Strunk Leonie, Dreyße Kathrin, Kröger Christoph
Institute of Psychology, University of Hildesheim, Universitätsplatz 1, Hildesheim, 31141, Germany.
Schön Clinic Bad Bramstedt, Birkenweg 10, Bad Bramstedt, 24576, Germany.
Borderline Personal Disord Emot Dysregul. 2025 May 12;12(1):17. doi: 10.1186/s40479-025-00296-1.
In clinical practice and research, self-report instruments are frequently used for assessing the severity of borderline personality disorder (BPD) symptomatology experienced by men and women. Men with BPD are often underrepresented in samples used to evaluate self-report questionnaires. Measurement invariance (MI) is used to examine whether self-report questionnaires determine the same latent construct across groups or varying conditions (e.g., measurement occasions).
The present study investigated measurement invariance for two self-report measures of BPD features: the Borderline Symptom List (BSL-23) and the Impulsivity and Emotion Dysregulation Scale (IES-27). An inpatient sample of N = 3507 individuals (n = 560 males) was used to test for measurement variance between males and females, and over time from pre- to post-treatment.
Confirmatory factor analysis results supported a unidimensional structure for the BSL-23 and a three-factor model for the IES-27. Both instruments were found to be measurement invariant with regard to sex and time.
The results suggest that the BSL-23 and IES-27 can be used to assess BPD symptoms in men and women, as well as to assess treatment effects at admission and at the end of treatment.
在临床实践和研究中，自我报告工具经常用于评估男性和女性所经历的边缘型人格障碍（BPD）症状的严重程度。患有BPD的男性在用于评估自我报告问卷的样本中往往代表性不足。测量不变性（MI）用于检验自我报告问卷在不同群体或不同条件下（如测量场合）是否确定相同的潜在结构。
本研究调查了两种BPD特征自我报告测量方法的测量不变性：边缘症状清单（BSL-23）和冲动与情绪失调量表（IES-27）。一个包含N = 3507名个体（n = 560名男性）的住院样本用于测试男性和女性之间以及治疗前到治疗后的测量差异。
验证性因素分析结果支持BSL-23的单维结构和IES-27的三因素模型。发现这两种工具在性别和时间方面都是测量不变的。
结果表明，BSL-23和IES-27可用于评估男性和女性的BPD症状，以及评估入院时和治疗结束时的治疗效果。
