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首页> 外文期刊>Comprehensive psychiatry. >Borderline personality disorder in adolescents: Evidence in support of the Childhood Interview for DSM-IV Borderline Personality Disorder in a sample of adolescent inpatients
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Borderline personality disorder in adolescents: Evidence in support of the Childhood Interview for DSM-IV Borderline Personality Disorder in a sample of adolescent inpatients

机译：青少年边缘人格障碍：青少年住院患者样本中支持DSM-IV边缘人格障碍的儿童访谈的证据

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Empirical evidence is increasing in support of the validity of the construct of borderline personality disorder (BPD) in adolescence. There is growing consensus that the early identification and treatment of emerging borderline traits may be an important focus. However, few diagnostic (questionnaire- or interview-based) measures specifically developed or adapted for adolescents and children exist. The Childhood Interview for DSM-IV Borderline Personality Disorder (CI-BPD) [Zanarini, 2003] is a promising interview-based measure of adolescent BPD. Currently, no studies have explicitly been designed to examine the psychometric properties of the CI-BPD. The aim of the current study was to examine various psychometric properties of the CI-BPD in an inpatient sample of adolescents (n = 245). A confirmatory factor analytic approach was used to examine the internal factor structure of the 9 CI-BPD items. In addition, internal consistency, interrater reliability, convergent validity (with clinician diagnosis and 2 questionnaire-based measures of BPD), and concurrent validity (with Axis I psychopathology and deliberate self-harm) were examined. Similar to several adult studies, the confirmatory factor analytic results supported a unidimensional factor structure for the CI-BPD, indicating that the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, criteria on which the CI-BPD is based constitute a coherent combination of traits and symptoms even in adolescents. In addition, other validity criteria were excellent. Taken together, the current study provides strong evidence for the validity of the CI-BPD for use in adolescents.
机译：越来越多的经验证据支持青春期边缘型人格障碍（BPD）结构的有效性。越来越多的共识认为，早期发现和治疗新出现的边缘性状可能是一个重要的焦点。但是，很少有专门针对青少年和儿童制定或调整的诊断（基于问卷或基于访谈的）措施。 DSM-IV边缘型人格障碍（CI-BPD）的儿童访谈[Zan​​arini，2003年]是一种有前途的基于访谈的青少年BPD测量方法。目前，还没有明确设计研究CI-BPD的心理测量特性的研究。本研究的目的是检查青少年住院患者样本（n = 245）中CI-BPD的各种心理测量特性。验证性因素分析方法用于检查9个CI-BPD项目的内部因素结构。此外，还检查了内部一致性，间质信度，收敛效度（采用临床医生诊断和2种基于BPD的问卷调查方法）和并发效度（采用Axis I精神病理学和故意的自我伤害）。与几项成人研究相似，验证性因素分析结果支持CI-BPD的一维因素结构，表明《 CI-BPD诊断和统计手册》第四版标准构成了CI-BPD的连贯组合。甚至在青少年时期的特征和症状。此外，其他有效性标准也很出色。综上所述，当前的研究为CI-BPD在青少年中的有效性提供了有力的证据。

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