Personality Disorders in the ICD-11: Spanish Validation of the PiCD and the SASPD in a Mixed Community and Clinical Sample

Gutiérrez, Fernando; Aluja, Antón; Ruiz, José María García; Garcı́a, Luis F.; Gárriz, Miguel; Gutiérrez-Zotes, Alfonso; Gallardo-Pujol, David; Haro, María Vicenta Navarro; Alabèrnia-Segura, Miquel; Mestre-Pintó, Joan Ignasi; Torrens, Marta; Peri, Josep María; Sureda, B; Soler, Joaquim; Pascual, Juan Carlos; Vall, Gemma; Calvo, Natàlia; Ferrer, Marc; Oltmanns, Joshua R.; Widiger, Thomas A.

doi:10.1177/1073191120936357

Cited by 37 publications

(48 citation statements)

References 59 publications

(121 reference statements)

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“…They also reported a five-factor solution which they suggested supported separate, independent anankastia and disinhibition factors. However, each of the two factors were actually defined by both anankastia and disinhibition items, as has been found previously (Carnovale et al, 2020;Gutierrez et al, in press; J. R. Oltmanns & Widiger, 2018). The findings though were limited with respect to a validation of the IPiC-confined simply to its factor structure.…”

mentioning

confidence: 72%

The Self- and Informant-Personality Inventories for ICD-11: Agreement, Structure, and Relations with Health, Social, and Satisfaction Variables in Older Adults

Oltmanns¹,

Widiger²

2020

Preprint

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The International Classification of Diseases—11th Edition (ICD-11) includes a dimensional model of personality disorder and the Personality Inventory for ICD-11 (PiCD) is the only self-report measure to date that has been developed specifically for its assessment. The present study examines the validity of an informant-report version of the PiCD, the Informant-Personality Inventory for ICD-11 (the IPiC) and also is the first study to test the self–other agreement on the PiCD and to test the criterion validity of the PiCD and the IPiC for several popular and well-validated measures of life functioning including satisfaction with life, depressive symptoms, physical and mental health, insomnia symptoms, and cognitive decline. The present study is also the first to examine the PiCD and IPiC in a sample of older adults in the community. Results suggest that the PiCD and the IPiC show moderate self–other agreement, are associated significantly with several important life functioning areas, and have structural validity even at the item level. Further replication and validation is necessary for these instruments, but the PiCD and the IPiC have shown strong validation evidence to date, now including evidence of consensual and criterion validity.

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mentioning

confidence: 72%

The Self- and Informant-Personality Inventories for ICD-11: Agreement, Structure, and Relations with Health, Social, and Satisfaction Variables in Older Adults

Oltmanns¹,

Widiger²

2020

Preprint

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“…Overall, nine studies were conducted on a clinical psychiatry sample, eight were conducted in the general population, and two studies were undertaken in both of these groups. Sample size ranged from 124 in a study of patients with PD (35) to 2,522 in a study of participants in a community sample (44). Most of the studies (n = 18) addressed the question of diagnostic validity, while a single study examined the clinical utility of the ICD-11 PD model.…”

Section: Resultsmentioning

confidence: 99%

“…Studies on the ICD-11 PD model and its factorial structure suggested using either a five-factor solution or four-factor solutions, resulting in a single low disinhibition/high anankastia domain (38,(40)(41)(42)(43)(44)(45)(46)(47)(48)(49). In this multidimensional structure, OCPD could be distinguished by a high score on anankastia traits, automatically resulting in low disinhibition traits.…”

Section: Discussionmentioning

confidence: 99%

“…Eleven (11) publications reported on the factorial structure of the ICD-11 PD model, indicating a 4-factor solution (41,42,44,45,(47)(48)(49), a 5-factor solution (46) or both (38,40,43). All of the studies were conducted in either psychiatry samples, general population samples, or both, while the sample size ranged from 162 to 2,522 participants.…”

