McLean Screening Instrument for Borderline Personality Disorder

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The McLean Screening Instrument for Borderline Personality Disorder (MSI-BPD) is a 10-question self-report screening tool used to identify individuals who may warrant further evaluation for borderline personality disorder (BPD). The questionnaire asks individuals about the presence of symptoms they experience that are characteristic of BPD. The assessment was released in 2003 after being developed by Mary Zanarini and her colleagues at the McLean Hospital. [1] [2] It has since been translated into several languages, including Arabic, [3] Finnish, [4] French, [5] Persian, [6] and Urdu. [7]

Contents

Scoring

The MSI-BPD covers a broad spectrum of BPD characteristics, such as impulsivity, emotional instability, and difficulties with self-identity. Each question is answered with a "yes" or "no", indicating the presence or absence of a specific BPD symptom. A "yes" response to any item signifies the presence of that particular symptom. The total score, ranging from 0 to 10, is obtained by summing the values assigned to each answer (1 for yes, 0 for no). [1] [2]

Validity

Research suggests that the MSI-BPD demonstrates good accuracy in identifying potential BPD cases. Zanarini's initial validation study in 2003 found the instrument to be both sensitive (81%) and specific (85%) in correctly classifying individuals when using a cutoff score of 7. For those 25 years old or younger, the study reported a sensitivity of 90% and a specificity of 93%. This study also found that the MSI-BPD exhibits strong internal consistency. [1] [2] A later study by Chanen et al. in 2008 reported lower sensitivity (68%) and specificity (75%) for those 15 to 24 years old using the same cutoff score. [2] [8]

See also

References

  1. 1 2 3 Zanarini MC, Vujanovic AA, Parachini EA, Boulanger JL, Frankenburg FR, Hennen J (December 2003). "A screening measure for BPD: the McLean Screening Instrument for Borderline Personality Disorder (MSI-BPD)". Journal of Personality Disorders. 17 (6): 568–73. doi:10.1521/pedi.17.6.568.25355. PMID   14744082.
  2. 1 2 3 4 Noblin JL, Venta A, Sharp C (April 2014). "The validity of the MSI-BPD among inpatient adolescents". Assessment. 21 (2): 210–7. doi:10.1177/1073191112473177. PMID   23344914.
  3. ↑ Alghamdi FS (January 2024). "Borderline Personality Disorder in Saudi Arabia: The Psychometric Properties of the Arabic Version of the Mclean Screening Instrument for Borderline Personality Disorder (MSI-BPD)". Journal of Research in Curriculum Instruction and Educational Technology. 10 (1): 245–266. doi: 10.21608/jrciet.2024.337322 . ISSN   2537-0669.
  4. ↑ Melartin T, Häkkinen M, Koivisto M, Suominen K, Isometsä ET (November 2009). "Screening of psychiatric outpatients for borderline personality disorder with the McLean Screening Instrument for Borderline Personality Disorder (MSI-BPD)". Nordic Journal of Psychiatry. 63 (6): 475–9. doi:10.3109/08039480903062968. PMID   19548177.
  5. ↑ Mirkovic B, Speranza M, Cailhol L, Guelfi JD, Perez-Diaz F, Corcos M, Robin M, Pham-Scottez A (May 2020). "Validation of the French version of the McLean screening instrument for borderline personality disorder (MSI-BPD) in an adolescent sample". BMC Psychiatry . 20 (1): 222. doi: 10.1186/s12888-020-02643-8 . PMC   7216676 . PMID   32398037.
  6. ↑ Mousavi Asl E, Dabaghi P, Taghva A (2020). "Screening borderline personality disorder: The psychometric properties of the Persian version of the McLean screening instrument for borderline personality disorder". Journal of Research in Medical Sciences. 25: 97. doi: 10.4103/jrms.JRMS_949_19 . PMC   7698379 . PMID   33273942.
  7. ↑ Munawar K, Aqeel M, Rehna T, Shuja KH, Bakrin FS, Choudhry FR (2021). "Validity and Reliability of the Urdu Version of the McLean Screening Instrument for Borderline Personality Disorder". Frontiers in Psychology. 12: 533526. doi: 10.3389/fpsyg.2021.533526 . PMC   8417833 . PMID   34489768.
  8. ↑ Chanen AM, Jovev M, Djaja D, McDougall E, Yuen HP, Rawlings D, Jackson HJ (August 2008). "Screening for borderline personality disorder in outpatient youth". Journal of Personality Disorders. 22 (4): 353–64. doi:10.1521/pedi.2008.22.4.353. PMID   18684049.
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