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.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.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.doi http://dx.doi.org/10.3389/fpsyt.2022.1015489
- dc.identifier.issn 1664-0640
- dc.identifier.uri http://hdl.handle.net/10230/59877
- 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.accessRights info:eu-repo/semantics/openAccess
- dc.rights.uri http://creativecommons.org/licenses/by/4.0/
- 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.title Severity in the ICD-11 personality disorder model: Evaluation in a Spanish mixed sample
- dc.type info:eu-repo/semantics/article
- dc.type.version info:eu-repo/semantics/publishedVersion