Kullgren G
Department of Psychiatry, University of Umeå, Sweden.
Acta Psychiatr Scand. 1987 Sep;76(3):246-55. doi: 10.1111/j.1600-0447.1987.tb02892.x.
Forty-six inpatients were independently diagnosed according to the DSM-III concept of borderline personality disorder, the diagnostic interview for borderlines (DIB) and the concept of borderline personality organization, which is linked to Kernbergs structural interview. The interviews were videotaped. Satisfactory inter-rater reliability was demonstrated for the DIB, which furthermore showed high sensitivity and specificity in identifying patients with a clinical DSM-III diagnosis of borderline personality disorder from patients with a other personality disorders or schizophrenic disorders. Discriminant features, demographic profile and earlier treatment history for the patients with a borderline personality disorder are described and discussed. The structural interviews were scored according to a specified format. Inter-rater reliability was satisfactory but not too impressive. Borderline personality organization turned out to be a very broad concept and only half of the patients within this concept received a syndrome diagnosis of borderline personality disorder. A general conclusion was that borderline personality organization should not be considered as a diagnostic entity but rather as a different diagnostic dimension representing an intermediate level of personality structure.
根据《精神疾病诊断与统计手册》第三版（DSM - III）中边缘型人格障碍的概念、边缘型人格诊断访谈（DIB）以及与克恩伯格结构化访谈相关的边缘型人格组织概念，对46名住院患者进行了独立诊断。访谈进行了录像。DIB显示出令人满意的评分者间信度，此外，在从患有其他人格障碍或精神分裂症的患者中识别出临床诊断为DSM - III边缘型人格障碍的患者方面，它还表现出高敏感性和特异性。描述并讨论了边缘型人格障碍患者的鉴别特征、人口统计学概况和早期治疗史。结构化访谈按照特定格式进行评分。评分者间信度令人满意，但并不十分突出。结果表明，边缘型人格组织是一个非常宽泛的概念，在这个概念范围内只有一半的患者获得了边缘型人格障碍的综合征诊断。一个总体结论是，边缘型人格组织不应被视为一个诊断实体，而应被视为代表人格结构中间水平的一个不同的诊断维度。
