Related Personality Disorders Located within an Elaborated Externalizing Psychopathology Spectrum

Sellbom, Martin; Bach, Bo; Huxley, Elizabeth

doi:10.1002/9781119092254.ch7

Cited by 8 publications

(6 citation statements)

References 123 publications

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“…Instead, the Disinhibition facets were included in the factors of Negative Affectivity (e.g., Impulsivity) and Antagonism (e.g., Irresponsibility). Nevertheless, this deviation remains conceptually coherent because Impulsivity is also a well-established feature of Neuroticism within the five-factor model of personality (36); it is also empirically well-established that Disinhibition and Antagonism overlap within one joint externalizing factor (37). The primary loading of Impulsivity on the Negative Affectivity domain is also consistent with previous research using Iranian (24) and Spanish-speaking (38) samples, suggesting that this pattern may be more pronounced in certain cultures.…”

Section: Discussionsupporting

confidence: 85%

The ICD-11 Personality Disorder Trait Model Fits the Kurdish Population Better Than the DSM-5 Trait Model

2021

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The ICD-11 Classification of Personality Disorders and the DSM-5 Alternative Model of Personality Disorders (AMPD) operate with trait domains that contribute to the individual expression of personality disturbance (i.e., negative affectivity, detachment, dissociality, disinhibition, anankastia, and psychoticism). To date, these trait frameworks have not been investigated sufficiently in Middle Eastern cultures. Thus, the present study explored the structure of the ICD-11 and AMPD personality disorder (PD) trait domains in a large mixed sample from the Kurdistan zone of Iran. The ICD-11 and AMPD trait domains were operationalized using empirically supported algorithms for the Personality Inventory for DSM-5 (PID-5). The PID-5 was administered to a large mixed sample (N = 3,196) composed of 2,678 community and 518 clinical participants. Structural validity was investigated using Exploratory Factor Analysis (EFA), whereas differential construct validity was explored by comparing clinical and community scores. Model fit and the expected factor structure were deemed appropriate for the ICD-11 trait model, but less adequate for the DSM-5 trait model (i.e., disinhibition did not emerge as a separate factor). All domain and facet scores showed significant differences between clinical and community subsamples with moderate to large effects, mostly for disinhibition and dissociality/antagonism while least for anankastia. The findings of the present study may suggest that the ICD-11 trait model is more cross-culturally fitting than the DSM-5 AMPD trait model, at least with respect to a large mixed sample from the region of Kurdistan. Accordingly, there is evidence for using PID-5 data for WHO ICD-11 purposes in this part of the World.

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Section: Discussionsupporting

confidence: 85%

The ICD-11 Personality Disorder Trait Model Fits the Kurdish Population Better Than the DSM-5 Trait Model

2021

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“…Paranoid PD was particularly associated with the ICD-11 trait domain of dissociality, which is somewhat consistent with established frameworks and previous research suggesting that features of paranoid PD belong to the spectrum of externalizing disorders (e.g., Sellbom et al, 2017). Moreover, the paranoid PD type is characterized by a combative and tenacious sense of self-righteousness and a tendency to experience excessive self-aggrandizing (WHO, 1994).…”

Section: Discussionsupporting

confidence: 86%

Clinician-rated ICD-11 trait domains and personality disorder types.

Lambrecht,

Simon,

Bach

2024

Personality Disorders: Theory, Research, and Treatment

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The International Classification of Diseases (11th edition; ICD-11) has adopted a classification of personality disorders (PDs) that abolishes the established International Classification of Diseases (10th edition; ICD-10) PD types in favor of global severity and stylistic trait domain specifiers. The goal of the current study was to describe the empirical relationship between traditional PD types and the ICD-11 trait domains, which is anticipated to inform and guide clinicians in this profound transition. A total of 246 patients were rated by their clinicians. The Informant-Personality Inventory for ICD-11 was used to rate ICD-11 trait domains while PD types were assigned categorically according to ICD-10. Empirical associations were investigated by means of bivariate correlation and logistic regression analyses with bootstrapping. Results overall showed expected and conceptually meaningful associations between ICD-11 trait domains and categorical ICD-10 PD types, with only a few unexpected deviations. Findings suggest that ICD-11 trait domains capture stylistic features of the established PD types in a conceptually coherent manner. These findings may facilitate continuity and guide translation between categorical PD types (i.e., ICD-10 and Diagnostic and Statistical Manual of Mental Disorders [fifth edition]) and the new ICD-11 classification in mental health care. Future research should seek to replicate these findings in various clinical settings while also integrating the essential PD severity classification.

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“…The primary role of Negative affectivity seems conceptually meaningful because mistrustfulness is a core feature of Paranoid PD as well as an explicit feature of ICD-11’s definition of Negative Affectivity. The secondary role of Dissociality is consistent with previous research and empirical frameworks of psychopathology suggesting that features of Paranoid PD belong to the spectrum of externalizing disorders ( 35 , 36 ). Moreover, the Paranoid PD type is characterized by a combative and tenacious sense of self-righteousness and a tendency to experience excessive self-aggrandizing ( 37 ), which is somewhat indicative of features defining the Dissociality domain such as anger, temper tantrums, and denigration of others combined with certain aspects of self-centeredness ( 1 ).…”

Section: Associations Between Personality Disorder Types and Icd-11 T...supporting

confidence: 89%

Cross-walking personality disorder types to ICD-11 trait domains: An overview of current findings

2023

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The ICD-11 has adopted a classification of Personality Disorders (PD) that abolishes the established categorical PD types in favor of global severity classification with specification of individual trait domains. To facilitate and guide this profound transition, an overview of current research on empirical associations between established PD types and ICD-11 trait domains seems warranted. We identified a total of 9 relevant studies from 2018 to 2022, which were based on both clinical and community samples from U.S., China, Brazil, Denmark, Spain, Korea, and Canada. The patterns of associations with ICD-11 trait domains were systematically synthesized and portrayed for each PD type. Findings overall showed expected and conceptually meaningful associations between categorical PD types and ICD-11 trait domains, with only few deviations. Based on these findings, we propose a cross-walk for translating categorical PD types into ICD-11 trait domains. More research is needed in order to further guide continuity and translation between ICD-10 and ICD-11 PD classification in mental healthcare, including facet-level ICD-11 trait information. Moreover, the nine reviewed studies only relied on self-reported ICD-11 trait domains, which should be expanded with clinician-rated trait domains in future research. Finally, future research should also take ICD-11’s essential PD severity classification into account.

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Related Personality Disorders Located within an Elaborated Externalizing Psychopathology Spectrum

Cited by 8 publications

References 123 publications

The ICD-11 Personality Disorder Trait Model Fits the Kurdish Population Better Than the DSM-5 Trait Model

The ICD-11 Personality Disorder Trait Model Fits the Kurdish Population Better Than the DSM-5 Trait Model

Clinician-rated ICD-11 trait domains and personality disorder types.

Cross-walking personality disorder types to ICD-11 trait domains: An overview of current findings

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