본문 바로가기
KERD
논문KCI 등재

Validation of the Korean version of the Borderline Symptom List Short Version (K-BSL-23)

강지훈|김재웅|석정호|구본훈|류진선|신현경|윤석호|홍혜정|최현정
한국임상심리학회 (Korean Clinical Psychology Association)|2023.05|Korean Journal of Clinical Psychology|제42권 제2호|pp. 23-34|DOI https://doi.org/10.15842/kjcp.2023.42.2.002

2

조회

0

다운로드

1

인용

0

참고문헌

키워드

borderline personality disorderthe Borderline Symptom List short version (BSL-23)adverse childhood experiencesemotion dysregulationself-harm behavior
주제분류심리과학

초록

For efficient screening and assessment of borderline personality disorder (BPD) in clinical and research settings, this study aimed to validate the Korean version of the Borderline Symptom List Short Version (K-BSL-23). We recruited 200 community sample adults with BPD tendencies in Study 1 and examined construct validity and internal reliability. In Study 2, we analyzed a receiver operating characteristic curve of the K-BSL-23 scores of 42 psychiatric outpatients with BPD and 45 non-diagnosed control groups to derive the sensitivity and specificity of each cut-off score. The K-BSL-23 score had a single-factor structure and excellent internal consistency. The K-BSL-23 score showed significant correlations with the borderline scale of the Korean Personality Disorders Test, showing concurrent validity, with emotional regulation difficulties, impulsivity, and depression supporting convergent validity. In addition, the K-BSL-23 score was correlated with adverse childhood experiences. Divergent validity of the K-BSL-23 score among cluster B personality disorders was tentative and requires further research. The supplementary scale, the K-BSL-S, showed high concurrent validity in measuring self-harm behaviors. A cut-off score of 14.5 validly distinguished the BPD patient group from the non-diagnosed control group. The K-BSL-23 score was shown to be a valid measure for BPD symptoms.

Abstract

For efficient screening and assessment of borderline personality disorder (BPD) in clinical and research settings, this study aimed to validate the Korean version of the Borderline Symptom List Short Version (K-BSL-23). We recruited 200 community sample adults with BPD tendencies in Study 1 and examined construct validity and internal reliability. In Study 2, we analyzed a receiver operating characteristic curve of the K-BSL-23 scores of 42 psychiatric outpatients with BPD and 45 non-diagnosed control groups to derive the sensitivity and specificity of each cut-off score. The K-BSL-23 score had a single-factor structure and excellent internal consistency. The K-BSL-23 score showed significant correlations with the borderline scale of the Korean Personality Disorders Test, showing concurrent validity, with emotional regulation difficulties, impulsivity, and depression supporting convergent validity. In addition, the K-BSL-23 score was correlated with adverse childhood experiences. Divergent validity of the K-BSL-23 score among cluster B personality disorders was tentative and requires further research. The supplementary scale, the K-BSL-S, showed high concurrent validity in measuring self-harm behaviors. A cut-off score of 14.5 validly distinguished the BPD patient group from the non-diagnosed control group. The K-BSL-23 score was shown to be a valid measure for BPD symptoms.

참고문헌 (57)

