Dibaj Iselin Solerød, Neupane Sudan Prasad, Mehlum Lars
National Centre for Suicide Research and Prevention, University of Oslo, Oslo, Norway.
Borderline Personal Disord Emot Dysregul. 2025 Mar 13;12(1):8. doi: 10.1186/s40479-025-00285-4.
Emotion dysregulation is a transdiagnostic construct associated with mental health problems, including self-harm and borderline personality disorder (BPD). Although often targeted in clinical practice, the majority of psychometric assessment instruments of emotion dysregulation are developed for research purposes, and there is a need for an adapted version to be used in a clinical screening setting. The main aim of this study was to examine psychometric properties of a brief, pragmatic measure of emotion dysregulation, the Brief Emotion Regulation Scale - 5 items (BER-5).
The sample consisted of 60 young adults (mean age 28.1 years) who participated in a 12.4 years follow-up study of an RCT of Dialectical Behaviour Therapy's long-term effect. Cronbach's alpha was used to calculate internal consistency. Concurrent and convergent validity were examined using Spearman's correlation in comparison with other measures, and logistic regression as well as area under the curve to examine its ability in terms of differentiating between BPD diagnosis and trait levels. Optimal cut-off points were explored using Receiver Operating Curves.
Our results indicated adequate internal consistency both in adolescence and in young adulthood, as well as high convergence with a gold-standard measure of emotion dysregulation, and moderate convergence with symptom measures of anxiety and depression. BER-5 was able to differentiate between participants with no BPD from subthreshold or full BPD diagnosis in adulthood, and a cut-off score of 5 was found optimal in terms of sensitivity and specificity in identifying individuals with BPD.
The BER-5 is a brief, pragmatic measure of emotion dysregulation with good psychometric properties and is potentially a useful screening tool for clinicians working in specialized health care settings.
情绪失调是一种与心理健康问题相关的跨诊断概念，包括自我伤害和边缘性人格障碍（BPD）。尽管情绪失调在临床实践中常常是治疗目标，但大多数情绪失调的心理测量评估工具是为研究目的而开发的，因此需要一个适用于临床筛查环境的版本。本研究的主要目的是检验一种简短、实用的情绪失调测量工具——简短情绪调节量表-5项（BER-5）的心理测量特性。
样本包括60名年轻成年人（平均年龄28.1岁），他们参与了一项关于辩证行为疗法长期效果的随机对照试验的12.4年随访研究。使用克朗巴哈系数计算内部一致性。与其他测量工具相比，通过斯皮尔曼相关性检验同时效度和收敛效度，并使用逻辑回归以及曲线下面积来检验其区分BPD诊断和特质水平的能力。使用受试者工作特征曲线探索最佳截断点。
我们的结果表明，BER-5在青少年期和成年期均具有足够的内部一致性，与情绪失调的金标准测量工具高度收敛，与焦虑和抑郁症状测量工具中度收敛。BER-5能够区分成年期无BPD的参与者与亚阈值或完全BPD诊断的参与者，在识别BPD个体方面，发现截断分数为5时在敏感性和特异性方面最为理想。
BER-5是一种简短、实用的情绪失调测量工具，具有良好的心理测量特性，可能是在专业医疗环境中工作的临床医生的有用筛查工具。
