The authors administered the diagnostic interview for borderlines dib to 44 consecutively admitted adolescent inpatients. Revised diagnostic interview for borderlines 125 items each item scored. Clinical interview for dsmiiir axis i disorders, and the revised diagnostic interview for borderlines dibr. As a part of an ongoing effort to provide operational criteria for a diagnosis of borderline personality disorder, the diagnostic interview for borderlines dib has been developed. Bpd is marked by patterns of emotional instabilities, impulsive behaviors, and distorted selfimaging, andor unstable relationships. The revised diagnostic interview for borderlines dibr. Of 29 scored statements on the diagnostic interview, borderlines differed.
Gunderson and his colleague, jonathan kolb, tried to make the diagnosis of bpd by constructing a clinical interview to assess borderline characteristics in patients. Borderline personality disorder by melissamontana24 leave a comment. In this study, the behaviors of a sample of 41 inpatients with borderline personality disorder were recorded and analyzed to determine what, if any, effect their therapists vacations had on target behaviors, including acting up, selfdestructive behaviors, and somatic complaints. Examine the reliability as well as the concurrent validity and diagnostic efficiency of the abbreviated version of the diagnostic interview for borderlines revised abdib as a screening measure of borderline psychopathology in an adolescent clinical population. Zanarini rating scale for borderline personality disorder zanbpd zanbpd. Instruments the spanish version of the structured clinical interview for dsmiv axis ii disorders scidii.
The structured interview for dsmiii personality disorders sidp. My relationships are very intense, unstable, and alternate between the extremes of over idealizing and undervaluing people who are important to me. The authors describe the content, administration, reliability, construct validity, and training requirements for a semistructured diagnostic interview for borderline patients. The interview is composed of operationally defined and scored variables that assess. The discriminant power of both the revised dib dibr and the dib itself was then tested in a sample of 237 inpatients and outpatients given an axis ii diagnosis by their therapists. Reliability and diagnostic efficiency of the abbreviated. The diagnostic interview for borderline patients is shorter. Two diagnostic inter views that assess the presence of bpd were administered to 200 nonpsychotic patients.
Why psychiatrists are reluctant to diagnose borderline. Subjects were assessed with the scidi, the diagnostic interview for borderlines dib, the scl90r, the social adjustment scale sassr, the affective lability scale als, the barratt impulsivity scale bis, the continuous performance test cpt, the wisconsin card sorting test wcst, and the attention network task ant. Stipo interview 107 borderline personality disorders. The diagnostic interview for borderlines sanctuary and. The two members of each interviewer pair alternated in the role of interviewer. The revised diagnostic interview for borderlines guilford journals. The purpose of this study was to describe different types of impulsive behaviour expressed in the course of adolescents criminal acts, and explore their relationships with different types of violence and relevant personality disorders psychopathy and borderline personality disorder. Clinically useful screen for borderline personality disorder in psychiatric outpatients mark zimmerman, matthew d. Reduction of nightmares and other ptsd symptoms in. The zanbpd was also ad ministered, blind to diagnostic information. Stepwise discriminantfunction analyses of borderline vs each comparison group gave substantial support to the reliability of the interview and the diagnostic criteria. Patients that met both conditions were placed in the scidiidibr group. Dibr is defined as revised diagnostic interview for borderlines somewhat frequently. Clinically useful screen for borderline personality.
The diagnostic interview for borderlines dib was revised to sharpen its ability to discriminate between clinically diagnosed borderline patients and patients with other types of axis ii clinical diagnoses. The test, administered by clinicians, consists of 2 questions and observation using 329 summary statements. Three interviewers, working in pairs and using the diagnostic interview for borderlines dib, interviewed three samples of 10 adult psychiatric inpatients. Diagnosing borderline patients with a semistructured interview. Dibr stands for revised diagnostic interview for borderlines. Parentadolescent concordance in borderline pathology and why. The abdib is a dibrderived selfreport covering the impulsiveness as well as the affect and cognitive components of the. Diagnostic interview for borderlines and the dib revised were. Parentadolescent concordance in borderline pathology and. Borderline personality disorder selftest is it possible that i have symptoms of borderline personality disorder. Multach, kristy dalrymple and iwona chelminski summary a total of 3674 psychiatric outpatients were evaluated with a semistructured diagnostic interview for dsmiv borderline personality disorder bpd. Reduction of nightmares and other ptsd symptoms in combat. Dib diagnostic interview for borderlines psychology.
Diagnostic interview for borderlines and the dib school university of texas. Diagnostic interview for borderlines how is diagnostic. Diagnostic interview for borderlines neumannpsychology. Borderline personality disorder is a mental illness that develops during adolescence or early adulthood. How is revised diagnostic interview for borderlines abbreviated.
As mentioned, psychotherapy is a useful way to help patients with bpd. Three semistructured diagnostic interviews were administered. The diagnostic interview for personality disorders. The diagnostic interview for borderlines sanctuary and serenity.
Of 29 scored statements on the diagnostic interview, borderlines differed significantly from schizophrenics on 19, from depressives on 16, and from both on 19. Provide education about borderline personality disorder and its treatment. The interview was adapted from the diagnostic interview for borderlines dib. Among the available structured interviews to assess borderline personality disorder bpd, the structured clinical interview for dsmiv axis ii disorders scidii. Zanarini 2003, with lower concordance observed when the. Psychometric properties and validity article pdf available in journal of consulting and clinical psychology 542. You can also look at abbreviations and acronyms with word dibr in term. The list of acronyms and abbreviations related to dib diagnostic interview for borderlines. International personality disorder examination ipde world health. The diagnostic interview for borderlines, revised sanctuary. The dib is an hourlong, semistructured interview that evaluates five areas of borderline pathologic featuressocial adaptation, impulse action patterns. Previous efforts to test the psychometric properties of the diagnostic interview for borderlines dib have been hampered by small and diagnostically restricted contrast groups.
