PMID- 32583685
OWN - NLM
STAT- MEDLINE
DCOM- 20210728
LR  - 20210728
IS  - 1552-3489 (Electronic)
IS  - 1073-1911 (Print)
IS  - 1073-1911 (Linking)
VI  - 28
IP  - 3
DP  - 2021 Apr
TI  - Personality Disorders in the ICD-11: Spanish Validation of the PiCD and the SASPD 
      in a Mixed Community and Clinical Sample.
PG  - 759-772
LID - 10.1177/1073191120936357 [doi]
AB  - The International Classification of Diseases-11th revision (ICD-11) 
      classification of personality disorders is the official diagnostic system that is 
      used all over the world, and it has recently been renewed. However, as yet very 
      few data are available on its performance. This study examines the Personality 
      Inventory for ICD-11 (PiCD), which assesses the personality domains of the 
      system, and the Standardized Assessment of Severity of Personality Disorder 
      (SASPD), which determines severity. The Spanish versions of the questionnaires 
      were administered to a community (n = 2,522) and a clinical sample (n = 797). 
      Internal consistency was adequate in the PiCD (alpha = .75 to .84) but less so in the 
      SASPD (alpha = .64 and .73). Factor analyses suggested a unidimensional or 
      bidimensional structure for severity, while revealing that the personality trait 
      qualifiers are organized into four factors: negative affectivity, detachment, 
      dissociality, and a bipolar domain of disinhibition-anankastia. The mutual 
      relationships between traits and severity were analyzed, as well as the ability 
      of the whole system to identify clinical subjects. Although further improvements 
      are required, the results generally support the use of the PiCD and the SASPD and 
      help substantiate the new ICD-11 taxonomy that underlies them.
FAU - Gutierrez, Fernando
AU  - Gutierrez F
AUID- ORCID: 0000-0002-6662-1796
AD  - Hospital Clinic, Barcelona, Spain.
AD  - IDIBAPS, Barcelona, Spain.
FAU - Aluja, Anton
AU  - Aluja A
AUID- ORCID: 0000-0002-7865-0287
AD  - University of Lleida, Lleida, Spain.
AD  - Biomedical Research Institute of Lleida, Lleida, Spain.
FAU - Ruiz, Jose
AU  - Ruiz J
AUID- ORCID: 0000-0002-8694-6176
AD  - University of Barcelona, Barcelona, Spain.
FAU - Garcia, Luis F
AU  - Garcia LF
AD  - Biomedical Research Institute of Lleida, Lleida, Spain.
AD  - Autonomous University of Madrid, Madrid, Spain.
FAU - Garriz, Miguel
AU  - Garriz M
AUID- ORCID: 0000-0002-0467-9490
AD  - Institut de Neuropsiquiatria i Addiccions, Barcelona, Spain.
FAU - Gutierrez-Zotes, Alfonso
AU  - Gutierrez-Zotes A
AUID- ORCID: 0000-0002-4858-1487
AD  - IISPV-Universitat Rovira i Virgili, Reus, Spain.
FAU - Gallardo-Pujol, David
AU  - Gallardo-Pujol D
AD  - University of Barcelona, Barcelona, Spain.
AD  - Institute of Neurosciences, Barcelona, Spain.
FAU - Navarro-Haro, Maria V
AU  - Navarro-Haro MV
AUID- ORCID: 0000-0001-9726-3250
AD  - University of Zaragoza, Zaragoza, Spain.
AD  - Aragon Health Research Institute, Zaragoza, Spain.
FAU - Alabernia-Segura, Miquel
AU  - Alabernia-Segura M
AD  - University of Barcelona, Barcelona, Spain.
FAU - Mestre-Pinto, Joan Ignasi
AU  - Mestre-Pinto JI
AD  - IMIM Hospital del Mar Medical Research Institute, Barcelona, Spain.
AD  - Universitat Pompeu Fabra, Barcelona, Spain.
FAU - Torrens, Marta
AU  - Torrens M
AD  - IMIM Hospital del Mar Medical Research Institute, Barcelona, Spain.
AD  - Universitat Autonoma de Barcelona, Spain.
FAU - Peri, Josep M
AU  - Peri JM
AD  - Hospital Clinic, Barcelona, Spain.
FAU - Sureda, Barbara
AU  - Sureda B
AUID- ORCID: 0000-0001-8256-3613
AD  - Hospital Clinic, Barcelona, Spain.
FAU - Soler, Joaquim
AU  - Soler J
AD  - Universitat Autonoma de Barcelona, Spain.
AD  - Hospital de la Santa Creu i Sant Pau, Barcelona, Spain.
FAU - Pascual, Juan Carlos
AU  - Pascual JC
AD  - Universitat Autonoma de Barcelona, Spain.
AD  - Hospital de la Santa Creu i Sant Pau, Barcelona, Spain.
FAU - Vall, Gemma
AU  - Vall G
AD  - Biomedical Research Institute of Lleida, Lleida, Spain.
AD  - GSS-Hospital Santa Maria, Lleida, Spain.
FAU - Calvo, Natalia
AU  - Calvo N
AD  - Universitat Autonoma de Barcelona, Spain.
AD  - Vall d'Hebron University Hospital, Barcelona, Spain.
FAU - Ferrer, Marc
AU  - Ferrer M
AD  - Universitat Autonoma de Barcelona, Spain.
AD  - Vall d'Hebron University Hospital, Barcelona, Spain.
FAU - Oltmanns, Joshua R
AU  - Oltmanns JR
AD  - University of Kentucky, Lexington, KY, USA.
FAU - Widiger, Thomas A
AU  - Widiger TA
AD  - University of Kentucky, Lexington, KY, USA.
LA  - eng
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
DEP - 20200625
PL  - United States
TA  - Assessment
JT  - Assessment
JID - 9431219
SB  - IM
MH  - Diagnostic and Statistical Manual of Mental Disorders
MH  - Humans
MH  - *International Classification of Diseases
MH  - Personality
MH  - *Personality Disorders/diagnosis
MH  - Personality Inventory
PMC - PMC7961637
OTO - NOTNLM
OT  - ICD-11
OT  - PiCD
OT  - SASPD
OT  - personality disorder
OT  - personality pathology
OT  - severity
COIS- Declaration of Conflicting Interests: The author(s) declared no potential 
      conflicts of interest with respect to the research, authorship, and/or 
      publication of this article.
EDAT- 2020/06/26 06:00
MHDA- 2021/07/29 06:00
PMCR- 2021/03/16
CRDT- 2020/06/26 06:00
PHST- 2020/06/26 06:00 [pubmed]
PHST- 2021/07/29 06:00 [medline]
PHST- 2020/06/26 06:00 [entrez]
PHST- 2021/03/16 00:00 [pmc-release]
AID - 10.1177_1073191120936357 [pii]
AID - 10.1177/1073191120936357 [doi]
PST - ppublish
SO  - Assessment. 2021 Apr;28(3):759-772. doi: 10.1177/1073191120936357. Epub 2020 Jun 
      25.