Journal
COMPREHENSIVE PSYCHIATRY
Volume 48, Issue 1, Pages 70-78Publisher
W B SAUNDERS CO-ELSEVIER INC
DOI: 10.1016/j.comppsych.2006.07.002
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Funding
- NATIONAL INSTITUTE OF MENTAL HEALTH [T32MH018269, R01MH044672, R01MH056888] Funding Source: NIH RePORTER
- NIMH NIH HHS [R01 MH56888, T32 MH18269, R01 MH056888, R01 MH44672] Funding Source: Medline
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Borderline personality disorder (BPD) has been described as clinically heterogeneous, with numerous subtypes of the disorder posited. The present study investigated this potential heterogeneity by conducting both confirmatory factor analysis and latent class analysis of consensus ratings of Diagnostic and Statistical Manual of Mental Disorders (DSM) Revised Third Edition BPD criteria in a mixed clinical and nonclinical sample (n = 411). Confirmatory factor analysis results suggested that a single factor fit the data most parsimoniously. Latent class analysis results supported 2 latent classes: those with a high likelihood of BPD symptoms (n = 171) and those with a low likelihood (n = 240). The borderline latent class was more inclusive than diagnoses made based on DSM-III-R thresholds and improved prediction of symptom severity and interpersonal dysfunction, suggesting the clinical importance of 3 or more BPD criteria. Future research on subtypes of EfPD may benefit by focusing on variables that supplement the DSM criteria. (c) 2007 Elsevier Inc. All rights reserved.
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