Age differences in DSM-IV borderline personality disorder symptom expression: Results from a national study using item response theory (IRT).
Identifieur interne : 000676 ( Main/Exploration ); précédent : 000675; suivant : 000677Age differences in DSM-IV borderline personality disorder symptom expression: Results from a national study using item response theory (IRT).
Auteurs : Kibby Mcmahon [États-Unis] ; Nicolas Hoertel [France] ; Hugo Peyre [France] ; Carlos Blanco [États-Unis] ; Caitlin Fang [États-Unis] ; Frédéric Limosin [France]Source :
- Journal of psychiatric research [ 1879-1379 ] ; 2019.
Descripteurs français
- KwdFr :
- Adulte (MeSH), Comportement auto-agressif (physiopathologie), Comportement auto-agressif (étiologie), Diagnostic and stastistical manual of mental disorders (USA) (MeSH), Facteurs âges (MeSH), Femelle (MeSH), Humains (MeSH), Indice de gravité de la maladie (MeSH), Jeune adulte (MeSH), Relations interpersonnelles (MeSH), Suicide (MeSH), Trouble de la personnalité limite (complications), Trouble de la personnalité limite (physiopathologie).
- MESH :
- physiopathologie : Comportement auto-agressif, Trouble de la personnalité limite.
- étiologie : Comportement auto-agressif.
- complications : Adulte, Diagnostic and stastistical manual of mental disorders (USA), Facteurs âges, Femelle, Humains, Indice de gravité de la maladie, Jeune adulte, Relations interpersonnelles, Suicide, Trouble de la personnalité limite.
English descriptors
- KwdEn :
- Adult (MeSH), Age Factors (MeSH), Borderline Personality Disorder (complications), Borderline Personality Disorder (physiopathology), Diagnostic and Statistical Manual of Mental Disorders (MeSH), Female (MeSH), Humans (MeSH), Interpersonal Relations (MeSH), Self-Injurious Behavior (etiology), Self-Injurious Behavior (physiopathology), Severity of Illness Index (MeSH), Suicide (MeSH), Young Adult (MeSH).
- MESH :
- complications : Borderline Personality Disorder.
- etiology : Self-Injurious Behavior.
- physiopathology : Borderline Personality Disorder, Self-Injurious Behavior.
- Adult, Age Factors, Diagnostic and Statistical Manual of Mental Disorders, Female, Humans, Interpersonal Relations, Severity of Illness Index, Suicide, Young Adult.
Abstract
Limited literature suggests that there may be age-related differences in borderline personality disorder (BPD) symptom expression. The present study used item response theory (IRT) methods to examine whether there are age differences in the likelihood of endorsing DSM-IV symptoms of BPD, when equating for levels of BPD symptom severity. Data were drawn from a nationally representative survey of adults in the US (n = 34,653), the second wave of the National Epidemiologic Survey on Alcohol and Related Conditions (NESARC). We found that 7 out of the 9 DSM-IV symptoms of BPD were age invariant. However, there were statistically and clinically significant differences between the oldest and youngest age groups in two BPD symptoms: oldest adult women were less likely to report suicidal/self-harm behavior than the youngest adult women across levels of BPD severity and unstable/intense interpersonal relationships discriminated BPD severity better in the youngest age group compared to the oldest age group in both genders. Overall, our findings indicate substantial age-related differences in BPD symptom expression. Mental health care providers should be alert to these two age-related differences in BPD symptom expression when making assessment and treatment decisions across adult age groups.
