ArticleBorderline personality disorder and emotion dysregulation2026
Psychometric properties of the Spanish structured interview of personality organization revised (STIPO-R) in a clinical and community sample.
Article in Borderline personality disorder and emotion dysregulation, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
backgroundThe diagnosis of personality disorders (PD) remains challenging in clinical practice. The Diagnostic and Statistical Manual of Mental Disorders reviewed (DSM-5-TR) proposes an alternative diagnostic hybrid model (AMPD), that emphasizes dimensional assessment of personality pathology, particularly severity of impairment in personality functioning (Criterion A), a construct conceptually derived from Kernberg’s model of personality organization (PO) but operationalized in a highly simplified form. However, few structured diagnostic interviews aligned with this framework are available in Spanish. The Structured Interview of Personality Organization–Revised (STIPO-R) provides a dimensional assessment of the original PO construct and may offer clinically valuable information beyond current Criterion A measures. The aim of the present study was to validate the Spanish version of the STIPO-R and to examine its reliability (internal consistency) and construct validity.
methodA cross-sectional study was carried out with a sample of 206 subjects distributed into two groups: a clinical group comprised 134 outpatient psychiatric patients diagnosed with PD who were administered both the SCID-II and the Spanish version of the STIPO-R. The control group comprised 72 subjects without a PD diagnosis in the preceding ten years to whom the Spanish STIPO-R was administered. Reliability (internal consistency) and four types of validity evidence were examined: criterion, content, structural and concurrent with the SCID-II.
resultsThe results confirmed that the Spanish STIPO-R has adequate reliability (internal consistency), and content, structural, criterion and concurrent validity. The CFA confirmed a six-factor solution consistent with the domain structure proposed in the original English version: (1) Identity, (2) Object relations, (3) Primitive defenses, (4) Advanced defenses, (5) Aggression and (6) Moral values.
conclusionsThe Spanish STIPO-R is empirically confirmed to be valid and reliable for assessing normal and pathological personality organization according to Kernberg’s full theoretical model; including Defense Mechanisms, absent from the AMPD, and Aggression and Moral values, only partially represented within its trait domains - thereby offering clinicians a more comprehensive assessment of personality pathology.
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