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[麦克林边缘型人格障碍筛查工具在寻求特定疾病治疗的住院患者样本中的诊断准确性]

[Diagnostic accuracy of the McLean Screening Instrument for borderline personality disorder in an inpatient sample who seek a disorder-specific treatment].

作者信息

Kröger Christoph, Huget Friederike, Roepke Stefan

机构信息

Abteilung für Klinische Psychologie, Psychotherapie und Diagnostik, Technische Universität Braunschweig.

出版信息

Psychother Psychosom Med Psychol. 2011 Nov;61(11):481-6. doi: 10.1055/s-0031-1291275. Epub 2011 Nov 11.

Abstract

Borderline personality disorder (BPD) is considered as the most prevalent personality disorder in an inpatient setting. The McLean Screening Instrument for Borderline Personality Disorder (MSI-BPD) was developed to identify individuals with BPD reliably, valid and economically. To examine the discriminatory ability and diagnostic efficiency of the German version of the MSI-BPD in a sample with patients who meet probable BPD and seek a disorder-related inpatient treatment program. Based on a sample (N=298) containing 178 BPD-patients (60%), the area under the curve was AUC=0.70 (CI 95%: 0.64<AUC<0.76). Using the preferred cut-off point of>7. 84% of individuals with BPD (sensitivity) and 39% of individuals without BPD were identified correctly (specificity). Results suggest that a self-rated screening measure as the MSI-BPD should not be used in a sample with patients who meet probable BPD.

摘要

边缘型人格障碍(BPD)被认为是住院患者中最常见的人格障碍。麦克莱恩边缘型人格障碍筛查工具(MSI-BPD)的开发目的是可靠、有效且经济地识别患有BPD的个体。为了在一个符合可能的BPD且寻求与疾病相关的住院治疗项目的患者样本中检验德文版MSI-BPD的鉴别能力和诊断效率。基于一个包含178名BPD患者(60%)的样本(N=298),曲线下面积为AUC=0.70(95%置信区间:0.64<AUC<0.76)。使用>7的首选临界点,7.84%的BPD个体(敏感性)和39%的非BPD个体被正确识别(特异性)。结果表明,像MSI-BPD这样的自评筛查措施不应用于符合可能的BPD的患者样本。

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