PMID- 33935831
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20230920
IS  - 1664-0640 (Print)
IS  - 1664-0640 (Electronic)
IS  - 1664-0640 (Linking)
VI  - 12
DP  - 2021
TI  - The Utility of ICD-11 and DSM-5 Traits for Differentiating Patients With 
      Personality Disorders From Other Clinical Groups.
PG  - 633882
LID - 10.3389/fpsyt.2021.633882 [doi]
LID - 633882
AB  - The ICD-11 Classification of Personality Disorders delineates five trait domain 
      qualifiers (i.e., negative affectivity, detachment, dissociality, disinhibition, 
      and anankastia), whereas the DSM-5 Alternative Model of Personality Disorders 
      also delineates a separate domain of psychoticism. These six combined traits not 
      only characterize individual stylistic features, but also the severity of their 
      maladaptive expressions. It was, therefore, the aim of this study to investigate 
      the utility of ICD-11 and DSM-5 trait domains to differentiate patients with 
      personality disorders (PD) from patients with other mental disorders (non-PD). 
      The Personality Inventory for DSM-5 Brief Form Plus (PID5BF+M) was administered 
      to a sample of patients diagnosed with a personality disorder (N = 124, M (age) = 
      42.21, 42.7% females) along with a sample of patients diagnosed with other mental 
      disorders (N = 335, M (age) = 44.83, 46.6% females). Group differences were 
      explored using the independent sample t test or the Mann-Whitney U test for 
      independent samples, and discriminant factor analysis was used to maximize group 
      differences for each trait domain and facet score. The PD group showed 
      significantly higher scores for the total PID5BF+M composite score, for the trait 
      domains of negative affectivity, antagonism/dissociality, and disinhibition and 
      for the trait facets of emotional lability, manipulativeness, deceitfulness, and 
      impulsivity. The trait domains of disinhibition, negative affectivity, and 
      antagonism/dissociality as well as the trait facets of impulsivity, 
      deceitfulness, emotional lability, and manipulativeness were the best 
      discriminators between PD and non-PD patients. The global PID5BF+M composite 
      score was also one of the best discriminators supporting its potential as a 
      global severity index for detecting personality dysfunction. Finally, high scores 
      in three or more of the 18 PID5BF+M facets suggested the possible presence of a 
      PD diagnosis. Despite some limitations, our findings suggest that the ICD-11 and 
      DSM-5 traits have the potential to specifically describe the stylistic features 
      that characterize individuals with PD, including the severity of their 
      maladaptive expressions.
CI  - Copyright (c) 2021 Pires, Henriques-Calado, Sousa Ferreira, Bach, Paulino, Gama 
      Marques, Ribeiro Moreira, Gracio and Goncalves.
FAU - Pires, Rute
AU  - Pires R
AD  - Faculdade de Psicologia, Universidade de Lisboa, Lisbon, Portugal.
AD  - CICPSI, Faculdade de Psicologia, Universidade de Lisboa, Lisbon, Portugal.
FAU - Henriques-Calado, Joana
AU  - Henriques-Calado J
AD  - Faculdade de Psicologia, Universidade de Lisboa, Lisbon, Portugal.
AD  - CICPSI, Faculdade de Psicologia, Universidade de Lisboa, Lisbon, Portugal.
FAU - Sousa Ferreira, Ana
AU  - Sousa Ferreira A
AD  - Faculdade de Psicologia, Universidade de Lisboa, Lisbon, Portugal.
AD  - Instituto Universitario de Lisboa - Business Research Unit (BRU-IUL), Lisbon, 
      Portugal.
FAU - Bach, Bo
AU  - Bach B
AD  - Center for Personality Disorder Research, Psychiatric Research Unit, Slagelse, 
      Denmark.
FAU - Paulino, Marco
AU  - Paulino M
AD  - Faculdade de Psicologia, Universidade de Lisboa, Lisbon, Portugal.
AD  - Faculdade de Medicina, Universidade de Lisboa, Lisbon, Portugal.
FAU - Gama Marques, Joao
AU  - Gama Marques J
AD  - Clinica de Psiquiatria Geral e Transcultural, Hospital Julio de Matos, Centro 
      Hospitalar Psiquiatrico de Lisboa, Lisbon, Portugal.
AD  - Clinica Universitaria de Psiquiatra e Psicologia Medica, Faculdade de Medicina, 
      Universidade de Lisboa, Lisbon, Portugal.
FAU - Ribeiro Moreira, Ana
AU  - Ribeiro Moreira A
AD  - Centro Hospitalar de Lisboa Ocidental, Hospital de Egas Moniz, Lisbon, Portugal.
FAU - Gracio, Jaime
AU  - Gracio J
AD  - Champalimaud Clinical Centre, Champalimaud Centre for the Unknown, Champalimaud 
      Foundation, Lisbon, Portugal.
AD  - Champalimaud Research, Champalimaud Centre for the Unknown, Champalimaud 
      Foundation, Lisbon, Portugal.
AD  - NOVA Medical School/Faculdade de Ciencias Medicas, Universidade Nova de Lisboa, 
      Lisbon, Portugal.
FAU - Goncalves, Bruno
AU  - Goncalves B
AD  - Faculdade de Psicologia, Universidade de Lisboa, Lisbon, Portugal.
AD  - CICPSI, Faculdade de Psicologia, Universidade de Lisboa, Lisbon, Portugal.
LA  - eng
PT  - Journal Article
DEP - 20210416
PL  - Switzerland
TA  - Front Psychiatry
JT  - Frontiers in psychiatry
JID - 101545006
PMC - PMC8085522
OTO - NOTNLM
OT  - DSM-5 alternative model for personality disorders
OT  - ICD-11 classification of personality disorders
OT  - PID5BF+M
OT  - personality disorders
OT  - personality traits
OT  - severity
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- 2021/05/04 06:00
MHDA- 2021/05/04 06:01
PMCR- 2021/04/16
CRDT- 2021/05/03 06:10
PHST- 2020/11/26 00:00 [received]
PHST- 2021/02/26 00:00 [accepted]
PHST- 2021/05/03 06:10 [entrez]
PHST- 2021/05/04 06:00 [pubmed]
PHST- 2021/05/04 06:01 [medline]
PHST- 2021/04/16 00:00 [pmc-release]
AID - 10.3389/fpsyt.2021.633882 [doi]
PST - epublish
SO  - Front Psychiatry. 2021 Apr 16;12:633882. doi: 10.3389/fpsyt.2021.633882. 
      eCollection 2021.