A borderline personality assessment for adolescents: Validity and reliability of the Chinese languages borderline personality features scale (short form version) for adolescents/children

Background Borderline personality disorder (BPD) is characterized by behavioral patterns that promote suffering in many adolescents and their guardians. Currently, early diagnosis of BPD mainly depends on the effective assessment of pathological personality traits (i.e., borderline personality features) and using the indicated scales. The Borderline Personality Features Scale for Children-Short Form (BPFSC-SF) is widely used and the introduction of a Chinese version of the BPFSC-SF, can improve the diagnosis and prognosis of Chinese patients with BPD. Objective The aim of the present study was to assess the validity and reliability of the Chinese version of the BPFSC-SF. Method 120 adolescents with BPD were enrolled in the present study and completed the BPFSC-SF and the Personality Belief Questionnaire-Short Form (PBQ-SF) assessments. Confirmatory factor analysis (CFA) was used to test assessment validity. Test-retest correlations and the Cronbach's α coefficients were used to determine reliability. Results CFA analysis identified primary factors of BPFSC, with each item ranging from 0.597~0.899. The Spearman rank correlation coefficient was 0.877 between CL-BFSFC-SF and the state vs. trait loneliness scale. The Cronbach's α of the scale was 0.854 in the clinical group. The test-retest reliability correlation coefficient (interclass correlation coefficients.ICC) was 0.937. Conclusion The Chinese version of BPFSC-SF is a valid and reliable tool for adolescent Chinese patients with BPD.

[1]  Merhawi Gebremedhin,et al.  Validity and reliability study of clinician attitude towards rural health extension program in Ethiopia: exploratory and confirmatory factor analysis , 2022, BMC Health Services Research.

[2]  P. Taylor,et al.  Commentary: Bringing together lived experience, clinical and research expertise - a commentary on the May 2022 debate (should CAMH professionals be diagnosing personality disorder in adolescence?). , 2022, Child and adolescent mental health.

[3]  L. Morey,et al.  The self-reference effect as a behavioral indicator of identity disturbances associated with borderline personality features in a non-clinical sample , 2022, Borderline Personality Disorder and Emotion Dysregulation.

[4]  J. Clarkin,et al.  A bifactor model of personality organization in adolescence: the validity of a brief screening measure assessing severity and core domains of functioning , 2022, BMC Psychiatry.

[5]  Lei Cao,et al.  Psychological adjustment mediating the relationship between childhood maltreatment and borderline personality features among Chinese early adolescents. , 2022, Journal of affective disorders.

[6]  F. Oort,et al.  Treatment outcomes of dialectical behaviour therapy for adolescents presenting with characteristics of borderline personality disorder: A naturalistic study , 2022, Clinical child psychology and psychiatry.

[7]  P. Fonagy,et al.  Improving treatment outcomes for adolescents with borderline personality disorder through a socioecological approach , 2022, Borderline Personality Disorder and Emotion Dysregulation.

[8]  M. Kaess,et al.  Effectiveness of adolescent identity treatment (AIT) versus DBT-a for the treatment of adolescent borderline personality disorder. , 2022, Personality disorders.

[9]  B. Seyoum,et al.  The effect of antipsychotic treatment on hormonal, inflammatory, and metabolic biomarkers in healthy volunteers: A systematic review and meta‐analysis , 2022, Pharmacotherapy.

[10]  Alfredas Laurinavičius,et al.  Criteria A and B of the Alternative DSM-5 Model for Personality Disorders (AMPD) Capture Borderline Personality Features Among Adolescents , 2022, Frontiers in Psychiatry.

[11]  S. Allison,et al.  Further Considerations on Early Intervention for Borderline Personality Disorder. , 2022, JAMA psychiatry.

[12]  P. Muris,et al.  Childhood Disorder: Dysregulated Self-Conscious Emotions? Psychopathological Correlates of Implicit and Explicit Shame and Guilt in Clinical and Non-clinical Children and Adolescents , 2022, Frontiers in Psychology.

[13]  J. O'Neill,et al.  Antipsychotic-Induced Laryngeal Dystonia. , 2022, Psychopharmacology bulletin.

[14]  C. Sharp,et al.  Are We Thinking about the Same Disorder? A Trifactor Model Approach to Understand Parents’ and Their Adolescents’ Reports of Borderline Personality Pathology , 2022, Journal of personality assessment.

