Integration of the ICD-11 and DSM-5 dimensional systems for personality disorders into a unified taxonomy with non-overlapping traits
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- dc.contributor.author Gutiérrez, Fernando
- dc.contributor.author Peri, Josep M.
- dc.contributor.author Gárriz, Miguel
- dc.contributor.author Vall, Gemma
- dc.contributor.author Arqué, Estela
- dc.contributor.author Ruiz, Laura
- dc.contributor.author Condomines, Jaume
- dc.contributor.author Calvo, Natalia
- dc.contributor.author Ferrer, Marc
- dc.contributor.author Sureda, Bárbara
- dc.date.accessioned 2021-09-16T06:01:35Z
- dc.date.available 2021-09-16T06:01:35Z
- dc.date.issued 2021
- dc.description.abstract The promise of replacing the diagnostic categories of personality disorder with a better-grounded system has been only partially met. We still need to understand whether our main dimensional taxonomies, those of the International Classification of Diseases, 11th Revision (ICD-11) and the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5), are the same or different, and elucidate whether a unified structure is possible. We also need truly independent pathological domains, as they have shown unacceptable overlap so far. To inquire into these points, the Personality Inventory for DSM-5 (PID-5) and the Personality Inventory for ICD-11 (PiCD) were administered to 677 outpatients. Disattenuated correlation coefficients between 0.84 and 0.93 revealed that both systems share four analogous traits: negative affectivity, detachment, dissociality/antagonism, and disinhibition. These traits proved scalar equivalence too, such that scores in the two questionnaires are roughly interchangeable. These four domains plus psychoticism formed a theoretically consistent and well-fitted five-factor structure, but they overlapped considerably, thereby reducing discriminant validity. Only after the extraction of a general personality disorder factor (g-PD) through bifactor analysis, we could attain a comprehensive model bearing mutually independent traits.
- dc.format.mimetype application/pdf
- dc.identifier.citation Gutiérrez F, Peri JM, Gárriz M, Vall G, Arqué E, Ruiz L, Condomines J, Calvo N, Ferrer M, Sureda B. Integration of the ICD-11 and DSM-5 dimensional systems for personality disorders into a unified taxonomy with non-overlapping traits. Front Psychiatry. 2021;12:591934. DOI: 10.3389/fpsyt.2021.591934
- dc.identifier.doi http://dx.doi.org/10.3389/fpsyt.2021.591934
- dc.identifier.issn 1664-0640
- dc.identifier.uri http://hdl.handle.net/10230/48463
- dc.language.iso eng
- dc.publisher Frontiers
- dc.relation.ispartof Front Psychiatry. 2021;12:591934
- dc.rights © 2021 Gutiérrez, Peri, Gárriz, Vall, Arqué, Ruiz, Condomines, Calvo, Ferrer and Sureda. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). 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.accessRights info:eu-repo/semantics/openAccess
- dc.rights.uri http://creativecommons.org/licenses/by/4.0/
- dc.subject.keyword DSM-5
- dc.subject.keyword ICD-11
- dc.subject.keyword Discriminant validity
- dc.subject.keyword General factor
- dc.subject.keyword Personality disorders
- dc.title Integration of the ICD-11 and DSM-5 dimensional systems for personality disorders into a unified taxonomy with non-overlapping traits
- dc.type info:eu-repo/semantics/article
- dc.type.version info:eu-repo/semantics/publishedVersion