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

oleh: Fernando Gutiérrez, Fernando Gutiérrez, Anton Aluja, Anton Aluja, Claudia Rodríguez, Miguel Gárriz, Josep M. Peri, Salvador Gallart, Natalia Calvo, Natalia Calvo, Natalia Calvo, Marc Ferrer, Marc Ferrer, Marc Ferrer, Alfonso Gutiérrez-Zotes, Alfonso Gutiérrez-Zotes, Alfonso Gutiérrez-Zotes, Joaquim Soler, Joaquim Soler, Juan Carlos Pascual, Juan Carlos Pascual

Format: Article
Diterbitkan: Frontiers Media S.A. 2023-01-01

Deskripsi

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.