  1. American Psychiatric Association, "Diagnostic and statistical manual of mental disorders" (2013), American Psychiatric Association
  2. Rüther, E., "Early traumatic life events, parental attitudes, family history, and birth risk factors in patients with borderline personality disorder and healthy controls", Psychiatry Research, 134, pp.169~179 (2005)[DOI]
  3. Black, D. W., "Suicidal behavior in borderline personality disorder : Prevalence, risk factors, prediction, and prevention", Journal of Personality Disorders, 18, pp.226~239 (2004)[DOI]
  4. Bohus, M., "Development of the borderline symptom list", Psychotherapie, Psychosomatik, Medizinische Psychologie, 51, pp.201~211 (2001)[DOI]
  5. Bohus, M., "Psychometric properties of the borderline symptom list(BSL)", Psychopathology, 40, pp.126~132 (2007)[DOI]
  6. Bohus, M., "The short version of the borderline symptom list(BSL23) : Development and initial data on psychometric properties", Psychopathology, 42, pp.32~39 (2009)[DOI]
  7. Chapman, A. L., "Impulsivity and emotion dysregulation in borderline personality disorder", Journal of Personality Disorders, 22, pp.148~164 (2008)[DOI]
  8. 조용래, "정서조절곤란의 평가: 한국판 척도의 심리측정적 속성", Korean Journal of Clinical Psychology, 26(4), pp.1015~1038 (2007), 한국임상심리학회[DOI]
  9. Choi, H., "Factor structure and symptom classes of ICD-11 complex posttraumatic stress disorder in a South Korean general population sample with adverse childhood experiences", Child Abuse & Neglect, 114, pp.104982~ (2021)[DOI]
  10. Cohen, J., "A power primer", Psychological Bulletin, 112, pp.155~159 (1992)[DOI]
  11. Eaton, N. R., "Personality disorders : community prevalence and socio-demographic correlates", Current Opinion in Psychology, 21, pp.28~32 (2018)[DOI]
  12. Fawcett, T., "An introduction to ROC analysis", Pattern Recognition Letters, 27, pp.861~874 (2006)[DOI]
  13. First, M. B., "SCID-5-PD: Structured clinical interview for DSM-5® personality disorders" (2017), Hakjisa
  14. Fossati, A., "Predicting borderline and antisocial personality disorder features in nonclinical subjects using measures of impulsivity and aggressiveness", Psychiatry Research, 125, pp.161~170 (2004)[DOI]
  15. Glenn, C. R., "Relationship of the borderline symptom list to DSM-IV borderline personality disorder criteria assessed by semi-structured interview", Psychopathology, 42, pp.394~398 (2009)[DOI]
  16. Goodman, M., "Suicide attempts and self-injurious behaviours in adolescent and adult patients with borderline personality disorder", Personality and Mental Health, 11, pp.157~163 (2017)[DOI]
  17. Grant, B. F., "Prevalence, correlates, disability, and comorbidity of DSM-IV borderline personality disorder : Results from the wave 2 national epidemiologic survey on alcohol and related conditions", Journal of Clinical Psychiatry, 69, pp.15398~ (2008)[DOI]
  18. Gratz, K. L., "Multidimensional assessment of emotion regulation and dysregulation : development, factor structure, and initial validation of the difficulties in emotion regulation scale", Journal of Psychopathology and Behavioral Assessment, 26, pp.41~54 (2004)[DOI]
  19. Guzder, J., "Risk factors for borderline pathology in children", Journal of the American Academy of Child & Adolescent Psychiatry, 35, pp.26~33 (1996)[DOI]
  20. Hong, S. H., "A validation study of the borderline personality disorder scale in Korean university students", Korean Journal of Clinical Psychology, 17, pp.259~271 (1998)
  21. Ibrahim, J., "Childhood maltreatment and its link to borderline personality disorder features in children : A systematic review approach", Clin Child Psychol Psychiatry, 23, pp.57~76 (2018)[DOI]
  22. 장승민, "리커트 척도 개발을 위한 탐색적 요인분석의 사용", Korean Journal of Clinical Psychology, 34(4), pp.1079~1100 (2015), 한국임상심리학회[DOI]
  23. 김민선, "경계선 성격의 핵심증상 및 우울 증상과의 동반이환: 네트워크 분석", Korean Journal of Clinical Psychology, 39(4), pp.257~273 (2020), 한국임상심리학회[DOI]
  24. 김소정, "한국판 자해 척도(K-SHI) 타당화 연구", 인지행동치료, 19(2), pp.205~228 (2019), 한국인지행동치료학회[DOI]
  25. Kleindienst, N., "A proposed severity classification of borderline symptoms using the borderline symptom list(BSL-23)", Borderline Personality Disorder and Emotion Dysregulation, 7, pp.1~11 (2020)[DOI]
  26. Kleindienst, N., "Treating adults with a dual diagnosis of borderline personality disorder and posttraumatic stress disorder related to childhood abuse : Results from a randomized clinical trial", Journal of Consulting and Clinical Psychology, 89, pp.925~ (2021)[DOI]
  27. Koenigsberg, H. W., "Are the interpersonal and identity disturbances in the borderline personality disorder criteria linked to the traits of affective instability and impulsivity?", Journal of Personality Disorders, 15, pp.358~370 (2001)[DOI]
