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Evaluation of diagnostic criteria for borderline personality disorder

Published Online:https://doi.org/10.1176/ajp.145.10.1280

A comparison of 17 narrowly defined borderline patients with 20 nonpatient control subjects indicated that certain individual and combinations of criteria may be more highly correlated with the disorder than others. Requiring any four or certain specific combinations of two or three of the five most discriminating criteria provided the optimal balance of sensitivity, specificity, predictive power, and diagnostic efficiency considerations. Fewer than five DSM- III-R criteria adequately identified the patients.

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