DOI: 10.1016/j.jpsychires.2018.12.019
PubMed: 30579046
Affiliations:
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Psychology and Neuroscience, Duke University, Durham, NC, 27710, USA. Electronic address: Kibby.McMahon@duke.edu.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Psychiatry and Behavioral Sciences, Duke University, 2213 Elba Street, Durham, NC, 27710, USA; Psychology and Neuroscience, Duke University, Durham, NC, 27710</wicri:regionArea><wicri:noRegion>27710</wicri:noRegion></affiliation></author><author><name sortKey="Hoertel, Nicolas" sort="Hoertel, Nicolas" uniqKey="Hoertel N" first="Nicolas" last="Hoertel">Nicolas Hoertel</name><affiliation wicri:level="3"><nlm:affiliation>Department of Psychiatry, Assistance Publique-Hôpitaux de Paris, Hôpital Corentin-Celton, Issy-les-Moulineaux, France; INSERM UMR 894, Psychiatry and Neurosciences Center, Paris, France; Paris Descartes University, Pôles de recherche et d'enseignement supérieur Sorbonne Paris Cité, Paris, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Department of Psychiatry, Assistance Publique-Hôpitaux de Paris, Hôpital Corentin-Celton, Issy-les-Moulineaux, France; INSERM UMR 894, Psychiatry and Neurosciences Center, Paris, France; Paris Descartes University, Pôles de recherche et d'enseignement supérieur Sorbonne Paris Cité, Paris</wicri:regionArea><placeName><region type="region">Île-de-France</region><region type="old region">Île-de-France</region><settlement type="city">Paris</settlement></placeName></affiliation></author><author><name sortKey="Peyre, Hugo" sort="Peyre, Hugo" uniqKey="Peyre H" first="Hugo" last="Peyre">Hugo Peyre</name><affiliation wicri:level="3"><nlm:affiliation>Assistance Publique-Hôpitaux de Paris, Robert Debré Hospital, Child and Adolescent Psychiatry Department, Paris, France; Laboratoire de Sciences Cognitives et Psycholinguistique, Département d'Etudes Cognitives, Ecole Normale Supérieure, EHESS, CNRS, PSL University, 75005, Paris, France; INSERM UMR, 1141, Paris Diderot University, Paris, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Assistance Publique-Hôpitaux de Paris, Robert Debré Hospital, Child and Adolescent Psychiatry Department, Paris, France; Laboratoire de Sciences Cognitives et Psycholinguistique, Département d'Etudes Cognitives, Ecole Normale Supérieure, EHESS, CNRS, PSL University, 75005, Paris, France; INSERM UMR, 1141, Paris Diderot University, Paris</wicri:regionArea><placeName><region type="region">Île-de-France</region><region type="old region">Île-de-France</region><settlement type="city">Paris</settlement></placeName></affiliation></author><author><name sortKey="Blanco, Carlos" sort="Blanco, Carlos" uniqKey="Blanco C" first="Carlos" last="Blanco">Carlos Blanco</name><affiliation wicri:level="2"><nlm:affiliation>Division of Epidemiology, Services and Prevention Research, National Institute on Drug Abuse, Bethesda, MD, USA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Division of Epidemiology, Services and Prevention Research, National Institute on Drug Abuse, Bethesda, MD</wicri:regionArea><placeName><region type="state">Maryland</region></placeName></affiliation></author><author><name sortKey="Fang, Caitlin" sort="Fang, Caitlin" uniqKey="Fang C" first="Caitlin" last="Fang">Caitlin Fang</name><affiliation wicri:level="1"><nlm:affiliation>Department of Psychiatry and Behavioral Sciences, Duke University, 2213 Elba Street, Durham, NC, 27710, USA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Psychiatry and Behavioral Sciences, Duke University, 2213 Elba Street, Durham, NC, 27710</wicri:regionArea><wicri:noRegion>27710</wicri:noRegion></affiliation></author><author><name sortKey="Limosin, Frederic" sort="Limosin, Frederic" uniqKey="Limosin F" first="Frédéric" last="Limosin">Frédéric Limosin</name><affiliation wicri:level="3"><nlm:affiliation>Department of Psychiatry, Assistance Publique-Hôpitaux de Paris, Hôpital Corentin-Celton, Issy-les-Moulineaux, France; INSERM UMR 894, Psychiatry and Neurosciences Center, Paris, France; Paris Descartes University, Pôles de recherche et d'enseignement supérieur Sorbonne Paris Cité, Paris, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Department of Psychiatry, Assistance Publique-Hôpitaux de Paris, Hôpital Corentin-Celton, Issy-les-Moulineaux, France; INSERM