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Br J Psychiatry. 2017 Feb;210(2):165-166. doi: 10.1192/bjp.bp.116.182121. Epub 2016 Dec 1.

Clinically useful screen for borderline personality disorder in psychiatric out-patients.

Author information

1
Mark Zimmerman, MD, Matthew D. Multach, BA, Kristy Dalrymple, PhD, Iwona Chelminski, PhD, Department of Psychiatry and Human Behavior, Brown Medical School, Providence, Rhode Island, USA mzimmerman@lifespan.org.
2
Mark Zimmerman, MD, Matthew D. Multach, BA, Kristy Dalrymple, PhD, Iwona Chelminski, PhD, Department of Psychiatry and Human Behavior, Brown Medical School, Providence, Rhode Island, USA.

Abstract

A total of 3674 psychiatric out-patients were evaluated with a semi-structured diagnostic interview for DSM-IV borderline personality disorder (BPD). The affective instability criterion had a sensitivity of 92.8%, higher than the sensitivities of the other eight BPD criteria. The negative predictive value of the affective instability criterion was 99%. We recommend that clinicians screen for BPD in the same way that they screen for other psychiatric disorders: by enquiring about a single feature of the disorder (i.e. affective instability), the presence of which identifies most patients with the disorder and the absence of which rules out the disorder.

PMID:
27908898
DOI:
10.1192/bjp.bp.116.182121
[Indexed for MEDLINE]

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