scholarly journals Interrater Reliability of the Structured Clinical Interview for the DSM–5 Alternative Model of Personality Disorders Module i: Level of Personality Functioning Scale

2018 ◽  
Vol 100 (6) ◽  
pp. 630-641 ◽  
Author(s):  
Tore Buer Christensen ◽  
Muirne C. S. Paap ◽  
Marianne Arnesen ◽  
Karoline Koritzinsky ◽  
Tor-Erik Nysaeter ◽  
...  
Keyword(s):  
Personality Disorders ◽  
Alternative Model ◽  
Interrater Reliability ◽  
Clinical Interview ◽  
Personality Functioning ◽  
Dsm 5

scholarly journals A Psychometric Analysis of the Structured Clinical Interview for the DSM-5 Alternative Model for Personality Disorders Module I (SCID-5-AMPD-I): Level of Personality Functioning Scale

Assessment ◽  
2020 ◽  
pp. 107319112096797
Author(s):  
Benjamin Hummelen ◽  
Johan Braeken ◽  
Tore Buer Christensen ◽  
Tor Erik Nysaeter ◽  
Sara Germans Selvik ◽  
...  
Keyword(s):  
Personality Disorders ◽  
Alternative Model ◽  
Latent Variable ◽  
Latent Trait ◽  
Clinical Interview ◽  
Fine Tuning ◽  
Personality Functioning ◽  
Dsm 5 ◽  
Wide Range ◽  
Level 2

The current study aims to examine the psychometric properties of the Structured Clinical Interview for the DSM-5 Alternative Model for Personality Disorders Module I (SCID-5-AMPD-I) assessing the Level of Personality Functioning Scale (LPFS) in a heterogeneous sample of 282 nonpsychotic patients. Latent variable models were used to investigate the dimensionality of the LPFS. The results indicate that the LPFS, as assessed by the SCID-5-AMPD-I, can be considered as a unidimensional construct that can be measured reliably across a wide range of the latent trait. Threshold parameters for the 12 indicators of the LPFS increased gradually over the latent scale, indicating that the five LPFS levels were ordered as predicted by the model. In general, the increase of threshold parameters was relatively small for the shift from Level 2 to Level 3. A better distinction among the different severity levels might be obtained by fine-tuning the interview guidelines or the Level 2 indicators themselves.

The Inter-Rater Reliability and Validity of the Italian Translation of the Structured Clinical Interview for DSM-5 Alternative Model for Personality Disorders Module I and Module II: A Preliminary Report on Consecutively Admitted Psychotherapy Outpatients

2020 ◽  
Vol 34 (Supplement C) ◽  
pp. 95-123
Author(s):  
Antonella Somma ◽  
Serena Borroni ◽  
Giulia Gialdi ◽  
Davide Carlotta ◽  
Laura Emanuela Giarolli ◽  
...  
Keyword(s):  
Personality Disorders ◽  
Alternative Model ◽  
Convergent Validity ◽  
Clinical Utility ◽  
Reliability And Validity ◽  
Clinical Interview ◽  
Self Report ◽  
Rater Reliability ◽  
Personality Functioning ◽  
Dsm 5

To evaluate the reliability and convergent validity of the Structured Clinical Interview for DSM-5 Alternative Model for Personality Disorders (SCID-5-AMPD) Module I and Module II, 88 adult psychotherapy participants were administered the Italian translations of the SCID-5-AMPD Module I and Module II, Level of Personality Functioning Scale-Brief Form (LPFS-BF), Level of Personality Functioning Scale-Self Report (LPFS-SF), Personality Inventory for DSM-5 (PID-5), Personality Diagnostic Questionnaire-4+ (PDQ-4+), and Structured Clinical Interview for DSM-5 Personality Disorders (SCID-5-PD) relying on a Williams crossover design. SCID-5-AMPD Module I and Module II showed excellent inter-rater reliability. In terms of convergent validity, meaningful associations were observed between SCID-5-AMPD Module I scores and self-report measures of Criterion A; similarly, SCID-5-AMPD Module II trait scores were meaningfully related to PID-5 trait scores. As a whole, our preliminary findings supported the clinical utility of DSM-5 AMPD.

