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: Jaiyant Cavale, Dweep Chand Singh, Lata Hemchand
Format: Article
Language:English
Published: MRE Press 2024-12-01
Series:Journal of Men's Health
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Online Access:https://oss.jomh.org/files/article/20241230-450/pdf/JOMH2024021301.pdf
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author Jaiyant Cavale
Dweep Chand Singh
Lata Hemchand
author_facet Jaiyant Cavale
Dweep Chand Singh
Lata Hemchand
author_sort Jaiyant Cavale
collection DOAJ
description 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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spelling doaj-art-7d9c1c955cf740b9834892efd3b1b70a2025-01-03T08:41:59ZengMRE PressJournal of Men's Health1875-68671875-68592024-12-0120129210510.22514/jomh.2024.204S1875-6867(24)00312-9Comparison of two screening tools for borderline personality disorder (BSL-23 and MSI-BPD) among Indian gay, bisexual, and heterosexual menJaiyant Cavale0https://orcid.org/0000-0002-4198-0661Dweep Chand Singh1https://orcid.org/0000-0002-0326-9406Lata Hemchand2https://orcid.org/0000-0002-6902-3046AIBHAS, Amity University Uttar Pradesh, 201301 Noida, IndiaAIBHAS, Greater Noida Campus, Amity University Uttar Pradesh, 201308 Greater Noida, IndiaConsultant Clinical Psychologist, Richmond Fellowship Society, 560041 Bangalore, IndiaMen 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.https://oss.jomh.org/files/article/20241230-450/pdf/JOMH2024021301.pdfborderline personality disordersexual orientation concealmentminority stressminority stressorssexual orientationhomosexualitybisexualitygaybisexual
spellingShingle Jaiyant Cavale
Dweep Chand Singh
Lata Hemchand
Comparison of two screening tools for borderline personality disorder (BSL-23 and MSI-BPD) among Indian gay, bisexual, and heterosexual men
Journal of Men's Health
borderline personality disorder
sexual orientation concealment
minority stress
minority stressors
sexual orientation
homosexuality
bisexuality
gay
bisexual
title Comparison of two screening tools for borderline personality disorder (BSL-23 and MSI-BPD) among Indian gay, bisexual, and heterosexual men
title_full Comparison of two screening tools for borderline personality disorder (BSL-23 and MSI-BPD) among Indian gay, bisexual, and heterosexual men
title_fullStr Comparison of two screening tools for borderline personality disorder (BSL-23 and MSI-BPD) among Indian gay, bisexual, and heterosexual men
title_full_unstemmed Comparison of two screening tools for borderline personality disorder (BSL-23 and MSI-BPD) among Indian gay, bisexual, and heterosexual men
title_short Comparison of two screening tools for borderline personality disorder (BSL-23 and MSI-BPD) among Indian gay, bisexual, and heterosexual men
title_sort comparison of two screening tools for borderline personality disorder bsl 23 and msi bpd among indian gay bisexual and heterosexual men
topic borderline personality disorder
sexual orientation concealment
minority stress
minority stressors
sexual orientation
homosexuality
bisexuality
gay
bisexual
url https://oss.jomh.org/files/article/20241230-450/pdf/JOMH2024021301.pdf
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