PMID- 37748238
OWN - NLM
STAT- MEDLINE
DCOM- 20231023
LR  - 20231025
IS  - 1872-7123 (Electronic)
IS  - 0165-1781 (Linking)
VI  - 328
DP  - 2023 Oct
TI  - ICD-11 personality disorder features in the danish general population: Cut-offs 
      and prevalence rates for severity levels.
PG  - 115484
LID - S0165-1781(23)00434-1 [pii]
LID - 10.1016/j.psychres.2023.115484 [doi]
AB  - INTRODUCTION: Prevalence rates and correlates of personality disorders (PD) are 
      relevant to health care policy and planning. OBJECTIVES: To present normative 
      data for self-reported ICD-11 personality disorder (PD) features including 
      tentative cut-off scores and prevalence rates for severity levels along with 
      psychosocial correlates. METHODS: The Personality Disorder Severity ICD-11 
      (PDS-ICD-11) scale and criterion measures of impairment were administered to a 
      social-demographically stratified sample of Danish citizens (N = 8,941) of which 
      3,044 delivered complete data. Item-Response Theory (IRT) was employed to 
      indicate cut-offs based on standard deviations from the latent mean. RESULTS: The 
      unidimensionality of the PDS-ICD-11 score was supported and IRT analysis 
      suggested norm-based thresholds at latent severity levels. Expected associations 
      with criterion measures were found. CONCLUSION: The normative data portray ICD-11 
      PD features in the general population and allow for interpretation of PDS-ICD-11 
      scores (e.g., scores of 12, 16, and 19 may indicate mild, moderate, and severe 
      dysfunction), which may inform health care policy and planning. A total weighted 
      prevalence of 6.9 % of the Danish general population is estimated to have 
      clinically significant personality dysfunction, proportionally composed of Mild 
      (4.8 %), Moderate (1.2 %), and Severe (0.9 %) levels. Future research should 
      corroborate these findings using relevant clinical samples and methods.
CI  - Copyright (c) 2023 The Author(s). Published by Elsevier B.V. All rights reserved.
FAU - Bach, Bo
AU  - Bach B
AD  - Psychiatric Research Unit, Center for Personality Disorder Research, Region 
      Zealand, Denmark; University of Copenhagen, Denmark. Electronic address: 
      bbpn@regionsjaelland.dk.
FAU - Simonsen, Erik
AU  - Simonsen E
AD  - Psychiatric Research Unit, Center for Personality Disorder Research, Region 
      Zealand, Denmark; University of Copenhagen, Denmark.
FAU - Kongerslev, Mickey T
AU  - Kongerslev MT
AD  - Psychiatric Research Unit, Center for Personality Disorder Research, Region 
      Zealand, Denmark; University of Southern Denmark, Odense, Denmark.
FAU - Bo, Sune
AU  - Bo S
AD  - University of Copenhagen, Denmark; Mental Health Services, Region Southern 
      Denmark, Svendborg, Denmark.
FAU - Hastrup, Lene H
AU  - Hastrup LH
AD  - Psychiatric Research Unit, Center for Personality Disorder Research, Region 
      Zealand, Denmark; University of Southern Denmark, Odense, Denmark.
FAU - Simonsen, Sebastian
AU  - Simonsen S
AD  - University of Copenhagen, Denmark; Stolpegaard Psychotherapy Centre, Capital 
      Region, Denmark.
FAU - Sellbom, Martin
AU  - Sellbom M
AD  - University of Otago, Dunedin, New Zealand.
LA  - eng
PT  - Journal Article
DEP - 20230917
PL  - Ireland
TA  - Psychiatry Res
JT  - Psychiatry research
JID - 7911385
SB  - IM
MH  - Humans
MH  - Prevalence
MH  - *International Classification of Diseases
MH  - *Personality Disorders/diagnosis/epidemiology/psychology
MH  - Self Report
MH  - Personality
MH  - Denmark/epidemiology
OTO - NOTNLM
OT  - Functioning
OT  - General population
OT  - ICD-11
OT  - Impairment
OT  - Norms
OT  - Personality disorder
OT  - Severity
COIS- Declaration of Competing Interest None.
EDAT- 2023/09/26 00:42
MHDA- 2023/10/23 01:18
CRDT- 2023/09/25 18:01
PHST- 2023/07/22 00:00 [received]
PHST- 2023/09/13 00:00 [revised]
PHST- 2023/09/14 00:00 [accepted]
PHST- 2023/10/23 01:18 [medline]
PHST- 2023/09/26 00:42 [pubmed]
PHST- 2023/09/25 18:01 [entrez]
AID - S0165-1781(23)00434-1 [pii]
AID - 10.1016/j.psychres.2023.115484 [doi]
PST - ppublish
SO  - Psychiatry Res. 2023 Oct;328:115484. doi: 10.1016/j.psychres.2023.115484. Epub 
      2023 Sep 17.