UMR 894, Psychiatry and Neurosciences Center, Paris, France; Paris Descartes University, Pôles de recherche et d'enseignement supérieur Sorbonne Paris Cité, Paris</wicri:regionArea><placeName><region type="region">Île-de-France</region><region type="old region">Île-de-France</region><settlement type="city">Paris</settlement></placeName></affiliation></author></analytic><series><title level="j">Journal of psychiatric research</title><idno type="eISSN">1879-1379</idno><imprint><date when="2019" type="published">2019</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult (MeSH)</term><term>Age Factors (MeSH)</term><term>Borderline Personality Disorder (complications)</term><term>Borderline Personality Disorder (physiopathology)</term><term>Diagnostic and Statistical Manual of Mental Disorders (MeSH)</term><term>Female (MeSH)</term><term>Humans (MeSH)</term><term>Interpersonal Relations (MeSH)</term><term>Self-Injurious Behavior (etiology)</term><term>Self-Injurious Behavior (physiopathology)</term><term>Severity of Illness Index (MeSH)</term><term>Suicide (MeSH)</term><term>Young Adult (MeSH)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adulte (MeSH)</term><term>Comportement auto-agressif (physiopathologie)</term><term>Comportement auto-agressif (étiologie)</term><term>Diagnostic and stastistical manual of mental disorders (USA) (MeSH)</term><term>Facteurs âges (MeSH)</term><term>Femelle (MeSH)</term><term>Humains (MeSH)</term><term>Indice de gravité de la maladie (MeSH)</term><term>Jeune adulte (MeSH)</term><term>Relations interpersonnelles (MeSH)</term><term>Suicide (MeSH)</term><term>Trouble de la personnalité limite (complications)</term><term>Trouble de la personnalité limite (physiopathologie)</term></keywords><keywords scheme="MESH" qualifier="complications" xml:lang="en"><term>Borderline Personality Disorder</term></keywords><keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Self-Injurious Behavior</term></keywords><keywords scheme="MESH" qualifier="physiopathologie" xml:lang="fr"><term>Comportement auto-agressif</term><term>Trouble de la personnalité limite</term></keywords><keywords scheme="MESH" qualifier="physiopathology" xml:lang="en"><term>Borderline Personality Disorder</term><term>Self-Injurious Behavior</term></keywords><keywords scheme="MESH" qualifier="étiologie" xml:lang="fr"><term>Comportement auto-agressif</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adult</term><term>Age Factors</term><term>Diagnostic and Statistical Manual of Mental Disorders</term><term>Female</term><term>Humans</term><term>Interpersonal Relations</term><term>Severity of Illness Index</term><term>Suicide</term><term>Young Adult</term></keywords><keywords scheme="MESH" qualifier="complications" xml:lang="fr"><term>Adulte</term><term>Diagnostic and stastistical manual of mental disorders (USA)</term><term>Facteurs âges</term><term>Femelle</term><term>Humains</term><term>Indice de gravité de la maladie</term><term>Jeune adulte</term><term>Relations interpersonnelles</term><term>Suicide</term><term>Trouble de la personnalité limite</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Limited literature suggests that there may be age-related differences in borderline personality disorder (BPD) symptom expression. The present study used item response theory (IRT) methods to examine whether there are age differences in the likelihood of endorsing DSM-IV symptoms of BPD, when equating for levels of BPD symptom severity. Data were drawn from a nationally representative survey of adults in the US (n = 34,653), the second wave of the National Epidemiologic Survey on Alcohol and Related Conditions (NESARC). We found that 7 out of the 9 DSM-IV symptoms of BPD were age invariant. However, there were statistically and clinically significant differences between the oldest and youngest age groups in two BPD symptoms: oldest adult women were less likely to report suicidal/self-harm behavior than the youngest adult women across levels of BPD severity and unstable/intense interpersonal relationships discriminated BPD severity better in the youngest age group compared to the oldest age group in both genders. Overall, our findings indicate substantial age-related differences in BPD symptom expression. Mental health care providers should be alert to these two age-related differences in BPD symptom expression when making assessment and treatment decisions across adult age groups.