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检验住院青少年不同种族/民族群体中边缘型人格障碍自陈式量表和访谈量表的测量不变性。

Testing measurement invariance of self-report and interview measures of borderline personality disorder across ethnic/racial groups of inpatient adolescents.

作者信息

Vanwoerden Salome, Sumlin Eric D, McLaren Veronica, Sharp Carla

机构信息

Department of Psychiatry, University of Pittsburgh.

Department of Psychiatry and Behavioral Science, Baylor College of Medicine.

出版信息

Psychol Assess. 2025 Sep;37(9):415-427. doi: 10.1037/pas0001401. Epub 2025 Jun 9.


DOI:10.1037/pas0001401
PMID:40489150
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12225401/
Abstract

Borderline personality disorder (BPD) is a severe mental disorder that onsets during adolescence. Research examining sociocontextual differences in BPD presentation is limited and provides mixed results, highlighting the importance of further investigation and the evaluation of potential measure effects. This study assessed measurement invariance of two widely used adolescent measures (self-report-the Borderline Personality Features Scale for Children and semistructured interview-Childhood Interview of Borderline Personality Disorder) of BPD. Comparisons across inpatient psychiatric settings (n = 521 at a private inpatient; = 378 at a public inpatient) and across self-identified Hispanic/Latinx ( = 193), Black ( = 132), and White ( = 584) adolescents were conducted. Baseline models revealed inadequate model fit for a single-factor structure, requiring modifications to the intended structure of these measures. With these modifications, results identified partial scalar invariance across settings and racial/ethnic groups for both measures and full measurement invariance for the modified CI-BPD across settings. This study is the first to test whether these measures of BPD function differently based on an indicator of socioeconomic functioning and across racial/ethnic groups among inpatient adolescents. Results suggest that modifications to these measures should be explored further, which are discussed with the goal of achieving measures that can accurately assess and compare BPD severity in adolescents. (PsycInfo Database Record (c) 2025 APA, all rights reserved).

摘要

边缘性人格障碍(BPD)是一种在青春期发病的严重精神障碍。关于BPD表现的社会背景差异的研究有限,结果也不一致,这凸显了进一步调查和评估潜在测量效应的重要性。本研究评估了两种广泛使用的青少年BPD测量方法(自我报告——儿童边缘性人格特征量表和半结构化访谈——儿童边缘性人格障碍访谈)的测量不变性。对住院精神科环境(私立住院部n = 521;公立住院部n = 378)以及自我认定的西班牙裔/拉丁裔(n = 193)、黑人(n = 132)和白人(n = 584)青少年进行了比较。基线模型显示单因素结构的模型拟合不足,需要对这些测量方法的预期结构进行修改。通过这些修改,结果表明两种测量方法在不同环境和种族/民族群体中均存在部分标量不变性,而修改后的CI - BPD在不同环境中具有完全测量不变性。本研究首次测试了这些BPD测量方法在住院青少年中是否基于社会经济功能指标以及跨种族/民族群体存在不同功能。结果表明应进一步探索对这些测量方法的修改,讨论的目的是实现能够准确评估和比较青少年BPD严重程度的测量方法。(PsycInfo数据库记录(c)2025美国心理学会,保留所有权利)

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本文引用的文献

[1]
Structural Racism and Suicide Prevention for Ethnoracially Minoritized Youth: A Conceptual Framework and Illustration Across Systems.

Am J Psychiatry. 2022-6

[2]
Is there a bias in the diagnosis of borderline personality disorder among racially minoritized patients?

Personal Disord. 2023-5

[3]
Are We Thinking about the Same Disorder? A Trifactor Model Approach to Understand Parents' and Their Adolescents' Reports of Borderline Personality Pathology.

J Pers Assess. 2023

[4]
Race bias and gender bias in the diagnosis of psychological disorders.

Clin Psychol Rev. 2021-12

[5]
Adultification, anger bias, and adults' different perceptions of Black and White children.

Cogn Emot. 2021-11

[6]
Five failures and five challenges for prevention and early intervention for personality disorder.

Curr Opin Psychol. 2021-2

[7]
Barriers to care for adolescents with borderline personality disorder.

Curr Opin Psychol. 2021-2

[8]
Identifying unstable and empty phenotypes of borderline personality through factor mixture modeling in a large nonclinical sample.

Personal Disord. 2020-3

[9]
Emotion regulation difficulties and borderline personality disorder: The moderating role of race.

Personal Disord. 2020-7

[10]
Borderline Symptoms at Age 12 Signal Risk for Poor Outcomes During the Transition to Adulthood: Findings From a Genetically Sensitive Longitudinal Cohort Study.

J Am Acad Child Adolesc Psychiatry. 2020-10

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