1. International Assessment of DSM-5 and ICD-11 Personality Disorder Traits: Toward a Common Nosology in DSM-5.1
- Author
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Andrea Fossati, Włodzimierz Strus, Jens C. Thimm, Bo Bach, André Kerber, Aidan G. C. Wright, Lucas Spanemberg, Jean Pierre Rolland, Laurence Claes, Tim Bastiaens, Johannes Zimmermann, Fernando Gutiérrez, Antonella Somma, Anton Aluja, Karel D. Riegel, Jared W. Keeley, Martin Sellbom, Rute Pires, Sérgio Eduardo Silva de Oliveira, Isabelle Roskam, Bach, B., Kerber, A., Aluja, A., Bastiaens, T., Keeley, J. W., Claes, L., Fossati, A., Gutierrez, F., Oliveira, S. E. S., Pires, R., Riegel, K. D., Rolland, J. -P., Roskam, I., Sellbom, M., Somma, A., Spanemberg, L., Strus, Wl., Thimm, J. C., Wright, A. G. C., and Zimmermann, J.
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Male ,Nosology ,Personality Inventory ,Trait ,INVENTORY ,PsyArXiv|Social and Behavioral Sciences|Clinical Psychology|Diagnosis ,PsyArXiv|Social and Behavioral Sciences|Clinical Psychology ,DSM-5.1 ,bepress|Social and Behavioral Sciences|Psychology|Clinical Psychology ,0302 clinical medicine ,Diagnosis ,CRITERIA ,media_common ,Psychiatry ,PSYCHOPATHOLOGY ,Diagnostic and Statistical Manual of Mental Disorders ,Psychiatry and Mental health ,Clinical Psychology ,Female ,Personality Assessment Inventory ,Psychology ,Life Sciences & Biomedicine ,PsyArXiv|Social and Behavioral Sciences|Clinical Psychology|Personality Disorders ,Clinical psychology ,DOMAINS ,media_common.quotation_subject ,Personality Disorders ,DSM-5 ,CLASSIFICATION ,Negative affectivity ,03 medical and health sciences ,International Classification of Diseases ,ICD-11 ,Psychoticism ,medicine ,Humans ,bepress|Medicine and Health Sciences|Medical Specialties|Psychiatry ,Personality ,PID-5 ,Science & Technology ,SECTION II ,PsyArXiv|Social and Behavioral Sciences|Clinical Psychology|Assessment ,CLINICAL UTILITY ,medicine.disease ,Personality disorders ,030227 psychiatry ,MODEL ,PsyArXiv|Social and Behavioral Sciences ,Personality disorder classification ,PsyArXiv|Psychiatry ,bepress|Social and Behavioral Sciences ,MULTIDIMENSIONAL PERFECTIONISM ,Human medicine ,030217 neurology & neurosurgery - 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).
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- 2020