  28. 이소라, "한국판 Barratt Impulsiveness Scale-11-Revised의 신뢰도 및 타당도 연구 ; 일반성인집단을 중심으로", 신경정신의학, 51(6), pp.378~386 (2012), 대한신경정신의학회
  29. Lenzenweger, M. F., "DSM-IV personality disorders in the national comorbidity survey replication", Biological Psychiatry, 62, pp.553~564 (2007)[DOI]
  30. Linehan, M., "Cognitive-behavioral treatment of borderline personality disorder" (1993), Guilford Press
  31. Links, P. S., "Impulsivity : Core aspect of borderline personality disorder", Journal of Personality Disorders, 13, pp.1~9 (1999)[DOI]
  32. Morey, L. C., "Personality assessment inventory: Professional manual" (1991), Psychological Assessment Resources
  33. Nicastro, R., "Psychometric properties of the French borderline symptom list, short form(BSL-23)", Bor-derline Personality Disorder and Emotion Dysregulation, 3, pp.1~9 (2016)[DOI]
  34. 박승진, "한글판 우울증 선별도구(Patient Health Questionnaire-9, PHQ-9)의 신뢰도와 타당도", 대한불안의학회지, 6(2), pp.119~124 (2010), 대한불안의학회
  35. Patton, J. H., "Factor structure of the barratt impulsiveness scale", Journal of Clinical Psychology, 51, pp.768~774 (1995)[DOI]
  36. Pérez, V., "The clinical global impression scale for borderline personality disorder patients(CGI-BPD) : A scale sensible to detect changes", Actas Españolas de Psiquiatría, 35, pp.229~ (2007)
  37. Sansone, R. A., "Gender patterns in borderline personality disorder", Innovations in Clinical Neuroscience, 8, pp.16~20 (2011)[DOI]
  38. Sansone, R. A., "The self-harm inventory(SHI) : Development of a scale for identifying self-destructive behaviors and borderline personality disorder", Journal of Clinical Psychology, 54, pp.973~983 (1998)[DOI]
  39. 서재삼, "한국형 성격장애 진단검사의 개발과 타당화", Korean Journal of Clinical Psychology, 25(1), pp.273~288 (2006), 한국임상심리학회
  40. Soler, J., "Validation of the Spanish version of the borderline symptom list, short form(BSL-23)", BMC Psychiatry, 13, pp.139~ (2013)[DOI]
  41. 박선일, "진단검사의 특성 평가를 위한 Receiver Operating Characteristic (ROC) 곡선의 활용", 한국임상수의학회지, 33(2), pp.97~101 (2016), 한국임상수의학회
  42. Stinson, F. S., "Prevalence, correlates, disability, and comorbidity of DSM-IV narcissistic personality disorder : Results from the wave 2 national epidemiologic survey on alcohol and related conditions", Journal of Clinical Psychiatry, 69, pp.1033~1045 (2008)[DOI]
  43. Spitzer, R. L., "Validation and utility of a self-report version of PRIME-MD: The PHQ primary care study", Jama, 282, pp.1737~1744 (1999)
  44. Trull, T. J., "Borderline personality disorder features in nonclinical young adults: 1. Identification and validation", Psychological Assessment, 7, pp.33~ (1995)[DOI]
  45. Trull, T. J., "Revised NESARC personality disorder diagnoses : Gender, prevalence, and comorbidity with substance dependence disorders", Journal of Personality Disorders, 24, pp.412~426 (2010)[DOI]
  46. Trull, T. J., "Borderline personality disorder features in nonclinical young adults : 2. Two-year outcome", Journal of Abnormal Psychology, 106, pp.307~ (1997)[DOI]
  47. Turner, D., "Impulsivity and cluster B personality disorders", Current Psychiatry Reports, 19, pp.1~14 (2017)[DOI]
  48. "Adverse childhood experiences international questionnaire. In adverse childhood experiences international questionnaire (ACE-IQ)" (2018)[URL]
  49. Yang, H., "Psychometric properties of the Chinese version of the brief borderline symptom list in undergraduate students and clinical patients", Frontiers in Psychology, 9, pp.605~ (2018)[DOI]
  50. Youden, W. J., "Index for rating diagnostic tests", Cancer, 3, pp.32~35 (1950)[DOI]
  51. Zanarini, M. C., "Axis II comorbidity of borderline personality disorder", Comprehensive Psychiatry, 39, pp.296~302 (1998)[DOI]
  52. Zanarini, M. C., "Axis I comorbidity in patients with borderline personality disorder : 6-year follow-up and prediction of time to remission", American Journal of Psychiatry, 161, pp.2108~2114 (2004)[DOI]
  53. Zanarini, M. C., "Treatment histories of borderline inpatients", Comprehensive Psychiatry, 42, pp.144~150 (2001)[DOI]
  54. Zanarini, M. C., "Axis II comorbidity of borderline personality disorder : Description of 6-year course and prediction to time-to-remission", Acta Psychiatrica Scandinavica, 110, pp.416~420 (2004)[DOI]
  55. Zanarini, M. C., "The revised diagnostic interview for borderlines : Discriminating BPD from other axis II disorders", Journal of Personality Disorders, 3, pp.10~18 (1989)[DOI]
  56. Zimmerman, M., "The frequency of personality disorders in psychiatric patients", Psychiatric Clinics of North America, 31, pp.405~420 (2008)[DOI]
  57. Zimmerman, M., "The prevalence of DSM-IV personality disorders in psychiatric outpatients", American Journal of Psychiatry, 162, pp.1911~1918 (2005)[DOI]

