Schön Clinic Bad Bramstedt, Birkenweg 10, Bad Bramstedt 24576, Germany.
Institute of Medical Sociology, Hannover Medical School, Carl-Neuberg-Straße 1, Hannover 30625.
Psychiatry Res. 2020 Jun;288:113023. doi: 10.1016/j.psychres.2020.113023. Epub 2020 Apr 17.
Borderline personality disorder (BPD) is a severe mental disorder which is accompanied by impaired functioning, complex psychosocial problems and incurs large costs. However, it rarely has been examined whether BPD symptoms form a hierarchical (Mokken) scale, which would imply that symptoms are ordered along a latent dimension of borderline severity. In this study the data from 1,198 inpatients of a psychosomatic clinic were examined. A non-parametric Mokken analysis was employed to investigate if the BPD symptoms measured by the impulsivity and emotion dysregulation scale (IES-27) formed a hierarchical scale. 16 of the 27 items, mainly regarding emotion dysregulation, formed a monotonous Mokken scale with a very strong hierarchy of BPD symptoms. These results imply that single BPD symptoms provide information about BPD severity, suggesting several important consequences regarding escalation of BPD, diagnosis and treatment, e.g. how to optimize treatment planning.
边缘型人格障碍（BPD）是一种严重的精神障碍，伴有功能障碍、复杂的社会心理问题和巨大的成本。然而，很少有研究检查 BPD 症状是否形成了一个层次结构（Mokken）量表，这意味着症状沿着边缘严重程度的潜在维度排列。在这项研究中，检查了 1198 名身心诊所住院患者的数据。采用非参数 Mokken 分析来研究冲动和情绪调节障碍量表（IES-27）测量的 BPD 症状是否形成了一个层次结构量表。27 个项目中的 16 个，主要涉及情绪调节，形成了一个单调的 Mokken 量表，具有非常强烈的 BPD 症状层次结构。这些结果表明，单个 BPD 症状提供了关于 BPD 严重程度的信息，这表明在 BPD 的升级、诊断和治疗方面存在一些重要的后果，例如如何优化治疗计划。
