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Related Experiment Videos

Diagnosing borderline patients with a semistructured interview

J E Kolb, J G Gunderson

    Archives of General Psychiatry
    |January 1, 1980
    PubMed
    Summary

    The Diagnostic Interview for Borderlines (DIB) is a reliable tool for identifying borderline personality disorder. This semi-structured interview accurately differentiates borderline patients from those with schizophrenia or depression.

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    Area of Science:

    • Psychiatry
    • Clinical Psychology
    • Psychopathology

    Background:

    • Borderline personality disorder (BPD) diagnosis requires clear operational criteria.
    • Existing diagnostic methods may lack specificity.
    • Development of standardized assessment tools is crucial for research and clinical practice.

    Purpose of the Study:

    • To introduce the Diagnostic Interview for Borderlines (DIB) as an operational tool for BPD diagnosis.
    • To evaluate the DIB's validity in distinguishing BPD from other psychiatric conditions.
    • To assess the DIB's utility in research for identifying BPD populations.

    Main Methods:

    • Development of the Diagnostic Interview for Borderlines (DIB), a semi-structured interview.
    • Administration of the DIB to 70 hospitalized patients.
    • Comparison of DIB results with clinical discharge diagnoses.

    Main Results:

    • The DIB effectively discriminates patients with borderline personality disorder from those with schizophrenia and neurotic depression.
    • DIB scores correlate with the degree of clinical diagnostic agreement for BPD.
    • The interview demonstrates reliability in assessing core BPD features across five domains.

    Conclusions:

    • The Diagnostic Interview for Borderlines (DIB) provides a valid and reliable method for assessing borderline personality disorder.
    • The DIB is a valuable instrument for both clinical diagnosis and research purposes.
    • The DIB aids in the flexible identification of patient populations for BPD research.

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