the variance of the BPD criteria, showing a high convergent and discriminant validity. The criterion of unstable relationships displayed the highest diagnostic efficiency, and that of chronic feelings of emptiness the lowest.
The prototype theoretical model for BPD fitted the data well and appeared to be satisfactory described by the current criteria. The emptiness criterion needs a more appropriate definition and the hierarchy of the criteria in DSM-IV should be revised.
探讨边缘型人格障碍（BPD）DSM-IV结构的原型效度。
来自挪威心理治疗日间医院网络的930名患者。进行探索性/验证性因素分析、相关性和可靠性统计、卡方检验以及频率分布分析。
BPD标准数量在非BPD患者和BPD患者之间未显示出明显阈值，其中出现了136种不同的标准组合。两项因素分析均支持一个成分/潜在变量解释了BPD标准的方差，显示出高收敛效度和区分效度。不稳定关系标准显示出最高的诊断效率，而长期空虚感标准显示出最低的诊断效率。
BPD的原型理论模型与数据拟合良好，当前标准似乎对其进行了令人满意的描述。空虚标准需要更恰当的定义，且DSM-IV中标准的层次结构应予以修订。
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