Relating DSM-5 section III personality traits to section II personality disorder diagnoses

2015 ◽  
Vol 46 (3) ◽  
pp. 647-655 ◽  
Author(s):  
L. C. Morey ◽  
K. T. Benson ◽  
A. E. Skodol
Keyword(s):  
Personality Disorder ◽  
Personality Traits ◽  
Personality Disorders ◽  
Alternative Model ◽  
Work Group ◽  
Taxonomic Structure ◽  
Personality Functioning ◽  
Dsm 5 ◽  
Criterion A ◽  
Dsm Iv

BackgroundThe DSM-5 Personality and Personality Disorders Work Group formulated a hybrid dimensional/categorical model that represented personality disorders as combinations of core impairments in personality functioning with specific configurations of problematic personality traits. Specific clusters of traits were selected to serve as indicators for six DSM categorical diagnoses to be retained in this system – antisocial, avoidant, borderline, narcissistic, obsessive–compulsive and schizotypal personality disorders. The goal of the current study was to describe the empirical relationships between the DSM-5 section III pathological traits and DSM-IV/DSM-5 section II personality disorder diagnoses.MethodData were obtained from a sample of 337 clinicians, each of whom rated one of his or her patients on all aspects of the DSM-IV and DSM-5 proposed alternative model. Regression models were constructed to examine trait–disorder relationships, and the incremental validity of core personality dysfunctions (i.e. criterion A features for each disorder) was examined in combination with the specified trait clusters.ResultsFindings suggested that the trait assignments specified by the Work Group tended to be substantially associated with corresponding DSM-IV concepts, and the criterion A features provided additional diagnostic information in all but one instance.ConclusionsAlthough the DSM-5 section III alternative model provided a substantially different taxonomic structure for personality disorders, the associations between this new approach and the traditional personality disorder concepts in DSM-5 section II make it possible to render traditional personality disorder concepts using alternative model traits in combination with core impairments in personality functioning.

Structured Clinical Interview for the DSM–5 Alternative Model of Personality Disorders Module I--Norwegian Version

2018 ◽  
Author(s):  
Tore Buer Christensen ◽  
Muirne C. S. Paap ◽  
Marianne Arnesen ◽  
Karoline Koritzinsky ◽  
Tor-Erik Nysaeter ◽  
...  
Keyword(s):  
Personality Disorders ◽  
Alternative Model ◽  
Clinical Interview ◽  
Dsm 5 ◽  
Norwegian Version

Structured Clinical Interview for the DSM-5 Alternative Model of Personality Disorders Module III--Italian Version

2019 ◽  
Author(s):  
A. Somma ◽  
S. Borroni ◽  
D. Carlotta ◽  
L. E. Giarolli ◽  
M. Barranca ◽  
...  
Keyword(s):  
Personality Disorders ◽  
Alternative Model ◽  
Clinical Interview ◽  
Italian Version ◽  
Dsm 5

The latent structure of personality functioning: Investigating criterion a from the alternative model for personality disorders in DSM–5.

2015 ◽  
Vol 124 (3) ◽  
pp. 532-548 ◽  
Author(s):  
Johannes Zimmermann ◽  
Jan R. Böhnke ◽  
Rhea Eschstruth ◽  
Alessa Mathews ◽  
Kristin Wenzel ◽  
...  
Keyword(s):  
Personality Disorders ◽  
Alternative Model ◽  
Latent Structure ◽  
Personality Functioning ◽  
Dsm 5 ◽  
Criterion A

Assessment of Pathological Traits in DSM-5 Personality Disorders By the DAPP-BQ: How Do These Traits Relate to the Six Personality Disorder Types of the Alternative Model?