Clinical outcomes of a stepped care program for borderline personality disorder lise laporte1, joel paris2, tanya bergevin3, ronald fraser4 and jean francois cardin5, 1psychiatry, mcgill university health centre, montreal, quebec, canada. Brookline, mass, trauma center, 1997 brief report reduction of nightmares and other ptsd symptoms in combat veterans by prazosin. The most wellknown test to determine whether or not you suffer from borderline personality disorder is the diagnostic interview for borderlines, revised dibr, developed by john g. Diagnostic interview for borderlines and the dib revised were developed from from psychology 67125 at university of texas. Gunderson is a psychoanalyst who gives a criteria of diagnosis for bpd. Can i be tested for borderline personality disorder. Diagnostic interview for borderlines listed as dib.
Dibr revised diagnostic interview for borderlines in. Normative data and factorial structure of the turkish version. Recalling my own search for one and also because the diagnosis is so difficult to make, i eventually came across the diagnostic interview for borderline patients. Gunderson the diagnostic interview for personality disorders dipd is a semistructured interview of 252 questions that encompasses all 1 1 axis ii disorders described in the dsmiii. In the present study, 353 young adults completed the dibr at age 18 wave 1 and again two years later wave 2 at age 20. The borderline personality disorder checklist psychometric. The disc is designed for interviewer administration either by lay interviewers people with no formal clinical training or by clinicians or by selfcompletion. Familial and clinical correlates in depressed adolescents. Outcomes in women diagnosed with borderline personality. Affect, cognition, impulse action patterns, and interpersonal relationships. What is shorthand of revised diagnostic interview for borderlines. The dib appeared to have predictive validity when compared with the independently rated dsmiii discharge diagnoses k 0. Familiarize the patient with the diagnosis, including its expected course, responsiveness to treatment, and, when appropriate, known pathogenic factors. The recent development of a structured interview incorporating diagnostic criteria for borderline disorders in a replicable format represents a necessary, but not sufficient, methodological step in testing the validity of the borderline concept.
The diagnostic interview for borderlines dib was revised to sharpen. Clinical outcomes of a stepped care program for borderline. Patients were required to be between the ages of 18 and 35 years, to have an iq of 71 or higher, and to have no history of current psychotic conditions e. Diagnostic interview for borderline patients dibr the dib is a semi structured clinical interview that takes about 5090 minutes to administer. The recent development of a structured interview incorporating diagnostic criteria for borderline disorders in a replicable format represents a. Attainment and stability of sustained symptomatic remission.
Normative data and factorial structure of the turkish. The most common shorthand of revised diagnostic interview for borderlines is dibr. I am looking for a publicly available assessment tool for. We also examined remissions lasting 4, 6, and 8 consecutive years or two, three, and four consecutive followup periods. Despite this, it has been shown to hold highly variable testretest reliabilities ranging from.
Borderline personality disorder bpd mclean hospital. Dibr diagnostic interview for borderlines, revised. The borderline diagnosis is widely used despite a lack of systematic research on its reliability and validity. The dibr considers symptoms that fall under four main behaviors that are specific to bpd. The diagnostic interview schedule for children disciv is a fully structured diagnostic instrument that assesses thirtyfour common psychiatric diagnoses of children and adolescents. Diagnostic interview for borderlines and the dib revised were developed from. The structured interview of personality organization stipo provides a guide to the. This definition appears somewhat frequently and is found in the following acronym finder categories. Based on the diagnostic interview for borderlines, revised dibr, nearly 8% of 64 patients interviewed 27 years after their initial assessment still met the clinical criteria for borderline personality disorder, compared with 25% of 100 patients who met the criteria at a 15year followup compr.
Diagnostic interview for borderlines and the dib revised. R22 and the childhood interview for borderline personality disorder ci. This semistructured interview includes subscales assessing personality dimensions of bdp as well as a scale which measures borderline ness. Diagnostic interview for borderlines dib, later revised as the dibr. The dibr is a semistructured interview designed to assess four areas related to bpd.
Early death in bpd patients not just because of suicide. Normative data and factorial structure of the turkish version of the borderline personality questionnaire turkish bpq vedat ceylana, samet kose a,b,c, ercan akina and mehmet hakan turkcapara adepartment of psychology, h. Mar 26, 2010 the diagnostic interview for borderlines, revised. Pdf the diagnostic interview for borderlines dib developed by j. The diagnostic interview for borderlines, revised gunderson and his colleague, jonathan kolb, tried to make the diagnosis of bpd by constructing a clinical interview to assess borderline characteristics in patients. Pain in patients with borderline personality disorder. The diagnostic interview for borderlines, revised diagnosis used in clinical interviews revised in 1989. Revised diagnostic interview for borderlines springerlink. The dib was revised in 1989 to sharpen its ability to differentiate between bpd and other personality disorders. The interview includes 97 items rated according to thoughts, feelings, and behaviors reported by the patient over a twoyear period. Purpose longitudinal studies support that symptomatic remission from borderline personality disorder bpd is common, but recovery from the disorder probably involves a broader set of changes in psychosocial function over and above symptom relief. The diagnostic interview for borderline patients american journal.
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