title: Longitudinal diagnostic efficiency of DSM-IV criteria for borderline personality disorder: a 2-year prospective study.
abstract: OBJECTIVE
  To examine the longitudinal diagnostic efficiency of the DSM-IV criteria for borderline personality disorder (BPD).
  
  
  METHODS
  At baseline, we used semistructured diagnostic interviews to determine criteria and diagnoses; blinded assessments were performed 24 months later with 550 participants. Diagnostic efficiency indices (specifically, conditional probabilities, total predictive power, and kappa) were calculated for each criterion determined at baseline, with the independent BPD diagnosis at follow-up used as the standard.
  
  
  RESULTS
  Longitudinal diagnostic efficiencies for the BPD criteria varied, with the criteria of suicidality or self-injury and unstable relationships demonstrating the most predictive utility.
  
  
  CONCLUSIONS
  BPD criteria differ in their predictive utility for the diagnosis of BPD when considered longitudinally. These findings have implications both for clinicians who are considering diagnoses and for researchers concerned with forthcoming revisions of our nosological system.
authors: Department of Psychiatry, Yale University School of Medicine, New Haven, Connecticut 06520, USA. carlos.grilo@yale.edu
authors: Carlos M
authors: CM
authors: Grilo
authors: Charles A
authors: CA
authors: Sanislow
authors: Andrew E
authors: AE
authors: Skodol
authors: John G
authors: JG
authors: Gunderson
authors: Robert L
authors: RL
authors: Stout
authors: Donna S
authors: DS
authors: Bender
authors: Shirley
authors: S
authors: Yen
authors: M Tracie
authors: MT
authors: Shea
authors: Les C
authors: LC
authors: Morey
authors: Mary C
authors: MC
authors: Zanarini
authors: Thomas H
authors: TH
authors: McGlashan
mesh_terms: D000328:Adult; D001883:Borderline Personality Disorder / Q000175:diagnosis* / Q000523:psychology; D039721:Diagnostic and Statistical Manual of Mental Disorders; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D011237:Predictive Value of Tests; D011446:Prospective Studies; D015203:Reproducibility of Results