Elucidating DSM-5 and ICD-11 Diagnostic Features of Borderline Personality Disorder Using Schemas and Modes

Research output: Contribution to journalArticleAcademicpeer-review

Abstract

BACKGROUND: Borderline personality disorder (BPD) comprises a heterogeneous constellation of problems operationalized in the DSM-5 and the forthcoming ICD-11. In schema therapy, schemas and modes are employed to conceptualize and treat these problems.

AIM: The current study investigated whether the 9 diagnostic BPD features are associated with schemas and modes.

METHOD: Psychiatric outpatients with predominant BPD features (n = 142; 68% females) were administered the Structured Clinical Interview for DSM-IV Axis II (SCID-II) and self-report inventories for schemas and modes. Associations were investigated by means of bivariate point-biserial correlations and multiple logistic regression analysis.

RESULTS: BPD features were largely associated with conceptually related schemas and modes. Consistent with the schema therapy literature and previous research, we found schemas of Abandonment/Instability and Mistrust/Abuse along with modes of Angry/Enraged Child, (internalized) Punitive Parent, and Impulsive Child to uniquely predict thematically related BPD features including fear of abandonment, self-destructiveness, feelings of emptiness, stress-related paranoid ideation, inappropriate anger, and impulsivity.

CONCLUSION: Most of the 9 BPD features were related to conceptually meaningful schemas/modes, suggesting that BPD is composed of dormant themes along with salient affective-behavioral responses. Consequently, individual BPD features may be differentially conceptualized and targeted in therapy by means of schemas and modes.

Original languageEnglish
Pages (from-to)400-407
Number of pages8
JournalPsychopathology
Volume51
Issue number6
DOIs
Publication statusPublished - 2018

Keywords

  • Borderline personality disorder
  • CONCEPTUALIZATIONS
  • CRITERIA
  • DEPRESSION
  • Diagnostic criteria
  • EARLY MALADAPTIVE SCHEMAS
  • Early maladaptive schemas
  • GERMAN VERSION
  • QUESTIONNAIRE
  • RELIABILITY
  • Schema modes
  • Schema therapy
  • TRAITS
  • VALIDATION
  • VALIDITY

Cite this

@article{3250da3179014242b285cdc5c5df695f,
title = "Elucidating DSM-5 and ICD-11 Diagnostic Features of Borderline Personality Disorder Using Schemas and Modes",
abstract = "BACKGROUND: Borderline personality disorder (BPD) comprises a heterogeneous constellation of problems operationalized in the DSM-5 and the forthcoming ICD-11. In schema therapy, schemas and modes are employed to conceptualize and treat these problems.AIM: The current study investigated whether the 9 diagnostic BPD features are associated with schemas and modes.METHOD: Psychiatric outpatients with predominant BPD features (n = 142; 68{\%} females) were administered the Structured Clinical Interview for DSM-IV Axis II (SCID-II) and self-report inventories for schemas and modes. Associations were investigated by means of bivariate point-biserial correlations and multiple logistic regression analysis.RESULTS: BPD features were largely associated with conceptually related schemas and modes. Consistent with the schema therapy literature and previous research, we found schemas of Abandonment/Instability and Mistrust/Abuse along with modes of Angry/Enraged Child, (internalized) Punitive Parent, and Impulsive Child to uniquely predict thematically related BPD features including fear of abandonment, self-destructiveness, feelings of emptiness, stress-related paranoid ideation, inappropriate anger, and impulsivity.CONCLUSION: Most of the 9 BPD features were related to conceptually meaningful schemas/modes, suggesting that BPD is composed of dormant themes along with salient affective-behavioral responses. Consequently, individual BPD features may be differentially conceptualized and targeted in therapy by means of schemas and modes.",
keywords = "Borderline personality disorder, CONCEPTUALIZATIONS, CRITERIA, DEPRESSION, Diagnostic criteria, EARLY MALADAPTIVE SCHEMAS, Early maladaptive schemas, GERMAN VERSION, QUESTIONNAIRE, RELIABILITY, Schema modes, Schema therapy, TRAITS, VALIDATION, VALIDITY",
author = "Bo Bach and Jill Lobbestael",
note = "{\circledC} 2019 S. Karger AG, Basel.",
year = "2018",
doi = "10.1159/000495845",
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pages = "400--407",
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Elucidating DSM-5 and ICD-11 Diagnostic Features of Borderline Personality Disorder Using Schemas and Modes. / Bach, Bo; Lobbestael, Jill.

