Does the ICD 10 classification accurately describe subtypes of borderline personality disorder?

Item request has been placed! ×
Item request cannot be made. ×
loading   Processing Request
Read More Add to Saved list
  • Additional Information
    • Source:
      Publisher: British Psychological Society Country of Publication: England NLM ID: 0370640 Publication Model: Print Cited Medium: Print ISSN: 0007-1129 (Print) Linking ISSN: 00071129 NLM ISO Abbreviation: Br J Med Psychol Subsets: MEDLINE
    • Publication Information:
      Publication: Letchworth Eng : British Psychological Society
      Original Publication: London [etc.]
    • Subject Terms:
      Psychiatric Status Rating Scales*; Borderline Personality Disorder/*classification; Adult ; Affective Symptoms/classification ; Affective Symptoms/psychology ; Borderline Personality Disorder/diagnosis ; Female ; Humans ; Male ; Psychometrics ; Sensitivity and Specificity ; Surveys and Questionnaires
    • Abstract:
      The aim of the paper is to explore whether the division of borderline personality disorder, as described in the DSM classification, into impulsive and borderline subtypes of emotionally unstable personality disorder in the ICD classification of personality disorder, is a valid division. The self-report questionnaire responses of 288 referrals to a personality disorder service were rated on each of the eight criteria for DSM-III-R diagnosis of borderline personality disorder. Factor analysis identified two factors; factor one closely corresponds with the borderline subtype of ICD10, whilst factor two closely corresponds with the impulsive subtype of ICD10. Criteria common to both factors unstable relationships and identity confusion - were considered core features of borderline personality disorder. The pattern of occurrence of the two factors was similar to the complex binary picture described by ICD10. However there were also differences. Firstly, identity confusion is found to be a core feature of both our factors, and this does not conform to the restriction of identity confusion to the borderline subtypes in ICD10. Secondly, we found a residual pool of undifferentiated borderline patients and a small group of pure non-impulsive borderline patients who are not currently accommodated within the ICD10 emotionally unstable personality disorder. We conclude that future classifications of this disorder should accommodate four subtypes, and suggest these subtypes have implications for treatment and further research.
    • Publication Date:
      Date Created: 20010105 Date Completed: 20010301 Latest Revision: 20190915
    • Publication Date:
      20231215
    • Accession Number:
      10.1348/000711200160679
    • Accession Number:
      11140789