관련 논문AI추천

Psychometric Properties of Korean Version of Nonsuicidal Self-injury Inventory: Validation Study of Deliberate Self-harm InventoryChan-Mo Yang, Hye-Jin Lee, Kyu-Sic Hwang, Sang-Cheol Choi, Sang-Yeol Lee대한정신약물학회 · Clinical Psychopharmacology and Neuroscience2024 · 제22권 제4호경계성인격장애 환자에서 임상적 특성과 마음헤아리기 능력의 연관성: 한국인 코호트 예비분석박규남, 석정호, 신현경대한신경정신의학회 · 신경정신의학2022 · 제61권 제3호Validation of the Short Form of the Mood Instability Questionnaire-Trait (MIQ-T-SF) in the Korean General Population강효신, Cho Nayoung, Ha Tae Hyon, Ihm Hong Kyu, Jang Yoonjeong, Kim Yeoju, Lee Daseul, Lee Jakyung, Myung Woojae, Park Jungkyu, Park Yun Seong, Ryoo Hyun A, Yoon Joohyun, Yu Hyeona대한신경정신의학회 · PSYCHIATRY INVESTIGATION2023 · 제20권 제5호Nonsuicidal Self-Injury among Korean Young Adults: A Validation of the Korean Version of the Inventory of Statements about Self-InjuryJi-Won Hur, Soyeon Kim, Yoongyeong Kim대한신경정신의학회 · PSYCHIATRY INVESTIGATION2019 · 제16권 제4호한국판 축약표준성격평가-자기보고형(Self-Report Standardized Assessment of Personality- Abbreviated Scale)의 성격장애 선별 진단의 유용성 : 예비타당도 연구김율리, 배도희, 최지수, 황선주, 황순택대한신경정신의학회 · 신경정신의학2015 · 제54권 제4호한국판 비자살적자해 신념 척도의 타당화이상인, 이영순, 정미림한국재활심리학회 · 재활심리연구2020 · 제27권 제4호

이 간행물의 다른 논문 (2건)

The Structural Covariance Analysis in Schizophrenia Patients: A Multisite Study Utilizing T1-Weighted Image이은성, 주성우, 김하린, 안수진, 최영재, 최우혁, 이중선, 정영철, 조영탁pp. 13-22Is the Endorsement of Depressive Symptoms Influenced by Comorbid Alcohol Problems? A Measurement Invariance Study이예진, 이은호, 김지혜pp. 35-43
원문 보기