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">30579046</PMID><DateCompleted><Year>2020</Year><Month>03</Month><Day>30</Day></DateCompleted><DateRevised><Year>2020</Year><Month>03</Month><Day>30</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1879-1379</ISSN><JournalIssue CitedMedium="Internet"><Volume>110</Volume><PubDate><Year>2019</Year><Month>03</Month></PubDate></JournalIssue><Title>Journal of psychiatric research</Title><ISOAbbreviation>J Psychiatr Res</ISOAbbreviation></Journal><ArticleTitle>Age differences in DSM-IV borderline personality disorder symptom expression: Results from a national study using item response theory (IRT).</ArticleTitle><Pagination><MedlinePgn>16-23</MedlinePgn></Pagination><ELocationID EIdType="pii" ValidYN="Y">S0022-3956(18)30918-X</ELocationID><ELocationID EIdType="doi" ValidYN="Y">10.1016/j.jpsychires.2018.12.019</ELocationID><Abstract><AbstractText>Limited literature suggests that there may be age-related differences in borderline personality disorder (BPD) symptom expression. The present study used item response theory (IRT) methods to examine whether there are age differences in the likelihood of endorsing DSM-IV symptoms of BPD, when equating for levels of BPD symptom severity. Data were drawn from a nationally representative survey of adults in the US (n = 34,653), the second wave of the National Epidemiologic Survey on Alcohol and Related Conditions (NESARC). We found that 7 out of the 9 DSM-IV symptoms of BPD were age invariant. However, there were statistically and clinically significant differences between the oldest and youngest age groups in two BPD symptoms: oldest adult women were less likely to report suicidal/self-harm behavior than the youngest adult women across levels of BPD severity and unstable/intense interpersonal relationships discriminated BPD severity better in the youngest age group compared to the oldest age group in both genders. Overall, our findings indicate substantial age-related differences in BPD symptom expression. Mental health care providers should be alert to these two age-related differences in BPD symptom expression when making assessment and treatment decisions across adult age groups.</AbstractText><CopyrightInformation>Copyright © 2018 Elsevier Ltd. All rights reserved.</CopyrightInformation></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>McMahon</LastName><ForeName>Kibby</ForeName><Initials>K</Initials><AffiliationInfo><Affiliation>Department of Psychiatry and Behavioral Sciences, Duke University, 2213 Elba Street, Durham, NC, 27710, USA; Psychology and Neuroscience, Duke University, Durham, NC, 27710, USA. Electronic address: Kibby.McMahon@duke.edu.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Hoertel</LastName><ForeName>Nicolas</ForeName><Initials>N</Initials><AffiliationInfo><Affiliation>Department of Psychiatry, Assistance Publique-Hôpitaux de Paris, Hôpital Corentin-Celton, Issy-les-Moulineaux, France; INSERM UMR 894, Psychiatry and Neurosciences Center, Paris, France; Paris Descartes University, Pôles de recherche et d'enseignement supérieur Sorbonne Paris Cité, Paris, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Peyre</LastName><ForeName>Hugo</ForeName><Initials>H</Initials><AffiliationInfo><Affiliation>Assistance Publique-Hôpitaux de Paris, Robert Debré Hospital, Child and Adolescent Psychiatry Department, Paris, France; Laboratoire de Sciences Cognitives et Psycholinguistique, Département d'Etudes Cognitives, Ecole Normale Supérieure, EHESS, CNRS, PSL University, 75005, Paris, France; INSERM UMR, 1141, Paris Diderot University, Paris, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Blanco</LastName><ForeName>Carlos</ForeName><Initials>C</Initials><AffiliationInfo><Affiliation>Division of Epidemiology, Services and Prevention Research, National Institute on Drug Abuse, Bethesda, MD, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Fang</LastName><ForeName>Caitlin</ForeName><Initials>C</Initials><AffiliationInfo><Affiliation>Department of Psychiatry and Behavioral Sciences, Duke University, 2213 Elba Street, Durham, NC, 27710, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Limosin</LastName><ForeName>Frédéric</ForeName><Initials>F</Initials><AffiliationInfo><Affiliation>Department of Psychiatry, Assistance Publique-Hôpitaux de Paris, Hôpital Corentin-Celton, Issy-les-Moulineaux, France; INSERM UMR 894, Psychiatry and Neurosciences Center, Paris, France; Paris Descartes University, Pôles de recherche et d'enseignement supérieur Sorbonne Paris Cité, Paris, France.