Understanding the heterogeneity of bpd symptoms through latent class analysis

initial results and clinical correlates among inner-city substance users

Marina A. Bornovalova, Roy Levy, Kim L. Gratz, C. W. Lejuez

Research output: Contribution to journalArticle

28 Citations (Scopus)

Abstract

The current study investigated the heterogeneity of borderline personality disorder (BPD) symptoms in a sample of 382 inner-city, predominantly African American male substance users through the use of latent class analysis. A 4-class model was statistically preferred, with 1 class interpreted to be a baseline class, 1 class interpreted to be a high-BPD class, and 2 classes interpreted as intermediate classes. As a secondary goal, we examined the resulting BPD classes with respect to relevant clinical correlates, including temperamental vulnerabilities (affective instability, impulsivity, and interpersonal instability), childhood emotional abuse, drug choice, and co-occurring mood and anxiety disorders. The high-BPD class evidenced the highest levels of the temperamental vulnerabilities and environmental stressors, the baseline class evidenced the lowest levels, and the 2 intermediate classes fell in between. In addition, the high-BPD class had a higher probability of cocaine and alcohol dependence, as well as mood and anxiety disorders, than did the baseline class. Rates of alcohol use and mood disorders for the intermediate classes fell in between the high-BPD and the baseline classes. Results are discussed in relation to the current diagnostic conceptualization of BPD.

Original languageEnglish (US)
Pages (from-to)233-245
Number of pages13
JournalPsychological Assessment
Volume22
Issue number2
DOIs
StatePublished - Jun 2010

Fingerprint

Borderline Personality Disorder
Mood Disorders
Anxiety Disorders
Cocaine-Related Disorders
Impulsive Behavior
African Americans
Alcoholism
Substance-Related Disorders
Alcohols

Keywords

  • Borderline personality disorder
  • Diagnostic heterogeneity
  • Inner-city substance users
  • Latent class analysis

ASJC Scopus subject areas

  • Psychiatry and Mental health
  • Clinical Psychology

Cite this

Understanding the heterogeneity of bpd symptoms through latent class analysis : initial results and clinical correlates among inner-city substance users. / Bornovalova, Marina A.; Levy, Roy; Gratz, Kim L.; Lejuez, C. W.

In: Psychological Assessment, Vol. 22, No. 2, 06.2010, p. 233-245.

Research output: Contribution to journalArticle

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