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- Title
Screening for Borderline Personality Disorder With the McLean Screening Instrument: A Review and Critique of the Literature.
- Authors
Zimmerman, Mark; Balling, Caroline
- Abstract
Borderline personality disorder (BPD) is underdiagnosed in clinical practice. One approach towards improving diagnostic detection is the use of screening questionnaires. It is important for a screening test to have high sensitivity because the more time-intensive/expensive follow-up diagnostic inquiry will presumably only occur in patients who are positive on the initial screen. The most commonly studied self-report scale specific for BPD is the McLean Screening Instrument for Borderline Personality Disorder (MSI-BPD). We summarize the performance of the scale across studies, examine the performance of the scale using different cutoff scores, and highlight the approach used by investigators in recommending a cutoff score. Most studies of the scale have taken a case-finding approach in deriving the cutoff score on the scale instead of a screening approach. For the purposes of screening, it may be more appropriate for the cutoff score on the MSI-BPD to be less than the currently recommended cutoff of 7.
- Subjects
BORDERLINE personality disorder; MEDICAL screening; LITERATURE reviews
- Publication
Journal of Personality Disorders, 2021, Vol 35, Issue 2, p288
- ISSN
0885-579X
- Publication type
Article
- DOI
10.1521/pedi_2019_33_451