The ICD-11 classification of personality disorders: a European perspective on challenges and opportunities

Bach, Bo; Kramer, Uëli; Doering, Stephan; Giacomo, Ester di; Hutsebaut, Joost; Kaera, Andres; Panfilis, Chiara De; Schmahl, Christian; Swales, Michaela; Taubner, Svenja; Renneberg, Babette

doi:10.1186/s40479-022-00182-0

Cited by 70 publications

(58 citation statements)

References 54 publications

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“…These findings suggest another possible mechanism to explain why vulnerable narcissists are at risk of PSNSU. Because of their low frustration tolerance [ 45 ], people with vulnerable narcissism may use SNSs to obtain immediate gratification [ 46 ]. In fact, SNSs may facilitate a gratification-seeking process (e.g., through controlling self-presentation [ 47 ]), as is the case in other forms of addictive behaviors (e.g., [ 48 ]).…”

Section: Discussionmentioning

confidence: 99%

Vulnerable Narcissism and Problematic Social Networking Sites Use: Focusing the Lens on Specific Motivations for Social Networking Sites Use

et al. 2022

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Research highlighted that Problematic Social Networking Sites Use (PSNSU) and vulnerable narcissism are associated. However, the mechanisms underlying this relationship are still unclear. The present study aimed to test the mediating role of motives for social networking sites (SNSs) use between vulnerable narcissism and five symptoms of PSNSU (i.e., preference for online social interactions, mood regulation, cognitive preoccupation, compulsive use, and negative outcomes) in a sole model. Self-report questionnaires were completed by 344 SNSs users in the age range of 18–30 years (76.5% females; mean age = 23.80 years, standard deviation = 2.30 years). Vulnerable narcissism, three motives to use SNSs (coping, conformity, enhancement), and symptoms of PSNSU were assessed. Structural equation modeling was used to test for mediation. The results indicate that both motives with positive (i.e., enhancement) and negative (i.e., coping and conformity) valence partially mediated the association between vulnerable narcissism and different symptoms of PSNSU. We conclude that individuals with vulnerable narcissism may develop PSNSU not only as a compensatory strategy to cope with psychosocial difficulties but also as a result of a gratification-seeking process.

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Section: Discussionmentioning

confidence: 99%

Vulnerable Narcissism and Problematic Social Networking Sites Use: Focusing the Lens on Specific Motivations for Social Networking Sites Use

et al. 2022

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“…The American Psychiatric Association has developed a diagnostic interview assessing personality functioning—the Structured Clinical Interview for the DSM-5 Alternative Model for Personality Disorders Module I (SCID-5-AMPD-I, [ 10 ]). An interview measure for the ICD-11 is currently still being constructed [ 2 ].…”

Section: Introductionmentioning

confidence: 99%

“…The Czech version demonstrates that the results can be interpreted well both looking at the total score of personality dysfunction, as well as viewing the self and interpersonal dysfunction as separate facets of personality dysfunction [ 15 ]. Currently it is a well-accepted and recommended instrument in the good clinical practice of personality assessment that works for both the DSM5 as well as the ICD-11 classification systems [ 2 , 23 ].…”

Section: Introductionmentioning

confidence: 99%

Psychometric evaluation of the Estonian version of the Semi-structured Interview for Personality Functioning DSM-5 (STiP-5.1)

Oitsalu

Kreegipuu²,

Hutsebaut

2022

bord personal disord emot dysregul

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Background The DSM-5 Alternative Model for Personality Disorders introduced a dimensional perspective on personality disorders. The model assesses functioning in four domains: Identity, Self-Direction, Empathy, and Intimacy. This study evaluates the psychometric properties of the Semi-Structured Interview for Personality Functioning DSM-5 (STiP-5.1) in Estonian. Method The sample consists of 131 participants: 58 from the general population and 73 from a mixed clinical sample that is further divided into a mood and anxiety disorder sample and personality disorder sample. All participants completed the STiP-5.1 interview and the Level of Personality Functioning Scale–Brief Form (LPFS-BF 2.0). Results The Estonian STiP-5.1 interview has good internal consistency (McDonald's ω between .94–.98) and high convergent validity (correlations with LPFS-BF 2.0 above .7). Interview scores successfully differentiated the general population from the mixed clinical sample (Cohen’s d = 2.68), as well as patients with personality disorder from those without (Cohen’s d = 1.76). The LPFS-BF 2.0 total score differentiates the general population sample from the mixed clinical sample (Cohen’s d = 1.99) but not the personality disorder sample from other clinical sample participants. Conclusions The properties of the Estonian STiP-5.1 replicate those of other languages, and empirically support a unified personality functioning dimension that can be meaningfully thought of as reflecting impairments in self and interpersonal functioning. Findings of this study will be discussed in the light of the ongoing debate on the dimensionality of personality pathology and the use of self-report versus interview measures for assessing personality pathology.

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“…However, other studies found mixed results regarding the incremental utility of traits and personality dysfunction (e.g., [19]). As the ICD-11 personality disorder model is currently entering global clinical practice [20][21][22], its links with relevant psychopathology domains are gaining increasing attention (e.g., [18,23,24]). Yet, to date, no study has investigated associations of the ICD-11 personality disorder model with eating pathology.…”

Section: The Icd-11 Personality Disorder Modelmentioning

confidence: 99%

An exploratory study of associations between the ICD-11 personality disorder model and eating pathology

et al. 2022

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Background Recently, the International Classification of Diseases 11th Revision (ICD-11) has introduced a paradigm shift in personality disorder conceptualization. The novel ICD-11 personality disorder model comprises a dimensional assessment of personality dysfunction and five maladaptive personality trait domains. Maladaptive personality plays a central role in eating pathology. Yet, relations between the ICD-11 personality disorder model and eating pathology are, to date, unclear. Thus, this study aimed to explore the bivariate, incremental, and interactive associations of the ICD-11 personality disorder model components with eating pathology domains. Methods A predominantly female (85%) sample of 888 German-speaking community adults completed validated self-report measures of personality dysfunction, the ICD-11 personality trait domains, and five eating pathology domains (drive for thinness, bulimia, body dissatisfaction, orthorexia, binge eating). Bivariate and hierarchical regressions models were used to investigate bivariate, incremental, and interactive relations between the ICD-11 personality disorder model components and eating pathology. Results Personality dysfunction and the ICD-11 personality trait domains showed statistically significant bivariate relations with eating pathology. Additionally, personality dysfunction and most ICD-11 personality trait domains displayed incremental links with eating pathology. Finally, the relations of the ICD-11 personality trait domains with eating pathology were largely independent of the severity of personality dysfunction. Conclusions This study indicated that all ICD-11 personality disorder model components are uniquely linked to eating pathology. Beyond maladaptive personality trait domains, the strong and incremental relations of personality dysfunction with eating pathology have potential implications for theory building. Further research using longitudinal designs is needed to evaluate causal links between the ICD-11 personality disorder model components and eating pathology.

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The ICD-11 classification of personality disorders: a European perspective on challenges and opportunities

Cited by 70 publications

References 54 publications

Vulnerable Narcissism and Problematic Social Networking Sites Use: Focusing the Lens on Specific Motivations for Social Networking Sites Use

Vulnerable Narcissism and Problematic Social Networking Sites Use: Focusing the Lens on Specific Motivations for Social Networking Sites Use

Psychometric evaluation of the Estonian version of the Semi-structured Interview for Personality Functioning DSM-5 (STiP-5.1)

An exploratory study of associations between the ICD-11 personality disorder model and eating pathology

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