[15]  D. Munoz,et al.  Impulsivity and Emotional Dysregulation Predict Choice Behavior During a Mixed-Strategy Game in Adolescents With Borderline Personality Disorder , 2022, Frontiers in Neuroscience.

[16]  B. Völlm,et al.  Psychotherapies for borderline personality disorder: a focused systematic review and meta-analysis , 2022, The British Journal of Psychiatry.

[17]  G. Remington,et al.  Gut microbiome in schizophrenia and antipsychotic-induced metabolic alterations: a scoping review , 2022, Therapeutic advances in psychopharmacology.

[18]  J. Heintzman,et al.  Exploring screening for borderline personality disorder in pediatric inpatients with psychiatric Illness , 2022, Psychiatry Research.

[19]  C. Sharp,et al.  Borderline personality disorder , 2021, The Lancet.

[20]  C. Sharp,et al.  An Evaluation of Age-Group Latent Mean Differences in Maladaptive Identity in Adolescence , 2021, Frontiers in Psychiatry.

[21]  A. Young,et al.  The American Psychiatric Association Practice Guideline for the Treatment of Patients With Schizophrenia. , 2020, Focus.

[22]  J. Pedersen,et al.  Mentalization-based treatment in groups for adolescents with Borderline Personality Disorder: 3- and 12-month follow-up of a randomized controlled trial , 2020, European Child & Adolescent Psychiatry.

[23]  G. Melvin,et al.  Mentalization in Adolescents With Borderline Personality Disorder: A Comparison With Healthy Controls. , 2019, Journal of personality disorders.

[24]  C. Sharp,et al.  Adolescence as a Sensitive Period for the Development of Personality Disorder. , 2018, The Psychiatric clinics of North America.

[25]  C. Sharp,et al.  Prevention and early intervention for borderline personality disorder: a novel public health priority , 2017, World psychiatry : official journal of the World Psychiatric Association.

[26]  C. Sharp.  Bridging the gap: the assessment and treatment of adolescent personality disorder in routine clinical care , 2016, Archives of Disease in Childhood.

[27]  H. Bondurant,et al.  Psychosis following a stroke to the cerebellum and midbrain: a case report , 2015, Cerebellum & Ataxias.

[28]  Jon G. Allen,et al.  The structure of personality pathology: Both general ('g') and specific ('s') factors? , 2015, Journal of abnormal psychology.

[29]  M. Dowling,et al.  Dialectical behaviour therapy (DBT) in the treatment of borderline personality disorder. , 2014, Journal of psychiatric and mental health nursing.

[30]  Shinto Eguchi,et al.  An Extension of the Receiver Operating Characteristic Curve and AUC-Optimal Classification , 2012, Neural Computation.

[31]  A. Chanen.  Review: urgent need for RCT evidence on effectiveness of crisis interventions for borderline personality disorder , 2012, Evidence Based Mental Health.

[32]  P. Russell,et al.  Atypical antipsychotics for psychosis in adolescents. , 2012, The Cochrane database of systematic reviews.

[33]  J. Muehlenkamp,et al.  Fact or fiction: diagnosing borderline personality disorder in adolescents. , 2008, Clinical psychology review.

[34]  C. Sharp,et al.  Borderline personality disorder: a comparison between children and adults. , 2007, Bulletin of the Menninger Clinic.

[35]  N. Crick,et al.  Borderline personality features in childhood: A short-term longitudinal study , 2005, Development and Psychopathology.

[36]  P. Cohen,et al.  The children in the community study of developmental course of personality disorder. , 2005, Journal of personality disorders.

[37]  J. Hennen,et al.  Axis I comorbidity in patients with borderline personality disorder: 6-year follow-up and prediction of time to remission. , 2004, The American journal of psychiatry.

[38]  Thomas A Widiger,et al.  The borderline diagnosis I: psychopathology, comorbidity, and personaltity structure , 2002, Biological Psychiatry.

[39]  Robert F. DeVellis,et al.  Scale Development: Theory and Applications. , 1992 .

[40]  D. Perlman,et al.  Loneliness and expressive communication. , 1979, Journal of abnormal psychology.

[41]  C. Sharp,et al.  The Validity and Reliability of Borderline Personality Features Scale for Children-Short Form in Turkish Adolescents. , 2022, Turk psikiyatri dergisi = Turkish journal of psychiatry.

[42]  O. Babenko,et al.  Internal Consistency: Do We Really Know What It Is and How to Assess It? , 2013 .

[43]  T. Lubbe.  Borderline Personality Disorder in children and adolescents , 2000 .