TY - JOUR
T1 - Latent structure analysis of DSM-IV borderline personality disorder criteria
AU - Fossati, Andrea
AU - Maffei, Cesare
AU - Bagnato, Maria
AU - Donati, Deborah
AU - Namia, Caterina
AU - Novella, Liliana
PY - 1999/1
Y1 - 1999/1
N2 - The aim of this study was to evaluate the structure of DSM-IV borderline personality disorder (BPD) criteria. The study group consisted of 564 consecutively admitted inpatients and outpatients. BPD criteria discriminatory power was tested by using corrected item-to-total and item- to-diagnosis correlations. Weighted least-squares (WLS) confirmatory factor analysis (CFA) was used to assess the fit of DSM-IV BPD unidimensional model. The categorial model of BPD was tested by exploratory latent class analysis (LCA). Item analysis suggested a hierarchy in BPD criteria discriminatory power, even if with different rank order with respect to the DSM-IV model. CFA showed a unifactorial structure with congeneric items as the best fitting model for DSM-IV BPD criteria (χ2 = 18.89, df = 27, P > .87). LCA showed evidence for three latent classes; heterogeneity was observed only among subjects falling below DSM-IV diagnostic threshold for BPD. These results support the categorial model of BPD, even if with several differences with respect to DSM-IV.
AB - The aim of this study was to evaluate the structure of DSM-IV borderline personality disorder (BPD) criteria. The study group consisted of 564 consecutively admitted inpatients and outpatients. BPD criteria discriminatory power was tested by using corrected item-to-total and item- to-diagnosis correlations. Weighted least-squares (WLS) confirmatory factor analysis (CFA) was used to assess the fit of DSM-IV BPD unidimensional model. The categorial model of BPD was tested by exploratory latent class analysis (LCA). Item analysis suggested a hierarchy in BPD criteria discriminatory power, even if with different rank order with respect to the DSM-IV model. CFA showed a unifactorial structure with congeneric items as the best fitting model for DSM-IV BPD criteria (χ2 = 18.89, df = 27, P > .87). LCA showed evidence for three latent classes; heterogeneity was observed only among subjects falling below DSM-IV diagnostic threshold for BPD. These results support the categorial model of BPD, even if with several differences with respect to DSM-IV.
UR - http://www.scopus.com/inward/record.url?scp=0032903832&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=0032903832&partnerID=8YFLogxK
U2 - 10.1016/S0010-440X(99)90080-9
DO - 10.1016/S0010-440X(99)90080-9
M3 - Article
C2 - 9924881
AN - SCOPUS:0032903832
VL - 40
SP - 72
EP - 79
JO - Comprehensive Psychiatry
JF - Comprehensive Psychiatry
SN - 0010-440X
IS - 1
ER -