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Severity in the ICD-11 personality disorder model

Evaluation in a Spanish mixed sample

Datos Bibliográficos

ID15518268
AutoresFernando Gutiérrez (0000-0002-6220-6181, Hospital Clínic de Barcelona, autor de correspondencia), Anton Aluja (0000-0002-7865-0287, Universitat de Lleida), Claudia Rodríguez (0009-0007-4764-3627, Hospital Clínic de Barcelona), Miguel Gárriz (0000-0002-0467-9490, Parc de Salut), Josep M Peri (Hospital Clínic de Barcelona), Salvador Gallart (Hospital Universitari de Santa Maria), Natàlia Calvo (0000-0002-6888-3781, Vall d'Hebron Hospital Universitari), Marc Ferrer (0000-0002-1283-8578, Vall d'Hebron Hospital Universitari), Alfonso Gutiérrez‐Zotes (0000-0002-4858-1487, Institut Pere Mata), Alfonso Gutiérrez-Zotes, Joaquim Soler (0000-0003-4962-4394, Hospital de Sant Pau), Juan Carlos Pascual (0000-0001-8039-9346, Hospital de Sant Pau)
Año2023
Volumen13
Páginas1015489-1015489
Fecha de publicación2023-01-09
Peer ReviewedSí
Open AccessSí
TipoARTICLE
RevistaFrontiers in Psychiatry (JOURNAL)
Identificadores de la revistaISSN: 1664-0640 • E-ISSN: 1664-0640
EditorialFrontiers Media (PUBLISHER • CH)
DOI10.3389/fpsyt.2022.1015489
PMID36699492
OpenAlexW4315491099
IdiomaEN
Citas recibidas3
Referencias citadas118

Severity is the main component of the ICD-11 personality disorder (PD) classification, but pertinent instruments have only recently been developed. We analyzed the psychometric properties of the ICD-11 Personality Disorder Severity scale (PDS-ICD-11) in a mixed sample of 726 community and clinical subjects. We also examined how the different components of the ICD-11 PD system -five trait domains, the borderline pattern specifier, and severity, all of them measured through self-reports- are interconnected and operate together. PDS-ICD-11 properties were adequate and similar to those of the original instrument. However, regressions and factor analyses showed a considerable overlap of severity with the five personality domains and the borderline specifier (72.6%). Bifactor modeling resulted in a general factor of PD (g-PD) that was not equivalent to severity nor improved criterion validity. The whole ICD-11 PD system, i.e., five personality domains, borderline, and severity, explained an average of 43.6% of variance of external measures of well-being, disability, and clinical problems, with severity contributing 4.8%. Suggestions to further improve the ICD-11 PD taxonomy include remodeling the present definition of severity to give more weight to the real-life consequences of traits

Big Five personality traits · Borderline personality disorder · DSM-5 · Personality · Personality Assessment Inventory · Personality disorders · Trait · Clinical Psychology · Mental Health and Psychiatry · Personality Disorders and Psychopathology · Personality Traits and Psychology · Psychology · Social Psychology

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Obras citantes distintas3
Citas por año3
Intervalo de citas2025 - 2026 (2)
Velocidad de citacióncurrent
Altamente citadoNo
Tipos de citaNeutras: 3
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