2019 ◽  
Vol 33 (1) ◽  
pp. 49-70 ◽  
Author(s):  
Han Berghuis ◽  
Theo J. M. Ingenhoven ◽  
Paul T. van der Heijden ◽  
Gina M. P. Rossi ◽  
Chris K. W. Schotte
Keyword(s):  
Personality Disorder ◽  
Personality Disorders ◽  
Alternative Model ◽  
Psychiatric Patients ◽  
Personality Pathology ◽  
Personality Functioning ◽  
Dsm 5 ◽  
Criterion A ◽  
Dsm Iv ◽  
Dimensional Assessment

The six personality disorder (PD) types in DSM-5 section III are intended to resemble their DSM-IV/DSM-5 section II PD counterparts, but are now described by the level of personality functioning (criterion A) and an assigned trait profile (criterion B). However, concerns have been raised about the validity of these PD types. The present study examined the continuity between the DSM-IV/DSM-5 section II PDs and the corresponding trait profiles of the six DSM-5 section III PDs in a sample of 350 Dutch psychiatric patients. Facets of the Dimensional Assessment of Personality Pathology—Basic Questionnaire (DAPP-BQ) were presumed as representations (proxies) of the DSM-5 section III traits. Correlational patterns between the DAPP-BQ and the six PDs were consistent with previous research between DAPP-BQ and DSM-IV PDs. Moreover, DAPP-BQ proxies were able to predict the six selected PDs. However, the assigned trait profile for each PD didn't fully match the corresponding PD.

Application of the DSM-5 Level of Personality Functioning Scale by Lay Raters

2018 ◽  
Vol 32 (5) ◽  
pp. 709-720 ◽  
Author(s):  
Leslie C. Morey
Keyword(s):  
College Students ◽  
Personality Disorder ◽  
Personality Disorders ◽  
Clinical Experience ◽  
Alternative Model ◽  
Personality Functioning ◽  
Dsm 5 ◽  
Undergraduate College Students ◽  
The Individual ◽  
Considerable Experience

One concern that has been expressed with the Alternative Model for Personality Disorders (AMPD) presented in DSM-5 is that the description of characteristic impairments in personality function uses concepts requiring considerable experience and clinical inference to apply. To examine this question, the individual indicators included in the AMPD's Level of Personality Functioning Scale (LPFS) that describes these core impairments were abstracted as individual items, and then rated on a target acquaintance by 194 undergraduate college students with minimal training in personality disorder and no training in the AMPD. Results indicated that the LPFS indicators were highly internally consistent as rated in this sample, and that the degree of discrimination between groups corresponded very well with the putative level of severity represented for each indicator in the LPFS. These findings support the contention that using the LPFS might not require any particular clinical experience or training.

Age-Neutrality of a Brief Assessment of the Section III Alternative Model for Personality Disorders in Older Adults

Assessment ◽  
2018 ◽  
Vol 25 (3) ◽  
pp. 310-323 ◽  
Author(s):  
Inge Debast ◽  
Gina Rossi ◽  
S. P. J. van Alphen
Keyword(s):  
Older Adults ◽  
Personality Disorders ◽  
Alternative Model ◽  
Convergent Validity ◽  
Short Form ◽  
Community Sample ◽  
Personality Functioning ◽  
Dsm 5 ◽  
Criterion A ◽  
The Impact

The alternative model for personality disorders in the fifth edition of the Diagnostic and Statistical Manual of Mental Disorders ( DSM-5) is considered an important step toward a possibly better conceptualization of personality pathology in older adulthood, by the introduction of levels of personality functioning (Criterion A) and trait dimensions (Criterion B). Our main aim was to examine age-neutrality of the Short Form of the Severity Indices of Personality Problems (SIPP-SF; Criterion A) and Personality Inventory for DSM-5–Brief Form (PID-5-BF; Criterion B). Differential item functioning (DIF) analyses and more specifically the impact on scale level through differential test functioning (DTF) analyses made clear that the SIPP-SF was more age-neutral (6% DIF, only one of four domains showed DTF) than the PID-5-BF (25% DIF, all four tested domains had DTF) in a community sample of older and younger adults. Age differences in convergent validity also point in the direction of differences in underlying constructs. Concurrent and criterion validity in geriatric psychiatry inpatients suggest that both the SIPP-SF scales measuring levels of personality functioning (especially self-functioning) and the PID-5-BF might be useful screening measures in older adults despite age-neutrality not being confirmed.

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