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType><PublicationType UI="D013485">Research Support, Non-U.S. Gov't</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2018</Year><Month>12</Month><Day>15</Day></ArticleDate></Article><MedlineJournalInfo><Country>England</Country><MedlineTA>J Psychiatr Res</MedlineTA><NlmUniqueID>0376331</NlmUniqueID><ISSNLinking>0022-3956</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000367" MajorTopicYN="N">Age Factors</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D001883" MajorTopicYN="N">Borderline Personality Disorder</DescriptorName><QualifierName UI="Q000150" MajorTopicYN="N">complications</QualifierName><QualifierName UI="Q000503" MajorTopicYN="Y">physiopathology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D039721" MajorTopicYN="Y">Diagnostic and Statistical Manual of Mental Disorders</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D007398" MajorTopicYN="Y">Interpersonal Relations</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D016728" MajorTopicYN="N">Self-Injurious Behavior</DescriptorName><QualifierName UI="Q000209" MajorTopicYN="N">etiology</QualifierName><QualifierName UI="Q000503" MajorTopicYN="Y">physiopathology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D012720" MajorTopicYN="Y">Severity of Illness Index</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D013405" MajorTopicYN="N">Suicide</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D055815" MajorTopicYN="N">Young Adult</DescriptorName></MeshHeading></MeshHeadingList><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="Y">Age differences</Keyword><Keyword MajorTopicYN="Y">Borderline personality disorder</Keyword><Keyword MajorTopicYN="Y">Differential item functioning (DIF)</Keyword><Keyword MajorTopicYN="Y">Item response theory (IRT)</Keyword><Keyword MajorTopicYN="Y">National study</Keyword><Keyword MajorTopicYN="Y">Symptoms</Keyword></KeywordList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2018</Year><Month>07</Month><Day>31</Day></PubMedPubDate><PubMedPubDate PubStatus="revised"><Year>2018</Year><Month>12</Month><Day>14</Day></PubMedPubDate><PubMedPubDate PubStatus="accepted"><Year>2018</Year><Month>12</Month><Day>14</Day></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2018</Year><Month>12</Month><Day>24</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2020</Year><Month>3</Month><Day>31</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2018</Year><Month>12</Month><Day>23</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">30579046</ArticleId><ArticleId IdType="pii">S0022-3956(18)30918-X</ArticleId><ArticleId IdType="doi">10.1016/j.jpsychires.2018.12.019</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list><country><li>France</li><li>États-Unis</li></country><region><li>Maryland</li><li>Île-de-France</li></region><settlement><li>Paris</li></settlement></list><tree><country name="États-Unis"><noRegion><name sortKey="Mcmahon, Kibby" sort="Mcmahon, Kibby" uniqKey="Mcmahon K" first="Kibby" last="Mcmahon">Kibby Mcmahon</name></noRegion><name sortKey="Blanco, Carlos" sort="Blanco, Carlos" uniqKey="Blanco C" first="Carlos" last="Blanco">Carlos Blanco</name><name sortKey="Fang, Caitlin" sort="Fang, Caitlin" uniqKey="Fang C" first="Caitlin" last="Fang">Caitlin Fang</name></country><country name="France"><region name="Île-de-France"><name sortKey="Hoertel, Nicolas" sort="Hoertel, Nicolas" uniqKey="Hoertel N" first="Nicolas" last="Hoertel">Nicolas Hoertel</name></region><name sortKey="Limosin, Frederic" sort="Limosin, Frederic" uniqKey="Limosin F" first="Frédéric" last="Limosin">Frédéric Limosin</name><name sortKey="Peyre, Hugo" sort="Peyre, Hugo" uniqKey="Peyre H" first="Hugo" last="Peyre">Hugo Peyre</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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