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. LevināAspenson , Shereen Khoo , Kasey Stanton  , Brittany M King , Mark Zimmerman
|
Journal Info |
Guilford Press | Journal of Personality Disorders , vol: 37
, iss: 3
, pages: 317 - 336
|
Publication Date |
6/1/2023 |
ISSN |
0885-579X |
Type |
article |
Open Access |
closed
|
DOI |
https://doi.org/10.1521/pedi.2023.37.3.317 |
Keywords |
DSM-5 (Score: 0.546136) , Diagnostic Classification (Score: 0.511508)
|