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Diagnostic interview for borderline patients. A replication study

P H Soloff, R F Ulrich

    Archives of General Psychiatry
    |June 1, 1981
    PubMed
    Summary
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    This study validates the borderline diagnosis using a structured interview, finding significant differences between borderline patients and those with schizophrenia or depression. The interview demonstrates reliability and supports the diagnostic criteria for borderline personality disorder.

    Area of Science:

    • Psychiatry
    • Clinical Psychology
    • Mental Health Diagnostics

    Background:

    • The borderline diagnosis is frequently used but lacks robust research on its reliability and validity.
    • A structured interview was developed to assess borderline personality disorder (BPD) criteria replicably.

    Purpose of the Study:

    • To replicate the assessment of borderline personality disorder using Gunderson's Diagnostic Interview for Borderlines.
    • To test the validity of the borderline diagnosis in a new clinical setting and population.
    • To compare borderline patients with schizophrenic and depressed patients.

    Main Methods:

    • A replication of Gunderson's Diagnostic Interview for Borderlines was conducted.
    • Clinically diagnosed borderline patients were compared to control groups of schizophrenic and unipolar depressed patients.

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  • Stepwise discriminant-function analyses were used to differentiate between diagnostic groups.

    • Main Results:

    • Borderline patients differed significantly from schizophrenic patients on 19 of 29 scored interview statements.
    • Borderline patients differed significantly from depressed patients on 16 of 29 scored interview statements.
    • Borderline patients differed significantly from both comparison groups on 19 of 29 statements.

    Conclusions:

    • The study provides substantial support for the reliability of the diagnostic interview and the validity of the borderline criteria.
    • The findings suggest the structured interview is a valuable tool for diagnosing borderline personality disorder.
    • This replication confirms the distinctiveness of borderline personality disorder from schizophrenia and depression.