Supplemental Material for Measurement Invariance of the DSM–5 Section III Pathological Personality Trait Model Across Sex

We report on two individuals presenting for treatment as part of everyday clinical practice, comparing their pathological personality traits through the lens of the ICD-11 trait qualifiers and the DSM-5 Section III personality trait model. We compare higher order pathological personality domains and lower order pathological personality trait facets of patient M (diagnosed with borderline personality traits according to DSM-5 Section II), and patient L (diagnosed with obsessive-compulsive personality traits according to DSM-5 Section II) with normative data and with each other. Findings highlight the clinical utility of a ICD-11/DSM-5 combined view, including: (1) the Disinhibition/Anankastia personality domain distinction as advocated in the ICD-11 model, (2) the Psychoticism personality domain as conceptualized in the DSM-5 Section III personality trait model, as well as (3) the use of lower order personality trait facets within each higher order personality domain.

Download Full-text

Initial construction of a maladaptive personality trait model and inventory for DSM-5

Psychological Medicine ◽

10.1017/s0033291711002674 ◽

2011 ◽

Vol 42 (9) ◽

pp. 1879-1890 ◽

Cited By ~ 646

Author(s):

R. F. Krueger ◽

J. Derringer ◽

K. E. Markon ◽

D. Watson ◽

A. E. Skodol

Keyword(s):

Personality Traits ◽

Personality Trait ◽

Assessment Instrument ◽

Axis Ii ◽

Dsm 5 ◽

Core Elements ◽

Dsm Iv ◽

Trait Model ◽

Using Data ◽

Personality Description

BackgroundDSM-IV-TR suggests that clinicians should assess clinically relevant personality traits that do not necessarily constitute a formal personality disorder (PD), and should note these traits on Axis II, but DSM-IV-TR does not provide a trait model to guide the clinician. Our goal was to provide a provisional trait model and a preliminary corresponding assessment instrument, in our roles as members of the DSM-5 Personality and Personality Disorders Workgroup and workgroup advisors.MethodAn initial list of specific traits and domains (broader groups of traits) was derived from DSM-5 literature reviews and workgroup deliberations, with a focus on capturing maladaptive personality characteristics deemed clinically salient, including those related to the criteria for DSM-IV-TR PDs. The model and instrument were then developed iteratively using data from community samples of treatment-seeking participants. The analytic approach relied on tools of modern psychometrics (e.g. item response theory models).ResultsA total of 25 reliably measured core elements of personality description emerged that, together, delineate five broad domains of maladaptive personality variation: negative affect, detachment, antagonism, disinhibition, and psychoticism.ConclusionsWe developed a maladaptive personality trait model and corresponding instrument as a step on the path toward helping users of DSM-5 assess traits that may or may not constitute a formal PD. The inventory we developed is reprinted in its entirety in the Supplementary online material, with the goal of encouraging additional refinement and development by other investigators prior to the finalization of DSM-5. Continuing discussion should focus on various options for integrating personality traits into DSM-5.

Download Full-text

Psychometric properties of the Personality Inventory for DSM-5 Brief Form in Chinese undergraduate students and clinical patients

10.21203/rs.3.rs-45917/v3 ◽

2020 ◽

Author(s):

Panwen Zhang ◽

Zirong Ouyang ◽

Shulin Fang ◽

Jiayue He ◽

Lejia Fan ◽

...

Keyword(s):

Factor Analysis ◽

Psychometric Properties ◽

Personality Disorders ◽

Measurement Invariance ◽

Undergraduate Students ◽

Factor Model ◽

Clinical Sample ◽

Personality Inventory ◽

Dsm 5 ◽

Test Retest Reliability

Abstract Background: The Personality Inventory for DSM-5 Brief Form (PID-5-BF) is a 25-item measuring tool evaluating maladaptive personality traits for the diagnosis of personality disorders(PDs). As a promising scale, its impressive psychometric properties have been verified in some countries, however, there have no studies about the utility of PID-5-BF in Chinese settings. The current study aimed to explore the maladaptive personality factor model which was culturally adapted in China and examine psychometric properties of the Personality Inventory for DSM-5 Brief Form among Chinese undergraduate students and clinical patients.Methods: 7155 undergraduate students and 451 clinical patients completed the Chinese version of PID-5-BF. 228 students were chosen randomly for test-retest reliability at a 4-week interval. Exploratory factor analysis (EFA) and confirmatory factor analysis (CFA) were conducted to discover the most suitable construct in Chinese, measurement invariance(MI), internal consistency, and external validity were also calculated.Results: An exploratory six-factor model was supported more suitable in both samples(Undergraduate sample: CFI = 0.905, TLI = 0.888, RMSEA = 0.044, SRMR = 0.039; Clinical sample: CFI = 0.904, TLI = 0.886, RMSEA = 0.047, SRMR = 0.060), adding a new factor“Interpersonal Relationships”. Measurement invariance across non-clinical and clinical sample was established (configural, weak, strong MI, and partial strict MI). Aside from acceptable internal consistency (Undergraduate sample: alpha=0.84, MIC=0.21; Clinical sample: alpha=0.86, MIC=0.19) and test-retest reliability(0.73), the association with 220-item PID-5 was significant(r = 0.93, p < 0.01), and six PDs measured by Personality diagnostic questionnaire-4+ (PDQ-4+) were correlated with expected domains of PID-5-BF.Conclusions: The PID-5-BF is a convenient and useful screening tool for personality disorders with a novel six-factor model in Chinese settings, with the main difference for the Negative Affect domain.

Download Full-text

The Association between DSM-5 Personality Pathology Traits and Violence

10.25172/1.1.6 ◽

2017 ◽

Author(s):

Marissa Jennings

Keyword(s):

Personality Disorders ◽

Personality Pathology ◽

Dimensional Model ◽

Dsm 5 ◽

Categorical Model ◽

Trait Model ◽

The Many

The recently published DSM-5 included a dimensional model of personality pathology, which includes pathological traits. This model is a response to the many criticisms and problems documented with the traditional categorical modal of personality disorders. To date, numerous studies have demonstrated that the trait model is more valid and reliable than the traditional categorical model (Krueger and Markon 2013). This study expands research on the trait model by assessing the association between the DSM-5 traits and propensity for, or attitudes about, violence.

Download Full-text