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Originalia

Konstruktion eines störungsspezifischen Instruments zur Erfassung der Impulsivität der Borderline-Persönlichkeitsstörung

Published Online:November 26, 2007https://doi.org/10.1026/1616-3443.36.4.290

Abstract

Zusammenfassung.Theoretischer Hintergrund: Impulsivität ist eines der zentralen Merkmale der Borderline-Persönlichkeitsstörung (BPS), das in der Behandlung als eines der ersten Ziele fokussiert wird. Bislang fehlt ein störungsorientiertes Selbstbeurteilungsinstrument, das impulsives Verhalten reliabel, valide und ökonomisch erfasst. Fragestellung: Welche Gütekriterien weist die Skala zur Erfassung der Impulsivität (IS-27) auf? Methode: Nach Voranalysen wurden 27 Items ausgewählt, die einer diagnostisch heterogenen Stichprobe (n1 = 115) und einer Stichprobe mit Patienten mit BPS (n2 = 149) zusammen mit anderen Selbstbeurteilungsinstrumenten vorgelegt wurden. Ergebnisse: Nach der Hauptkomponentenanalyse wird eine Ein-Faktor-Lösung favorisiert. Die Interne Konsistenz wie die Guttmans Split-Half-Koeffizienten betrugen über 0,92. Die IS-27 korreliert mit den Validierungsinstrumenten und diskriminiert zwischen Diagnosegruppen. Schlussfolgerungen: Mit der IS-27 liegt ein Verfahren mit guten teststatischen Kennwerten vor, das Impulsivität als verhaltensnahes Merkmal der BPS erheben kann. Das Verfahren sollte bezüglich seiner Veränderungssensitivität zukünftig untersucht werden.


Contruction of a disorder-related instrument to measure impulsivity of borderline personality disorder

Abstract.Background: Impulsivity is one of the core features of borderline personality disorder (BPD), and is one of the first targets to be focused on in treatment. However, no valid, reliable, and economic self-report inventory is available to measure disorder-related impulsive behavior. Objective: To investigate the psychometric properties of the Impulse Scale (IS-27). Method: 27 items were selected in preliminary analyses and given, along with other self-reports, to a diagnostically heterogeneous sample (n1 = 115) and a sample of individuals with BPD (n2 = 149). Results: In a principal component analysis, a single-factor solution was favored. Internal Consistency and Guttmans split-half-coefficients are above 0.92. The IS-27 has good convergent validity and discriminates between diagnostic groups. Conclusions: The IS-27 has shown good psychometric properties and can be used to measure impulsivity as a behavioral component of BPD. Further testing is required to determine its sensitivity to change.

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