Wall K, Sharp C, Ahmed Y, Goodman M, Zanarini M C
Psychology Department, University of Houston HBSB rm. 476, Houston, TX, 77004, USA.
James J. Peters VA Medical Center, New York City, New York, USA.
Personal Ment Health. 2017 Aug;11(3):179-188. doi: 10.1002/pmh.1376. Epub 2017 May 28.
While the degree of concordance between parent and adolescent self-report of internalizing and externalizing pathology is well studied, virtually nothing is known about concordance in borderline pathology and the implication of parent-adolescent discrepancies for outcomes. The present study aimed to (1) examine discrepancies between parents and adolescents on two interview-based measures of borderline personality disorder (BPD)-the Revised Diagnostic Interview for Borderlines (DIB-R ) and the Childhood Interview for Borderline Personality Disorder (CI-BPD ); and (2) investigate the implications of discrepancies for clinical outcomes. Diagnostic concordance on the DIB-R and CI-BPD showed rates of 82% and 94% respectively, with lower concordance demonstrated for dimensionally scored variables. Standardized difference scores between adolescent and parent reports on both borderline measures were significantly correlated with few interview-based axis I diagnoses as reported by parents, but not adolescents themselves. Implications regarding the use of each measure for the assessment and diagnosis of borderline personality disorder are discussed. Copyright © 2017 John Wiley & Sons, Ltd.
虽然内化和外化病理的父母与青少年自我报告之间的一致程度已得到充分研究，但对于边缘性病理中的一致性以及父母与青少年差异对结果的影响几乎一无所知。本研究旨在：（1）在两种基于访谈的边缘型人格障碍（BPD）测量方法——修订版边缘型诊断访谈（DIB-R）和边缘型人格障碍儿童访谈（CI-BPD）上，考察父母与青少年之间的差异；（2）探究差异对临床结果的影响。DIB-R和CI-BPD的诊断一致性分别为82%和94%，维度计分变量的一致性较低。青少年与父母在两种边缘性测量方法上的标准化差异分数，与父母报告的基于访谈的极少轴I诊断显著相关，但与青少年自己报告的无关。文中讨论了每种测量方法在边缘型人格障碍评估和诊断中的应用意义。版权所有© 2017约翰·威利父子有限公司。
