Age differences in DSM-IV borderline personality disorder symptom expression: Results from a national study using item response theory (IRT)

McMahon, Kibby; Hoertel, Nicolas; Peyre, Hugo; Blanco, Carlos; Fang, Caitlin; Limosin, Frédéric

doi:10.1016/j.jpsychires.2018.12.019

Cited by 25Personality Disorders and PsychopathologyPersonality Traits and PsychologyMental Health Research Topics

Age differences in DSM-IV borderline personality disorder symptom expression: Results from a national study using item response theory (IRT)

McMahon, Kibby, Hoertel, Nicolas, Peyre, Hugo, Blanco, Carlos, Fang, Caitlin, Limosin, Frédéric·2019·Journal of Psychiatric Research

DOI 10.1016/j.jpsychires.2018.12.019

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Abstract

Limited literature suggests that there may be age-related differences in borderline personality disorder (BPD) symptom expression. The present study used item response theory (IRT) methods to examine whether there are age differences in the likelihood of endorsing DSM-IV symptoms of BPD, when equating for levels of BPD symptom severity. Data were drawn from a nationally representative survey of adults in the US (n = 34,653), the second wave of the National Epidemiologic Survey on Alcohol and Related Conditions (NESARC). We found that 7 out of the 9 DSM-IV symptoms of BPD were age invariant. However, there were statistically and clinically significant differences between the oldest and youngest age groups in two BPD symptoms: oldest adult women were less likely to report suicidal/self-harm behavior than the youngest adult women across levels of BPD severity and unstable/intense interpersonal relationships discriminated BPD severity better in the youngest age group compared to the oldest age group in both genders. Overall, our findings indicate substantial age-related differences in BPD symptom expression. Mental health care providers should be alert to these two age-related differences in BPD symptom expression when making assessment and treatment decisions across adult age groups.

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Authors: McMahon, K., Hoertel, N., Peyre, H., Blanco, C., Fang, C., & Limosin, F.
Affiliations: Duke University (US)
Inserm (FR)
Centre National de la Recherche Scientifique (FR)
National Institute on Drug Abuse (US)
Corresponding author: McMahon, Kibby
ORCID: McMahon, Kibby
Hoertel, Nicolas
Peyre, Hugo
Blanco, Carlos
Fang, Caitlin
Limosin, Frédéric
Venue: Journal of Psychiatric Research
Publisher: Elsevier BV
Published: 2019-03
Volume: 110
Pages: 16-23
ISSN: 0022-3956 (ISSN-L)
DOI: 10.1016/j.jpsychires.2018.12.019
OpenAlex: W2905375466
Cited by: 25
References: 72
Citations by year: 2026: 2 · 2025: 7 · 2024: 1 · 2023: 4 · 2022: 4 · 2021: 3 · 2020: 3 · 2019: 1
FWCI: 2.06
Type: journal article
Language: en
Open access: closed
Licence: www.elsevier.com/tdm/userlicense/1.0/ (tdm)
www.elsevier.com/legal/tdmrep-license (tdm)
Locations: Journal of Psychiatric Research (publishedVersion)
PubMed (publishedVersion)
Funders: Columbia University
Topics: Social Sciences › Psychology › Clinical Psychology › Personality Disorders and Psychopathology
Social Sciences › Psychology › Clinical Psychology › Personality Traits and Psychology
Social Sciences › Psychology › Experimental and Cognitive Psychology › Mental Health Research Topics
Keywords: borderline personality disorder, age differences, presenting symptoms, suicidal behavior, self-harm, interpersonal relationships, symptom severity, women, NESARC
MeSH terms: Adult, Age Factors, Borderline Personality Disorder, Female, Humans, Interpersonal Relations, Severity of Illness Index, Suicide, Self-Injurious Behavior, Diagnostic and Statistical Manual of Mental Disorders, Young Adult

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Age differences in DSM-IV borderline personality disorder symptom expression: Results from a national study using item response theory (IRT)

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