In: Psychopathology, Vol. 51, No. 6, 2018, p. 400-407.

Research output: Contribution to journalArticleAcademicpeer-review

TY - JOUR

T1 - Elucidating DSM-5 and ICD-11 Diagnostic Features of Borderline Personality Disorder Using Schemas and Modes

AU - Bach, Bo

AU - Lobbestael, Jill

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PY - 2018

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N2 - BACKGROUND: Borderline personality disorder (BPD) comprises a heterogeneous constellation of problems operationalized in the DSM-5 and the forthcoming ICD-11. In schema therapy, schemas and modes are employed to conceptualize and treat these problems.AIM: The current study investigated whether the 9 diagnostic BPD features are associated with schemas and modes.METHOD: Psychiatric outpatients with predominant BPD features (n = 142; 68% females) were administered the Structured Clinical Interview for DSM-IV Axis II (SCID-II) and self-report inventories for schemas and modes. Associations were investigated by means of bivariate point-biserial correlations and multiple logistic regression analysis.RESULTS: BPD features were largely associated with conceptually related schemas and modes. Consistent with the schema therapy literature and previous research, we found schemas of Abandonment/Instability and Mistrust/Abuse along with modes of Angry/Enraged Child, (internalized) Punitive Parent, and Impulsive Child to uniquely predict thematically related BPD features including fear of abandonment, self-destructiveness, feelings of emptiness, stress-related paranoid ideation, inappropriate anger, and impulsivity.CONCLUSION: Most of the 9 BPD features were related to conceptually meaningful schemas/modes, suggesting that BPD is composed of dormant themes along with salient affective-behavioral responses. Consequently, individual BPD features may be differentially conceptualized and targeted in therapy by means of schemas and modes.

AB - BACKGROUND: Borderline personality disorder (BPD) comprises a heterogeneous constellation of problems operationalized in the DSM-5 and the forthcoming ICD-11. In schema therapy, schemas and modes are employed to conceptualize and treat these problems.AIM: The current study investigated whether the 9 diagnostic BPD features are associated with schemas and modes.METHOD: Psychiatric outpatients with predominant BPD features (n = 142; 68% females) were administered the Structured Clinical Interview for DSM-IV Axis II (SCID-II) and self-report inventories for schemas and modes. Associations were investigated by means of bivariate point-biserial correlations and multiple logistic regression analysis.RESULTS: BPD features were largely associated with conceptually related schemas and modes. Consistent with the schema therapy literature and previous research, we found schemas of Abandonment/Instability and Mistrust/Abuse along with modes of Angry/Enraged Child, (internalized) Punitive Parent, and Impulsive Child to uniquely predict thematically related BPD features including fear of abandonment, self-destructiveness, feelings of emptiness, stress-related paranoid ideation, inappropriate anger, and impulsivity.CONCLUSION: Most of the 9 BPD features were related to conceptually meaningful schemas/modes, suggesting that BPD is composed of dormant themes along with salient affective-behavioral responses. Consequently, individual BPD features may be differentially conceptualized and targeted in therapy by means of schemas and modes.

KW - Borderline personality disorder

KW - CONCEPTUALIZATIONS

KW - CRITERIA

KW - DEPRESSION

KW - Diagnostic criteria

KW - EARLY MALADAPTIVE SCHEMAS

KW - Early maladaptive schemas

KW - GERMAN VERSION

KW - QUESTIONNAIRE

KW - RELIABILITY

KW - Schema modes

KW - Schema therapy

KW - TRAITS

KW - VALIDATION

KW - VALIDITY

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M3 - Article

C2 - 30625495

VL - 51

SP - 400

EP - 407

JO - Psychopathology

JF - Psychopathology

SN - 0254-4962

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ER -