Severity in the ICD-11 personality disorder model: Evaluation in a Spanish mixed sample

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dc.contributor.authorGutiérrez, Fernando
dc.contributor.authorAluja Fabregat, Antón
dc.contributor.authorRodríguez, Claudia
dc.contributor.authorGárriz, Miguel
dc.contributor.authorPeri, Josep M.
dc.contributor.authorGallart Masia, Salvador
dc.contributor.authorCalvo, Natalia
dc.contributor.authorFerrer, Marc
dc.contributor.authorGutiérrez Zotes, Alfonso
dc.contributor.authorSoler, Joaquim
dc.contributor.authorPascual, Juan Carlos
dc.date.accessioned2023-01-11T11:40:32Z
dc.date.available2023-01-11T11:40:32Z
dc.date.issued2023
dc.date.updated2023-01-11T11:40:32Z
dc.description.abstractSeverity is the main component of the ICD-11 personality disorder (PD) classification, but pertinent instruments have only recently been developed. We analyzed the psychometric properties of the ICD-11 Personality Disorder Severity scale (PDS-ICD-11) in a mixed sample of 726 community and clinical subjects. We also examined how the different components of the ICD-11 PD system ¿five trait domains, the borderline pattern specifier, and severity, all of them measured through self-reports¿ are interconnected and operate together. PDS-ICD-11 properties were adequate and similar to those of the original instrument. However, regressions and factor analyses showed a considerable overlap of severity with the five personality domains and the borderline specifier (72.6%). Bifactor modeling resulted in a general factor of PD (g-PD) that was not equivalent to severity nor improved criterion validity. The whole ICD-11 PD system, i.e., five personality domains, borderline, and severity, explained an average of 43.6% of variance of external measures of well-being, disability, and clinical problems, with severity contributing 4.8%. Suggestions to further improve the ICD-11 PD taxonomy include remodeling the present definition of severity to give more weight to the real-life consequences of traits.
dc.format.mimetypeapplication/pdf
dc.identifier.doihttps://doi.org/10.3389/fpsyt.2022.1015489
dc.identifier.idgrec032915
dc.identifier.issn1664-0640
dc.identifier.urihttp://hdl.handle.net/10459.1/85215
dc.language.isoeng
dc.publisherFrontiers Media
dc.relation.isformatofReproducció del document publicat a https://doi.org/10.3389/fpsyt.2022.1015489
dc.relation.ispartofFrontiers in Psychiatry, 2023
dc.rightscc-by (c) Gutiérrez et al., 2023
dc.rights.accessRightsinfo:eu-repo/semantics/openAccess
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/
dc.subjectFactor analysis
dc.subjectICD-11
dc.subjectPersonality disorders
dc.subjectPersonality pathology
dc.subjectSeverity
dc.subjectPDS-ICD-11
dc.titleSeverity in the ICD-11 personality disorder model: Evaluation in a Spanish mixed sample
dc.typeinfo:eu-repo/semantics/article
dc.type.versionpublishedVersion
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