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A Bridge Between DSM-5 Section II Personality Disorder Criteria and ICD-11 Personality Disorder Trait Domains


Abstract The organization of personality pathology into trait domains (vs. specific disorders) in ICD-11 represents an important shift in personality disorder (PD) nosology. However, to facilitate clinical implementation, a bridge is needed between this system and the DSM-5 Section II system familiar to many researchers and clinicians. In this study, individual DSM-5 PD criteria were assigned to ICD-11 trait domains based on the published Clinical Descriptions and Diagnostic Requirements. This scoring scheme was examined empirically alongside DSM-5 PD dimensions (using SIDP ratings from the MIDAS project; N = 2,147 outpatients) in terms of descriptive properties and relations with psychosocial morbidity and functioning. Most PD criteria could be matched to at least one ICD-11 trait domain, indicating considerable cross-system continuity. However, points of incongruity are noteworthy for research and clinical applications. Results provide key information for bridging categorical and dimensional frameworks, indicating that the shift toward trait-based PD models need not be as disruptive as feared.
Authors Holly F. Levinā€Aspenson ORCID , Shereen Khoo ORCID , Kasey Stanton University of WyomingORCID , Brittany M King , Mark Zimmerman ORCID
Journal Info Guilford Press | Journal of Personality Disorders , vol: 37 , iss: 3 , pages: 317 - 336
Publication Date 6/1/2023
ISSN 0885-579X
TypeKeyword Image article
Open Access closed Closed Access
DOI https://doi.org/10.1521/pedi.2023.37.3.317
KeywordsKeyword Image DSM-5 (Score: 0.546136) , Diagnostic Classification (Score: 0.511508)