PMID- 33889093
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20210424
IS  - 1664-0640 (Print)
IS  - 1664-0640 (Electronic)
IS  - 1664-0640 (Linking)
VI  - 12
DP  - 2021
TI  - Integration of the ICD-11 and DSM-5 Dimensional Systems for Personality Disorders 
      Into a Unified Taxonomy With Non-overlapping Traits.
PG  - 591934
LID - 10.3389/fpsyt.2021.591934 [doi]
LID - 591934
AB  - 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.
CI  - Copyright (c) 2021 Gutierrez, Peri, Garriz, Vall, Arque, Ruiz, Condomines, Calvo, 
      Ferrer and Sureda.
FAU - Gutierrez, Fernando
AU  - Gutierrez F
AD  - Institute of Neuroscience, Hospital Clinic, Barcelona, Spain.
AD  - Institut d'Investigacions Biomediques August Pi Sunyer (IDIBAPS), Barcelona, 
      Spain.
FAU - Peri, Josep M
AU  - Peri JM
AD  - Institute of Neuroscience, Hospital Clinic, Barcelona, Spain.
FAU - Garriz, Miguel
AU  - Garriz M
AD  - Neuropsychiatry and Drug Addiction Institute, Parc de Salut Mar, Barcelona, 
      Spain.
FAU - Vall, Gemma
AU  - Vall G
AD  - Department of Psychiatry, Mental Health, and Addiction, GSS-Hospital Santa Maria, 
      Lleida, Spain.
AD  - Biomedical Research Institute, Lleida, Spain.
FAU - Arque, Estela
AU  - Arque E
AD  - La Coma Therapeutic Community, ATRA Group, Barcelona, Spain.
FAU - Ruiz, Laura
AU  - Ruiz L
AD  - La Coma Therapeutic Community, ATRA Group, Barcelona, Spain.
FAU - Condomines, Jaume
AU  - Condomines J
AD  - La Coma Therapeutic Community, ATRA Group, Barcelona, Spain.
FAU - Calvo, Natalia
AU  - Calvo N
AD  - Psychiatry Department, Vall d'Hebron University Hospital, Centro de Investigacion 
      Biomedica en Red de Salud Mental (CIBERSAM), Barcelona, Spain.
AD  - Psychiatry and Legal Medicine Department, Autonomous University of Barcelona, 
      Barcelona, Spain.
FAU - Ferrer, Marc
AU  - Ferrer M
AD  - Psychiatry Department, Vall d'Hebron University Hospital, Centro de Investigacion 
      Biomedica en Red de Salud Mental (CIBERSAM), Barcelona, Spain.
AD  - Psychiatry and Legal Medicine Department, Autonomous University of Barcelona, 
      Barcelona, Spain.
FAU - Sureda, Barbara
AU  - Sureda B
AD  - Institute of Neuroscience, Hospital Clinic, Barcelona, Spain.
LA  - eng
PT  - Journal Article
DEP - 20210406
PL  - Switzerland
TA  - Front Psychiatry
JT  - Frontiers in psychiatry
JID - 101545006
PMC - PMC8055818
OTO - NOTNLM
OT  - DSM-5
OT  - ICD-11
OT  - discriminant validity
OT  - general factor
OT  - personality disorders
COIS- The authors declare that the research was conducted in the absence of any 
      commercial or financial relationships that could be construed as a potential 
      conflict of interest.
EDAT- 2021/04/24 06:00
MHDA- 2021/04/24 06:01
PMCR- 2021/04/06
CRDT- 2021/04/23 06:24
PHST- 2020/08/05 00:00 [received]
PHST- 2021/02/26 00:00 [accepted]
PHST- 2021/04/23 06:24 [entrez]
PHST- 2021/04/24 06:00 [pubmed]
PHST- 2021/04/24 06:01 [medline]
PHST- 2021/04/06 00:00 [pmc-release]
AID - 10.3389/fpsyt.2021.591934 [doi]
PST - epublish
SO  - Front Psychiatry. 2021 Apr 6;12:591934. doi: 10.3389/fpsyt.2021.591934. 
      eCollection 2021.