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A Cross-validation of US Findings

Jerome Kroll, MD; Kathleen Carey, RN, MS; Lloyd Sines, PhD; Martin Roth Sir, MD

Arch Gen Psychiatry. 1982;39(1):60-63.

Abstract
• This study extends the series of investigations of the borderline concept to a British inpatient population. It compares patients' ratings and diagnoses according to DSM-III, the International Classification of Diseases, ninth version (ICD-9), Gunderson's Diagnostic Interview for Borderlines (DIB), and Minnesota Multiphasic Personality Inventory data. A subpopulation of British inpatients was identified by DIB and DSM-III borderline criteria. All were given ICD-9 personality disorder diagnoses by their British consulting psychiatrists. The data support the concept of borderline personality disorder in the sense that there is a significant level of agreement between the DIB and DSM-III diagnoses, but the clinical and psychometric differentiation of borderline from other types of personality disorders, as well as the interrelationship between the borderline personality disorder and a concomitant depressive state, remain to be demonstrated before the validity of the borderline concept is established.

Author Affiliations
From the Department of Psychiatry, University of Minnesota Medical School, Minneapolis (Drs Kroll and Sines); and the Department of Psychiatry, University of Cambridge Clinical School, Cambridge, England (Dr Roth). Ms Carey is in private practice in St Paul.

Footnotes
Accepted for publication April 20, 1981.

Reprint requests to Department of Psychiatry, Box 393 Mayo, University of Minnesota Hospitals, 420 Delaware St SE, Minneapolis, MN 55455 (Dr Kroll).

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