International Assessment of DSM-5 and ICD-11 Personality Disorder Traits: Toward a Common Nosology in DSM-5.1
Year: 2020
Type: article
Study design: Observational Study
Abstract: INTRODUCTION: The DSM-5 Alternative Model of Personality Disorders (AMPD) and the ICD-11 classification of personality disorders (PD) are largely commensurate and, when combined, they delineate 6 trait domains: negative affectivity, detachment, antagonism/dissociality, disinhibition, anankastia, and psychoticism. OBJECTIVE: The present study evaluated the international validity of a brief 36-item patient-report measure that portrays all 6 domains simultaneously including 18 primary subfacets. METHODS: We developed and employed a modified version of the Personality Inventory for DSM-5 - Brief Form Plus (PID5BF+). A total of 16,327 individuals were included, 2,347 of whom were patients. The expected 6-factor structure of facets was initially investigated in samples from Denmark (n = 584), Germany (n = 1,271), and the USA (n = 605) and subsequently replicated in both patient- and community samples from Italy, France, Switzerland, Belgium, Norway, Portugal, Spain, Poland, Czech Republic, the USA, and Brazil. Associations with interview-rated DSM-5 PD categories were also investigated. RESULTS: Findings generally supported the empirical soundness and international robustness of the 6 domains including meaningful associations with familiar interview-rated PD types. CONCLUSIONS: The modified PID5BF+ may be employed internationally by clinicians and researchers for brief and reliable assessment of the 6 combined DSM-5 and ICD-11 domains, including 18 primary subfacets. This 6-domain framework may inform a future nosology for DSM-5.1 that is more reasonably aligned with the authoritative ICD-11 codes than the current DSM-5 AMPD model. The 36-item modified PID5BF+ scoring key is provided in online supplementary Appendix A see www.karger.com/doi/10.1159/000507589 (for all online suppl. material).
Source: Psychopathology
DOI: 10.1159/000507589
Authors: Bo Bach, André Kerber, Anton Aluja, Tim Bastiaens, Jared W. Keeley, Laurence Claes, Andrea Fossati, Fernando Gutierrez, Sérgio E.S. Oliveira, Rute Pires, Karel D. Riegel, Jean-Pierre Rolland, Isabelle Roskam, Martin Sellbom, Antonella Somma, Lucas Spanemberg, Włodzimierz Strus, Jens C. Thimm, Aidan G.C. Wright, Johannes Zimmermann
Institutions: Region Zealand, Psychiatry Region Zealand, Freie Universität Berlin, Universitat de Lleida, Instituto de Investigación Biomédica de Lleida, KU Leuven, Virginia Commonwealth University, University of Antwerp, Vita-Salute San Raffaele University, Hospital Clínic de Barcelona, Universidade de Brasília, University of Lisbon, Centro de Investigação em Ciência Psicológica, Charles University, General University Hospital in Prague, Université Paris Nanterre, UCLouvain, University of Otago, Pontifícia Universidade Católica do Rio Grande do Sul, Cardinal Stefan Wyszynski University in Warsaw, UiT The Arctic University of Norway, University of Pittsburgh, University of Kassel
Language: English
Subfield: Clinical Psychology
Field: Psychology
Domain: Social Sciences
Open Access status: green
OpenAlex ID: W3021850351