학술논문
Borderline personality disorder symptom networks across adolescent and adult clinical samples: examining symptom centrality and replicability.
Document Type
Academic Journal
Author
Peters JR; Alpert Medical School of Brown University, Providence, USA.; Crowe ML; Alpert Medical School of Brown University, Providence, USA.; VA Boston Healthcare System, Boston, USA.; Morgan T; Butler Hospital, Alpert Medical School of Brown University, Providence, USA.; Zimmerman M; Rhode Island Hospital, Alpert Medical School of Brown University, Providence, USA.; Sharp C; University of Houston, Houston, USA.; Grilo CM; Yale School of Medicine, New Haven, USA.; Sanislow CA; Wesleyan University, Middletown, USA.; Shea MT; Alpert Medical School of Brown University, Providence, USA.; Zanarini MC; McLean Hospital, Harvard Medical School, Boston, USA.; McGlashan TH; Yale School of Medicine, New Haven, USA.; Morey LC; Texas A&M University, College Station, USA.; Skodol AE; University of Arizona College of Medicine, Tucson, USA.; Yen S; Alpert Medical School of Brown University, Providence, USA.; Beth Israel Deaconess Medical Center, Massachusetts Mental Health Center, Harvard Medical School, Boston, USA.
Source
Publisher: Cambridge University Press Country of Publication: England NLM ID: 1254142 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1469-8978 (Electronic) Linking ISSN: 00332917 NLM ISO Abbreviation: Psychol Med Subsets: MEDLINE
Subject
Language
English
Abstract
Background: Numerous theories posit different core features to borderline personality disorder (BPD). Recent advances in network analysis provide a method of examining the relative centrality of BPD symptoms, as well as examine the replicability of findings across samples. Additionally, despite the increase in research supporting the validity of BPD in adolescents, clinicians are reluctant to diagnose BPD in adolescents. Establishing the replicability of the syndrome across adolescents and adults informs clinical practice and research. This study examined the stability of BPD symptom networks and centrality of symptoms across samples varying in age and clinical characteristics.
Methods: Cross-sectional analyses of BPD symptoms from semi-structured diagnostic interviews from the Collaborative Longitudinal Study of Personality Disorders (CLPS), the Methods to Improve Diagnostic Assessment and Service (MIDAS) study, and an adolescent clinical sample. Network attributes, including edge (partial association) strength and node (symptom) expected influence, were compared.
Results: The three networks were largely similar and strongly correlated. Affective instability and identity disturbance emerged as relatively central symptoms across the three samples, and relationship difficulties across adult networks. Differences in network attributes were more evident between networks varying both in age and in BPD symptom severity level.
Conclusions: Findings highlight the relative importance of affective, identity, and relationship symptoms, consistent with several leading theories of BPD. The network structure of BPD symptoms appears generally replicable across multiple large samples including adolescents and adults, providing further support for the validity of the diagnosis across these developmental phases.
Methods: Cross-sectional analyses of BPD symptoms from semi-structured diagnostic interviews from the Collaborative Longitudinal Study of Personality Disorders (CLPS), the Methods to Improve Diagnostic Assessment and Service (MIDAS) study, and an adolescent clinical sample. Network attributes, including edge (partial association) strength and node (symptom) expected influence, were compared.
Results: The three networks were largely similar and strongly correlated. Affective instability and identity disturbance emerged as relatively central symptoms across the three samples, and relationship difficulties across adult networks. Differences in network attributes were more evident between networks varying both in age and in BPD symptom severity level.
Conclusions: Findings highlight the relative importance of affective, identity, and relationship symptoms, consistent with several leading theories of BPD. The network structure of BPD symptoms appears generally replicable across multiple large samples including adolescents and adults, providing further support for the validity of the diagnosis across these developmental phases.