Comparison of two screening tools for borderline personality disorder (BSL-23 and MSI-BPD) among Indian gay, bisexual, and heterosexual men
Men are underrepresented among those diagnosed with borderline personality disorder (BPD). Paradoxically, gay and bisexual men are overrepresented among BPD-diagnosed individuals. This study compared McLean Screening Instrument for Borderline Personality Disorder (MSI-BPD) and Borderline Symptom...
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| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
| Published: |
MRE Press
2024-12-01
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| Series: | Journal of Men's Health |
| Subjects: | |
| Online Access: | https://oss.jomh.org/files/article/20241230-450/pdf/JOMH2024021301.pdf |
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| Summary: | Men are underrepresented among those diagnosed with borderline personality
disorder (BPD). Paradoxically, gay and bisexual men are overrepresented among
BPD-diagnosed individuals. This study compared McLean Screening Instrument for
Borderline Personality Disorder (MSI-BPD) and Borderline Symptom List (BSL-23),
two popular BPD screening tools, among Indian men, in the context of sexual
orientation concealment (SOC) among gay and bisexual men, and dysfunctional
behaviors (DBs) and the quality of overall personal state (QOPS) in general. The
sample consisted of 45 gay, 43 bisexual and 28 heterosexual men (n = 116) without
gender dysphoria aged between 21 and 45. Tools used to evaluate the participants
included questions related to sociodemographic variables, MSI-BPD, BSL-23 and the
Minority Stress Scale. MSI-BPD and BSL-23 were positively correlated with each
other among all the three groups. MSI-BPD was not associated with age, years of
education, sexual orientation, or SOC among any of the groups. BSL-23 was
negatively correlated with age among gay men. Gay and bisexual men had higher
median MSI-BPD scores than heterosexual men, whereas only gay men had a higher
median BSL-23 score. Bisexual men had a higher level of SOC than gay men.
Education and QOPS were not associated with SOC among gay and bisexual men. Age
was positively correlated with SOC among bisexual men, and DBs were negatively
correlated with SOC among gay men. There were no differences in DBs or QOPS among
the three groups. MSI-BPD is a short and convenient tool to screen men for BPD
regardless of their age, education, sexual orientation, or SOC in both clinical
and research settings. BSL-23 can be used among men regardless of their sexual
orientation as an initial BPD screening tool in clinical settings. Both the tools
must be validated among larger samples in India, and translated into regional
languages to ensure sociocultural suitability. |
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| ISSN: | 1875-6867 1875-6859 |