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Severity in the ICD-11 personality disorder model: Evaluation in a Spanish mixed sample

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dc.contributor.author Gutiérrez, Fernando
dc.contributor.author Aluja, Antón
dc.contributor.author Rodríguez, Claudia
dc.contributor.author Gárriz, Miguel
dc.contributor.author Peri, Josep M.
dc.contributor.author Gallart, Salvador
dc.contributor.author Calvo, Natalia
dc.contributor.author Ferrer, Marc
dc.contributor.author Gutierrez-Zotes, Alfonso
dc.contributor.author Soler, Joaquim
dc.contributor.author Pascual, Juan Carlos
dc.date.accessioned 2024-04-24T06:42:25Z
dc.date.available 2024-04-24T06:42:25Z
dc.date.issued 2023
dc.identifier.citation Gutiérrez F, Aluja A, Rodríguez C, Gárriz M, Peri JM, Gallart S, et al. Severity in the ICD-11 personality disorder model: Evaluation in a Spanish mixed sample. Front Psychiatry. 2023 Jan 9;13:1015489. DOI: 10.3389/fpsyt.2022.1015489
dc.identifier.issn 1664-0640
dc.identifier.uri http://hdl.handle.net/10230/59877
dc.description.abstract 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.
dc.format.mimetype application/pdf
dc.language.iso eng
dc.publisher Frontiers
dc.relation.ispartof Front Psychiatry. 2023 Jan 9;13:1015489
dc.rights © 2023 Gutiérrez, Aluja, Rodríguez, Gárriz, Peri, Gallart, Calvo, Ferrer, Gutiérrez-Zotes, Soler and Pascual. This is an open-access article distributed under the terms of the Creative Commons Attribution (CC BY) License (http://creativecommons.org/licenses/by/4.0/). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
dc.rights.uri http://creativecommons.org/licenses/by/4.0/
dc.title Severity in the ICD-11 personality disorder model: Evaluation in a Spanish mixed sample
dc.type info:eu-repo/semantics/article
dc.identifier.doi http://dx.doi.org/10.3389/fpsyt.2022.1015489
dc.subject.keyword ICD-11
dc.subject.keyword PDS-ICD-11
dc.subject.keyword Personality disorder
dc.subject.keyword Personality pathology
dc.subject.keyword Severity
dc.rights.accessRights info:eu-repo/semantics/openAccess
dc.type.version info:eu-repo/semantics/publishedVersion

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