PMID- 36937719 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20231102 IS - 1664-0640 (Print) IS - 1664-0640 (Electronic) IS - 1664-0640 (Linking) VI - 14 DP - 2023 TI - Bridging the ICD11 and the DSM-5 personality disorders classification systems: The role of the PID5BF + M. PG - 1004895 LID - 10.3389/fpsyt.2023.1004895 [doi] LID - 1004895 AB - INTRODUCTION: In both the ICD-11 Classification of Personality Disorders and the DSM-5 Alternative Model of Personality Disorders (AMPD) personality disorders (PD) are characterized by impairments in self- and interpersonal functioning which distinguish the various levels of dysfunction. Moreover, pathological traits are used by these classification systems to define the stylistic expression of personality dysfunction. Negative affectivity, detachment, antagonism/dissociality, and disinhibition feature as trait domains in each of these models. However, there are also differences between the two models, namely, in the psychoticism domain, which does not feature as a personality trait domain in the ICD-11, and in the anankastia domain, corresponding to compulsivity in the DSM-5, which was removed from the final AMPD model. Furthermore, facets are acknowledged by the DSM-5 within each trait domain, while this does not occur in the ICD-11. In view of the similarity between these classification systems, their harmonization would be beneficial for the clinical profession. With this goal in mind, the PID5BF + M, an algorithm that assesses the DSM-5 and ICD-11 six trait domains and 18 facets, was developed and has proven to adequately characterize the ICD-11 trait domains by means of DSM-5 trait facets. METHODS: The current study compares a community sample (N = 280, M (age) = 48.01, 53.2% females) with a PD sample (N = 131, M (age) = 42.66, 45.0% females) along with the PID5BF + M, the LPFS-SR and the PID-5. Given that the PID5BF + M total can be seen as a measure of the level of personality dysfunction, strong relations between the PID5BF + M total and the LPFS-SR total are expected. Strong relations between the trait specifiers measured by the PID5BF + M and the PID-5 are also expected. Finally, the community and clinical samples are expected to differentiate by means of the dimensions assessed through the three afore-mentioned measures. The Spearman rank-order correlation coefficient was used to measure the strength and direction of associations between the PID5BF + M total and the LPFS-SR total and between the PID5BF + M and the PID-5 traits. Group differences were explored using the Mann-Whitney U test for independent samples. RESULTS: As expected, there were strong, significant, and positive relations between the measures. Furthermore, higher scores were observed in all the variables for the PD group against the community group. DISCUSSION: Although this study has limitations, its findings sustain that the PID5BF + M has potential to assess the severity of personality disfunction and to characterize the stylistic features of PD as they are conceived by both the ICD-11 and the DSM-5. Although more research is needed regarding the convergent validity of the PID5BF + M, this new test contributes to the harmonization of both systems and to parsimony in the assessment of PD, which is the main objective of clinical practice. CI - Copyright (c) 2023 Pires, Henriques-Calado, Sousa Ferreira, Gama Marques, Ribeiro Moreira, Barata, Paulino and Goncalves. FAU - Pires, Rute AU - Pires R AD - Faculdade de Psicologia, Universidade de Lisboa, Alameda da Universidade, Lisbon, Portugal. AD - CICPSI, Faculdade de Psicologia, Universidade de Lisboa, Alameda da Universidade, Lisbon, Portugal. FAU - Henriques-Calado, Joana AU - Henriques-Calado J AD - Faculdade de Psicologia, Universidade de Lisboa, Alameda da Universidade, Lisbon, Portugal. AD - CICPSI, Faculdade de Psicologia, Universidade de Lisboa, Alameda da Universidade, Lisbon, Portugal. FAU - Sousa Ferreira, Ana AU - Sousa Ferreira A AD - Faculdade de Psicologia, Universidade de Lisboa, Alameda da Universidade, Lisbon, Portugal. AD - Instituto Universitario de Lisboa - Business Research Unit (BRU-IUL), Lisbon, Portugal. FAU - Gama Marques, Joao AU - Gama Marques J AD - Clinica Universitaria de Psiquiatria e Psicologia Medica, Faculdade de Medicina, Universidade de Lisboa, Avenida Professor Egas Moniz, Lisbon, Portugal. AD - Consulta de Esquizofrenia Resistente, Hospital Julio de Matos, Centro Hospitalar Psiquiatrico 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 - Barata, Bernardo C AU - Barata BC AD - Departamento de Psiquiatria e Saude Mental, Centro Hospitalar Barreiro Montijo, Av. Movimento das Forcas Armadas, Barreiro, Portugal. FAU - Paulino, Marco AU - Paulino M AD - Faculdade de Psicologia, Universidade de Lisboa, Alameda da Universidade, Lisbon, Portugal. AD - Clinica Universitaria de Psiquiatria e Psicologia Medica, Faculdade de Medicina, Universidade de Lisboa, Avenida Professor Egas Moniz, Lisbon, Portugal. FAU - Goncalves, Bruno AU - Goncalves B AD - Faculdade de Psicologia, Universidade de Lisboa, Alameda da Universidade, Lisbon, Portugal. AD - CICPSI, Faculdade de Psicologia, Universidade de Lisboa, Alameda da Universidade, Lisbon, Portugal. LA - eng PT - Journal Article DEP - 20230302 PL - Switzerland TA - Front Psychiatry JT - Frontiers in psychiatry JID - 101545006 PMC - PMC10017429 OTO - NOTNLM OT - DSM-5 Alternative Model of Personality Disorders OT - ICD-11 Classification of Personality Disorders OT - LPFS-SR OT - PID-5 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- 2023/03/21 06:00 MHDA- 2023/03/21 06:01 PMCR- 2023/03/02 CRDT- 2023/03/20 04:08 PHST- 2022/07/27 00:00 [received] PHST- 2023/02/06 00:00 [accepted] PHST- 2023/03/20 04:08 [entrez] PHST- 2023/03/21 06:00 [pubmed] PHST- 2023/03/21 06:01 [medline] PHST- 2023/03/02 00:00 [pmc-release] AID - 10.3389/fpsyt.2023.1004895 [doi] PST - epublish SO - Front Psychiatry. 2023 Mar 2;14:1004895. doi: 10.3389/fpsyt.2023.1004895. eCollection 2023.