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Related Experiment Videos

The Borderline Syndrome Index: a validation study using the personality assessment schedule

M J Marlowe1, K O'Neill-Byrne, F Lowe-Ponsford

  • 1Academic Department of Psychiatric, Medical School, Guy's Hospital, London.

The British Journal of Psychiatry : the Journal of Mental Science
|January 1, 1996
PubMed
Summary

The Borderline Syndrome Index (BSI) shows moderate sensitivity but lacks specificity, questioning its validity as a screening tool for borderline personality disorder. Its scores may be influenced by current symptoms, not just underlying personality traits.

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Area of Science:

  • Psychiatric diagnostics
  • Psychometric validation
  • Personality assessment

Background:

  • The Borderline Syndrome Index (BSI), developed in the USA, is assessed for its validity and screening capabilities.
  • The study compares the BSI against categories of the Personality Assessment Schedule (PAS), developed in the UK.

Purpose of the Study:

  • To examine the validity and screening properties of the Borderline Syndrome Index (BSI).
  • To evaluate the BSI's utility in identifying categories within the Personality Assessment Schedule (PAS).

Main Methods:

  • Case control sampling was employed for patient recruitment.
  • Chance-corrected agreement between the BSI and PAS was calculated.
  • Screening properties of the BSI were statistically analyzed.

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Main Results:

  • The BSI demonstrated moderate sensitivity but was found to be non-specific as a screening instrument.
  • A significant correlation was observed between BSI questionnaire scores and symptom measures.

Conclusions:

  • The findings do not support the overall validity of the BSI for diagnosing borderline personality disorder.
  • The BSI is not recommended as a reliable screening instrument due to its limitations.
  • Current symptom severity may potentially distort BSI scores, impacting diagnostic accuracy.