De Moor Marleen H M, Distel Marijn A, Trull Timothy J, Boomsma Dorret I
Department of Biological Psychology, VU University Amsterdam, The Netherlands.
Psychol Assess. 2009 Mar;21(1):125-30. doi: 10.1037/a0014502.
Borderline personality disorder (BPD) is more often diagnosed in women than in men, and symptoms tend to decline with age. Using a large community sample, the authors investigated whether sex and age differences in four main features of BPD, measured with the Personality Assessment Inventory-Borderline Features scale (PAI-BOR; Morey, 1991), are a result of measurement bias or if they represent true differences. The PAI-BOR was completed by four Sex x Age groups (N = 6,838). Multigroup confirmatory factor analysis showed that the PAI-BOR is measurement invariant across sex and age. Compared with men, women reported more borderline characteristics for affective instability, identity problems, and negative relationships but not for self-harm. Younger men had higher scores for identity problems and self-harm than did older men. Younger women had higher scores for identity problems and affective instability than did older women. Results suggest that the PAI-BOR can be used to study the etiology of BPD features in population-based samples and to screen for BPD features in clinical settings in both men and women of varying ages. (PsycINFO Database Record (c) 2009 APA, all rights reserved).
边缘型人格障碍(BPD)在女性中的诊断率高于男性,且症状往往会随着年龄的增长而减轻。作者利用一个大型社区样本,调查了使用人格评估量表-边缘型特征量表(PAI-BOR;莫雷,1991)测量的BPD四个主要特征中的性别和年龄差异,是测量偏差的结果,还是代表了真正的差异。PAI-BOR由四个性别×年龄组(N = 6838)完成。多组验证性因素分析表明,PAI-BOR在性别和年龄上具有测量不变性。与男性相比,女性在情感不稳定、身份问题和消极关系方面报告了更多的边缘型特征,但在自我伤害方面并非如此。年轻男性在身份问题和自我伤害方面的得分高于年长男性。年轻女性在身份问题和情感不稳定方面的得分高于年长女性。结果表明,PAI-BOR可用于研究基于人群样本中BPD特征的病因,并在不同年龄的男性和女性的临床环境中筛查BPD特征。(PsycINFO数据库记录(c)2009美国心理学会,保留所有权利)