Am J Psychiatry 1989; 146:200-205
Copyright © 1989 by American Psychiatric Association
Identification of borderline personality disorder with the NIMH Diagnostic Interview Schedule
MS Swartz, DG Blazer, LK George, I Winfield, J Zakris and E Dye
Department of Psychiatry, Duke University Medical Center, Durham, NC 27710.
No lay-administered interviews are currently available to identify persons
with borderline personality disorder. The authors studied 79 subjects with
the NIMH Diagnostic Interview Schedule (DIS), a lay- administered
interview, and the Diagnostic Interview for Borderline Patients (DIB) and
used the results to construct a DIS-based diagnostic index to identify
borderline personality disorder. Using the clinician- administered DIB as
the diagnostic standard, the authors found that the DIS borderline index
had a sensitivity of 85.7%, a specificity of 86.2%, and a kappa of 0.67.
The DIS borderline index is a promising extension of the DIS that will
facilitate studies of borderline personality disorder in clinical and
community settings.
