Diagnostic Efficiency of DSM-IV Criteria for Borderline Personality Disorder: An Evaluation in Hispanic Men and Women With Substance Use Disorders.
Abstract
This study examined diagnostic efficiency of Diagnostic and Statistical Manual of Mental Disorders, fourth edition (DSM-IV), criteria for borderline personality disorder (BPD). One hundred thirty monolingual Hispanic adults (90 men, 40 women) at an outpatient psychiatric and substance abuse clinic were assessed with the Spanish-Language Version of the Diagnostic Interview for DSM-IV Personality Disorders (C. M. Grilo, L. M. Anez, & T. H. McGlashan, 2003). The BPD diagnosis was determined by the best-estimate method. Diagnostic efficiency indices were calculated for all BPD criteria, for the entire study group, and separately by gender. Overall, the best exclusion criterion was affective instability, whereas suicidality or self-injury was the best inclusion criterion and the best predictor overall. These findings did not differ by gender, are similar to those reported elsewhere in the literature, and have implications for the refinement of diagnostic systems.
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SA possessed a relatively high specificity for borderline PD.
“As mentioned above, SA possessed a relatively high specificity for borderline PD, perhaps due to the disorder’s characteristic emotional instability [39].”
From Interactions of factors in self-injuries among enrolled students: a network approach. (2025) · cites this paper as [39]
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References 28 · Cited by 36
- Authors
- Grilo, C. M., Becker, D. F., Anez, L. M., & McGlashan, T. H.
- Affiliations
- Yale University (US)
- Venue
- Journal of Consulting and Clinical Psychology
- Published
- 2004
- Volume
- 72
- Issue
- 1
- Pages
- 126-131
- ISSN
- 0022-006X (ISSN-L)
- 1939-2117
- OpenAlex
- W2024426576
- Cited by
- 36
- References
- 28
- Citations by year
- 2025: 1 · 2024: 1 · 2022: 2 · 2021: 2 · 2019: 1 · 2017: 2 · 2016: 1 · 2015: 3 · 2014: 1 · 2013: 5
- FWCI
- 3.19
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Consulting and Clinical Psychology (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Personality Disorders and Psychopathology
- Social Sciences › Psychology › Clinical Psychology › Personality Traits and Psychology
- Health Sciences › Medicine › Psychiatry and Mental health › Bipolar Disorder and Treatment
- Keywords
- borderline personality disorder, DSM-IV diagnostic criteria, diagnostic efficiency, Hispanic adults, substance use disorders, neuroticism, suicidality, self-harm, gender differences
- MeSH terms
- Adult, Borderline Personality Disorder, Female, Hispanic or Latino, Humans, Male, Reproducibility of Results, Substance-Related Disorders, Diagnostic and Statistical Manual of Mental Disorders
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