Psychometric properties of the Chinese Mandarin version of the Borderline Symptom List, short form (BSL-23) in suicidal adolescents.

IF 4 2区医学 Q1 PSYCHIATRY Borderline Personality Disorder and Emotion Dysregulation Pub Date : 2023-08-09 DOI:10.1186/s40479-023-00230-3

Jui-En Shen, Yu-Hsin Huang, Hui-Chun Huang, Hui-Ching Liu, Tsung-Han Lee, Fang-Ju Sun, Chiu-Ron Huang, Shen-Ing Liu

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Abstract

Background: The short form of the Borderline Symptom List (BSL-23) is a self-rated instrument developed from the initial 95-item German version of the Borderline Symptom List (BSL-95). It is widely used among Chinese adults, but its applicability, factor structure and validity remain uncertain in adolescents. This study aimed to evaluate the psychometric properties of the Chinese Mandarin version of the BSL-23 in a sample of suicidal adolescents.

Methods: The Chinese Mandarin BSL-23 was given to 279 outpatient adolescents with self-injurious thoughts or behaviors. The factor structure, reliability, convergent validity, criterion-related validity and cut-off value were investigated.

Results: The Chinese Mandarin version of the BSL-23 demonstrated a one-factor structure and replicated the original version. The scale had high reliability and good test-retest stability. The Chinese Mandarin BSL-23 was correlated with depression, hopelessness, impulsivity, emotional dysregulation, self-esteem, loneliness, childhood trauma and parental bonding patterns evaluated with a variety of scales. The measure showed good criterion-related validity and predictive accuracy (AUC = 0.87) for self-injurious and suicidal adolescents with borderline personality disorder (BPD) at a cut-off point of 60/61 (mean score 2.60/2.65), with a sensitivity of 0.76 and specificity of 0.83.

Conclusions: The Chinese Mandarin version of the BSL-23 is a reliable and valid self-reported instrument to assess BPD symptomatology among suicidal adolescents.

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自杀青少年《边缘性症状表》(BSL-23)的心理测量特征

背景:《边缘性症状表》(BSL-23)是由最初的95项德文版《边缘性症状表》(BSL-95)发展而来的自评量表。它在中国成年人中被广泛使用，但在青少年中的适用性、因素结构和效度仍不确定。本研究旨在评价汉语普通话版BSL-23在自杀青少年样本中的心理测量特性。方法:对279例有自伤思想或行为的门诊青少年进行汉语普通话BSL-23量表测试。考察了量表的因子结构、信度、收敛效度、标准相关效度和截止值。结果:BSL-23的中文普通话版本呈现单因子结构，并与原版本复制。量表信度高，重测稳定性好。汉语普通话BSL-23与抑郁、绝望、冲动、情绪失调、自尊、孤独、童年创伤和父母关系模式相关。在60/61(平均得分2.60/2.65)的分界点上，该测量方法显示出良好的标准相关效度和预测准确性(AUC = 0.87)，敏感性为0.76，特异性为0.83。结论:中文版BSL-23是一种可靠、有效的评估自杀青少年BPD症状的自我报告工具。

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来源期刊

Borderline Personality Disorder and Emotion Dysregulation Psychology-Clinical Psychology

CiteScore

6.00

自引率

9.80%

发文量

审稿时长

28 weeks

期刊介绍： Borderline Personality Disorder and Emotion Dysregulation provides a platform for researchers and clinicians interested in borderline personality disorder (BPD) as a currently highly challenging psychiatric disorder. Emotion dysregulation is at the core of BPD but also stands on its own as a major pathological component of the underlying neurobiology of various other psychiatric disorders. The journal focuses on the psychological, social and neurobiological aspects of emotion dysregulation as well as epidemiology, phenomenology, pathophysiology, treatment, neurobiology, genetics, and animal models of BPD.