Section: Factorial Structure Of the Icd-11 Pd Model Regarding Anankasmentioning

confidence: 99%

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Obsessive-Compulsive (Anankastic) Personality Disorder in the ICD-11: A Scoping Review

et al. 2021

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Introduction: With the shift from a categorical to a dimensional model, ICD-11 has made substantial changes to the diagnosis of personality disorders (PDs), including obsessive-compulsive (anankastic) personality disorder (OCPD). The ICD-11 PD model proposes a single diagnosis of PD with specifications regarding severity and domains. However, a systematic overview of ICD-11 anankastia is lacking. In this review we address the reformulation of the OCPD diagnosis in the ICD-11, and draw comparisons with the DSM-5, with a particular focus on diagnostic validity and clinical utility. We hypothesized that the ICD-11 PD model provides a diagnostically valid and clinically useful approach to OCPD, with specific emphasis on the anankastia domain as the primary trait qualifier.Methods: Literature published from 2010 to 2020 was systematically searched using the PubMed/MEDLINE, PsychInfo, Cochrane, and Web of Sciences search engines, in order to find all articles that addressed ICD-11 anankastia. Relevant articles were collated, and themes of these articles subsequently extracted.Results: Out of the 264 publications identified, 19 articles were included in this review. Four themes were identified, namely (a) overlap of DSM-5 OCPD with the ICD-11 PD model, (b) the factorial structure of the ICD-11 PD model with respect to the anankastia domain, (c) the clinical utility of the ICD-11 PD model, and (d) comparison of the ICD-11 PD model of anankastia with the DSM-5 alternative model for OCPD.Conclusions: The ICD-11 anankastia domain overlaps with DSM-5 OCPD traits, and the factor analyses of the ICD-11 PD model further support the diagnostic validity of this domain. There is some support for the clinical utility of the ICD-11 PD model of anankastia but further studies are needed, including of its relationship to obsessive-compulsive and related disorders.

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“…A four-factor solution consisting of negative affectivity, detachment, and dissociality factors, and a bipolar anankastia-versus-disinhibition factor fit the data better than a five-factor solution with separate factors for anankastia and disinhibition. In a five-factor itemlevel solution, the bipolar anankastia-versus-disinhibition factor divided into two bipolar anankastia-versus-disinhibition factors, a finding that has since been replicated several times (6)(7)(8). Notably the four-factor structure with a bipolar factor is somewhat confusing, but the factor structure has no bearing on clinical assessment, because a clinician would score and interpret the PiCD for five separate domains regardless of the factor structure.…”

Section: Recent Findings Personality Inventory For Icd-11 (Picd)mentioning

confidence: 99%

Personality Traits in the International Classification of Diseases 11th Revision (ICD-11)

Oltmanns¹

2021

Current Opinion in Psychiatry

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Purpose of review: The ICD-11 officially adopted a dimensional system of personality disorder that was a paradigm shift for the classification of personality disorders. The purpose of this article is to review the growing amount of research on one component of that system-the personality trait domain model. Importantly, several self-report measures have been developed to measure the ICD-11 domains and have been subjected to initial validation through examination of their factor structure, multi-method use, convergent and discriminant validity with other prominent dimensional personality models (such as the Five-Factor Model), and criterion validity for important life outcomes. Recent Findings: Studies indicate the ICD-11 domains align with the Five-Factor Model and prior influential models of dimensional personality traits, as expected, and thus rest on an impressive body of empirical research. They also capture large amounts of variance included in the ICD-10/DSM-5 Section II personality disorders. Summary: Together these findings support the construct validity of the ICD-11 trait domains. However, continued validation research is necessary, as well as research on how to implement these domains into clinical practice, and research on the more specific facet-level of the trait domains-although the ICD-11 model is only officially at the domain-level.

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Personality Disorders in the ICD-11: Spanish Validation of the PiCD and the SASPD in a Mixed Community and Clinical Sample

Cited by 37 publications

References 59 publications

The Self- and Informant-Personality Inventories for ICD-11: Agreement, Structure, and Relations with Health, Social, and Satisfaction Variables in Older Adults

The Self- and Informant-Personality Inventories for ICD-11: Agreement, Structure, and Relations with Health, Social, and Satisfaction Variables in Older Adults

Obsessive-Compulsive (Anankastic) Personality Disorder in the ICD-11: A Scoping Review

Personality Traits in the International Classification of Diseases 11th Revision (ICD-11)

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