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The McLean Screening Instrument for Borderline Personality Disorder: What, and why in a clinical cohort?
McKay, Michael T; Clarke, Mary C; Donnelly, Paul; Percy, Andrew.
Afiliação
  • McKay MT; Department of Psychology, Royal College of Surgeons in Ireland, Beaux Lane House, Dublin 2, Ireland; Northern Ireland Public Health Research Network, School of Medicine, Ulster University,Ireland. Electronic address: michaelmckay@rcsi.com.
  • Clarke MC; Department of Psychology, Royal College of Surgeons in Ireland, Beaux Lane House, Dublin 2, Ireland; Department of Psychiatry, Royal College of Surgeons in Ireland, Ireland.
  • Donnelly P; School of Sport, Ulster University, Newtownabbey, Ireland.
  • Percy A; School of Social Sciences, Education, and Social Work, Queens University, Belfast, Ireland.
Psychiatry Res ; 317: 114868, 2022 11.
Article em En | MEDLINE | ID: mdl-36219901
Borderline Personality Disorder is a severe psychiatric disorder with debilitating consequences. Screening for the disorder is problematic as symptoms overlap with other psychiatric disorders. The McLean Screening Instrument (MSI) assesses endorsement (yes/no) of 10 symptoms, with a cut-off of seven indicating potential caseness. Participants were (N = 68) from an established clinical cohort who completed a structured clinical interview, the MSI, the Childhood Trauma Questionnaire, and the Adolescent and Adult Time Attitudes Scale. A proportion (N = 20) also completed a follow-up interview examining their rationale for endorsing MSI items. Total number of MSI items endorsed was meaningfully related to scores on emotional neglect and negative time attitudes. There was substantive overlap between MSI threshold (≥7 items) and lifetime diagnosis of a mental disorder. The stated rationale for endorsing MSI items, was less indicative of personality trait, and was related more to particular developmental periods, one-off episodes, and life-contexts. Additionally, participants conflated constructs such as emptiness with loneliness, and moodiness with general emotionality. Those meeting MSI threshold recalled more childhood emotional neglect, and were more negative about all time periods. It is apparent that scoring of the MSI is driven by prevailing life circumstances as much as enduring personality traits.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Transtorno da Personalidade Borderline Tipo de estudo: Diagnostic_studies / Etiology_studies / Incidence_studies / Observational_studies / Prognostic_studies / Qualitative_research / Risk_factors_studies / Screening_studies Limite: Adolescent / Adult / Humans Idioma: En Revista: Psychiatry Res Ano de publicação: 2022 Tipo de documento: Article País de publicação: Irlanda

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Transtorno da Personalidade Borderline Tipo de estudo: Diagnostic_studies / Etiology_studies / Incidence_studies / Observational_studies / Prognostic_studies / Qualitative_research / Risk_factors_studies / Screening_studies Limite: Adolescent / Adult / Humans Idioma: En Revista: Psychiatry Res Ano de publicação: 2022 Tipo de documento: Article País de publicação: Irlanda