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International Assessment of DSM-5 and ICD-11 Personality Disorder Traits: Toward a Common Nosology in DSM-5.1

Title: International Assessment of DSM-5 and ICD-11 Personality Disorder Traits: Toward a Common Nosology in DSM-5.1
Authors: Bach, Bo; Kerber, André; Aluja Fabregat, Antón; Bastiaens, Tim; Keeley, Jared W.; Claes, Laurance; Fossati, Andrea; Gutiérrez, Fernando; Oliveira, Sérgio E. S.; Pires, Rute; Riegel, Karel D.; Rolland, Jean-Pierre; Roskam, Isabelle; Sellbom, Martin; Somma, Antonella; Spanemberg, Lucas; Strus, Włodzimierz; Thimm, Jens C.; Wright, Aidan G. C.; Zimmermann, Johannes
Publisher Information: Karger Publishers
Publication Year: 2020
Collection: Universitat de Lleida: Repositori Obert UdL
Subject Terms: ICD-11; DSM-5.1; Personality disorder classification; Trait; Diagnosis
Description: 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 six 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 six 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+). The expected 6-factor structure of facets was initially investigated in samples from Denmark (n = 584), Germany (n = 1,271), and the U.S. (n = 605), and was subsequently replicated in samples from Italy, France, Switzerland, Belgium, Norway, Portugal, Spain, Poland, Czech Republic, U.S., and Brazil (both patient- and community samples were used). Associations with interview-rated DSM-5 PD categories were also investigated. Results: Findings generally supported the empirical soundness and international robustness of the six 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 six combined DSM-5 and ICD-11 domains, including 18 primary subfacets. This six-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 supplemental Appendix A.
Document Type: article in journal/newspaper
File Description: application/pdf
Language: English
Relation: Versió preprint del document publicat a: https://doi.org/10.1159/000507589; Psychopathology, 2020, vol. 53, num. 3-4, p. 179-188; https://doi.org/10.1159/000507589; https://hdl.handle.net/10459.1/69756
DOI: 10.1159/000507589
Availability: https://hdl.handle.net/10459.1/69756; https://doi.org/10.1159/000507589
Rights: (c) Karger Publishers, 2020 ; info:eu-repo/semantics/openAccess
Accession Number: edsbas.93D0A8E5
Database: BASE