Bohus Martin, Kleindienst Nikolaus, Limberger Matthias F, Stieglitz Rolf-Dieter, Domsalla Melanie, Chapman Alexander L, Steil Regina, Philipsen Alexandra, Wolf Martina
Department of Psychosomatics and Psychotherapy, Central Institute of Mental Health, Mannheim, Germany.
Psychopathology. 2009;42(1):32-9. doi: 10.1159/000173701. Epub 2008 Nov 20.
The full version of the Borderline Symptom List (BSL; for clarification now labeled BSL-95) is a self-rating instrument for specific assessment of borderline-typical symptomatology. The BSL-95 items are based on criteria of the DSM-IV, the revised version of the Diagnostic Interview for Borderline Personality Disorder, and the opinions of both clinical experts and borderline patients. The BSL-95 includes 95 items. In order to reduce patient burden and assessment time, a short version with 23 items (BSL-23) was developed.
The development of the BSL-23 was based on a sample of 379 borderline patients, considering the items from the BSL-95 that had the highest levels of sensitivity to change and the highest ability to discriminate borderline patients from other patient groups. In a second step, the psychometric properties of the BSL-23 were investigated and compared with the psychometric properties of the BSL-95 in 5 different samples, including a total of 659 borderline patients.
In all of the samples, a high correlation of the sum score was found between the BSL-23 and the BSL-95 (range: 0.958-0.963). The internal consistency was high for both versions (BSL-23/Cronbach's alpha: 0.935-0.969; BSL-95/Cronbach's alpha: 0.977-0.978). Both BSL-23 and BSL-95 clearly discriminated borderline personality disorder patients from patients with an axis I diagnosis (mean effect sizes were 1.13 and 0.96 for the BSL-23 and BSL-95, respectively). In addition, comparisons before and after 3 months of dialectical behavior therapy revealed a numerically larger effect size for the BSL-23 (d = 0.47) compared to the BSL-95 (d = 0.38).
The results indicate that the BSL-23 is an efficient and convenient self-rating instrument that displays good psychometric properties comparable to those of the BSL-95. The BSL-23 also demonstrated sensitivity to the effects of therapy.
《边缘性症状清单》完整版（BSL；现明确标注为BSL - 95）是一种用于特定评估边缘性典型症状的自评工具。BSL - 95的条目基于《精神疾病诊断与统计手册》第四版标准、《边缘型人格障碍诊断访谈》修订版以及临床专家和边缘性人格障碍患者的意见。BSL - 95包含95个条目。为减轻患者负担并缩短评估时间，开发了一个包含23个条目的简版（BSL - 23）。
BSL - 23的开发基于379名边缘性人格障碍患者的样本，考虑了BSL - 95中对变化敏感度最高且区分边缘性人格障碍患者与其他患者群体能力最强的条目。第二步，在包括659名边缘性人格障碍患者的5个不同样本中，对BSL - 23的心理测量特性进行了研究，并与BSL - 95的心理测量特性进行了比较。
在所有样本中，均发现BSL - 23与BSL - 95的总分高度相关（范围：0.958 - 0.963）。两个版本的内部一致性都很高（BSL - 23/克朗巴哈系数：0.935 - 0.969；BSL - 95/克朗巴哈系数：0.977 - 0.978）。BSL - 23和BSL - 95都能清晰地区分边缘型人格障碍患者与轴I诊断的患者（BSL - 23和BSL - 95的平均效应量分别为1.13和0.96）。此外，辩证行为疗法3个月前后的比较显示，与BSL - 95（d = 0.38）相比，BSL - 23的效应量在数值上更大（d = 0.47）。
结果表明，BSL - 23是一种高效便捷的自评工具，其心理测量特性良好，与BSL - 95相当。BSL - 23对治疗效果也具有敏感性。
