Document Detail

A comparison of latent class, latent trait, and factor mixture models of DSM-IV borderline personality disorder criteria in a community setting: implications for DSM-5.
MedLine Citation:
PMID:  23013346     Owner:  NLM     Status:  MEDLINE    
With the fifth edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5) scheduled for publication in 2013, researchers continue to debate the optimal classification of borderline personality disorder (BPD). Much of the discussion has focused on the relative merits of dimensional versus categorical classification schemes for BPD. Advances in statistical technologies have made it possible to adjudicate between continuous and categorical models of BPD using quantitative methods, yet no prior studies have attempted such a comparison. The current study directly compares the fit of dimensional, categorical, and hybrid models of BPD in a large community sample (N = 700) of young adults at risk for psychopathology due to elevated rates of maternal depression. BPD symptoms were assessed using the Structured Clinical Interview for DSM-IV Axis II Personality Disorders (SCID-II). Latent class, latent trait, and factor mixture models of SCID-II symptoms were estimated, and a latent trait model provided superior fit to the data, supporting a dimensional conceptualization of borderline pathology. The nosological implications of these results are discussed with respect to a "hybrid" model of BPD diagnosis currently under consideration for DSM-5.
Christopher Conway; Constance Hammen; Patricia Brennan
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Publication Detail:
Type:  Comparative Study; Journal Article; Research Support, N.I.H., Extramural    
Journal Detail:
Title:  Journal of personality disorders     Volume:  26     ISSN:  1943-2763     ISO Abbreviation:  J. Pers. Disord.     Publication Date:  2012 Oct 
Date Detail:
Created Date:  2012-09-27     Completed Date:  2013-02-22     Revised Date:  2013-07-11    
Medline Journal Info:
Nlm Unique ID:  8710838     Medline TA:  J Pers Disord     Country:  United States    
Other Details:
Languages:  eng     Pagination:  793-803     Citation Subset:  IM    
Department of Psychology, University of California, Los Angeles, Los Angeles, CA 90095, USA.
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MeSH Terms
Borderline Personality Disorder / classification*
Cohort Studies
Diagnostic and Statistical Manual of Mental Disorders
Models, Psychological*
Psychiatric Status Rating Scales
Young Adult
Grant Support

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