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

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 s...

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Autores principales: Gutiérrez, Fernando, Aluja, Anton, Rodríguez, Claudia, Gárriz, Miguel, Peri, Josep M., Gallart, Salvador, Calvo, Natalia, Ferrer, Marc, Gutiérrez-Zotes, Alfonso, Soler, Joaquim, Pascual, Juan Carlos
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9868964/
https://www.ncbi.nlm.nih.gov/pubmed/36699492
http://dx.doi.org/10.3389/fpsyt.2022.1015489
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author Gutiérrez, Fernando
Aluja, Anton
Rodríguez, Claudia
Gárriz, Miguel
Peri, Josep M.
Gallart, Salvador
Calvo, Natalia
Ferrer, Marc
Gutiérrez-Zotes, Alfonso
Soler, Joaquim
Pascual, Juan Carlos
author_facet Gutiérrez, Fernando
Aluja, Anton
Rodríguez, Claudia
Gárriz, Miguel
Peri, Josep M.
Gallart, Salvador
Calvo, Natalia
Ferrer, Marc
Gutiérrez-Zotes, Alfonso
Soler, Joaquim
Pascual, Juan Carlos
author_sort Gutiérrez, Fernando
collection PubMed
description 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.
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spelling pubmed-98689642023-01-24 Severity in the ICD-11 personality disorder model: Evaluation in a Spanish mixed sample Gutiérrez, Fernando Aluja, Anton Rodríguez, Claudia Gárriz, Miguel Peri, Josep M. Gallart, Salvador Calvo, Natalia Ferrer, Marc Gutiérrez-Zotes, Alfonso Soler, Joaquim Pascual, Juan Carlos Front Psychiatry Psychiatry 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. Frontiers Media S.A. 2023-01-09 /pmc/articles/PMC9868964/ /pubmed/36699492 http://dx.doi.org/10.3389/fpsyt.2022.1015489 Text en Copyright © 2023 Gutiérrez, Aluja, Rodríguez, Gárriz, Peri, Gallart, Calvo, Ferrer, Gutiérrez-Zotes, Soler and Pascual. https://creativecommons.org/licenses/by/4.0/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.
spellingShingle Psychiatry
Gutiérrez, Fernando
Aluja, Anton
Rodríguez, Claudia
Gárriz, Miguel
Peri, Josep M.
Gallart, Salvador
Calvo, Natalia
Ferrer, Marc
Gutiérrez-Zotes, Alfonso
Soler, Joaquim
Pascual, Juan Carlos
Severity in the ICD-11 personality disorder model: Evaluation in a Spanish mixed sample
title Severity in the ICD-11 personality disorder model: Evaluation in a Spanish mixed sample
title_full Severity in the ICD-11 personality disorder model: Evaluation in a Spanish mixed sample
title_fullStr Severity in the ICD-11 personality disorder model: Evaluation in a Spanish mixed sample
title_full_unstemmed Severity in the ICD-11 personality disorder model: Evaluation in a Spanish mixed sample
title_short Severity in the ICD-11 personality disorder model: Evaluation in a Spanish mixed sample
title_sort severity in the icd-11 personality disorder model: evaluation in a spanish mixed sample
topic Psychiatry
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9868964/
https://www.ncbi.nlm.nih.gov/pubmed/36699492
http://dx.doi.org/10.3389/fpsyt.2022.1015489
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