边缘性症状清单-访谈：一种基于观察者的评估边缘性人格障碍症状严重程度工具的开发与心理测量评估

The Borderline Symptom List-Interview: development and psychometric evaluation of an observer-based instrument for assessing symptom severity in borderline personality disorder.

作者信息

Senyüz Büsra, Vonderlin Ruben, Claus Carola, Mahalingam Saskia, Koch Stefan, Voderholzer Ulrich, Teismann Tobias, Kleindienst Nikolaus, Böhnke Jan R, Lis Stefanie, Boritz Tali, McMain Shelley, Bohus Martin

机构信息

Department of Psychosomatic Medicine and Psychotherapy, Central Institute of Mental Health, Medical Faculty Mannheim, Heidelberg University, J5, D-68159, Mannheim, Germany.

German Center for Mental Health (DZPG), Partner Site Mannheim - Heidelberg - Ulm, Mannheim, Germany.

出版信息

Borderline Personal Disord Emot Dysregul. 2025 Aug 28;12(1):33. doi: 10.1186/s40479-025-00310-6.

DOI:10.1186/s40479-025-00310-6

PMID:40877981

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12395751/

Abstract

BACKGROUND

Borderline Personality Disorder (BPD) is a complex mental health condition characterized by pervasive instability in mood, interpersonal relationships, self-concepts, and behavior. A reliable assessment of BPD symptom severity is essential for effective treatment planning and evaluation. This study introduces and evaluates the Borderline Symptom List Interview (BSL-I), a semi-structured interview designed to assess the severity of BPD symptoms comprehensively.

METHOD

The BSL-I is a freely accessible 31-item interview designed to assess BPD symptom severity. It evaluates (a) the frequency and subjective distress associated with BPD-specific and typical psychopathological symptoms, (b) the behavioral consequences of these symptoms, (c) functional impairment, and (d) facets of positive mental health. The items were developed through an iterative process, incorporating feedback from international experts and individuals with lived experience of BPD. Psychometric properties of the BSL-I were examined cross-sectionally in different samples of clients meeting DSM-5 criteria for BPD (n = 171), clinical controls (n = 89), and healthy controls (n = 43).

RESULTS

The BSL-I demonstrates good internal consistency within the BPD sample (Cronbach's α = 0.82) and good interrater reliability (ICC = 0.768). It significantly discriminates between BPD clients and clinical controls (Cohen's d = 2.02) and healthy controls (Cohen's d = 3.88). High correlations were observed with other established BPD symptom measures, including the number of IPDE criteria (r = 0.70, p < 0.001) and the BSL-23 (r = 0.83, p < 0.001).

DISCUSSION

Our findings indicate that the BSL-I is a reliable and valid multidimensional instrument for assessing the severity of BPD. Both clinical experts and clients found the application of the BSL-I acceptable and feasible. Future research might explore its sensitivity to change resulting from psychosocial treatments and assess its utility for treatment planning and outcome measurement.

CONCLUSION

The BSL-I is a practical and psychometrically sound instrument for assessing the severity of BPD symptoms in clinical and research contexts.

摘要

背景

边缘型人格障碍（BPD）是一种复杂的心理健康状况，其特征是情绪、人际关系、自我概念和行为普遍不稳定。对BPD症状严重程度进行可靠评估对于有效的治疗计划和评估至关重要。本研究介绍并评估了边缘型症状清单访谈（BSL-I），这是一种旨在全面评估BPD症状严重程度的半结构化访谈。

方法

BSL-I是一项可免费获取的包含31个条目的访谈，旨在评估BPD症状严重程度。它评估（a）与BPD特定和典型精神病理症状相关的频率和主观痛苦，（b）这些症状的行为后果，（c）功能损害，以及（d）积极心理健康的方面。这些条目通过反复迭代过程制定，纳入了国际专家和有BPD生活经历者的反馈。在符合DSM-5 BPD标准的不同客户样本（n = 171）、临床对照（n = 89）和健康对照（n = 43）中对BSL-I的心理测量特性进行了横断面研究。

结果

BSL-I在BPD样本中显示出良好的内部一致性（Cronbach's α = 0.82）和良好的评分者间信度（ICC = 0.768）。它能显著区分BPD患者与临床对照（Cohen's d = 2.02）以及健康对照（Cohen's d = 3.88）。与其他既定的BPD症状测量方法有高度相关性，包括IPDE标准数量（r = 0.70，p < 0.001）和BSL-23（r = 0.83，p < 0.001）。