Center of Excellence on Personality Disorder, Psychiatric Research Unit, Psychiatric Hospital Slagelse, Slagelse, Denmark.
University of Otago, Dunedin, New Zealand.
Acta Psychiatr Scand. 2017 Jul;136(1):108-117. doi: 10.1111/acps.12748. Epub 2017 May 15.
The personality disorder domains proposed for the ICD-11 comprise Negative Affectivity, Detachment, Dissociality, Disinhibition, and Anankastia, which are reasonably concordant with the higher-order trait domains in the Alternative DSM-5 Model for Personality Disorders.
We examined (i) whether designated DSM-5 trait facets can be used to describe the proposed ICD-11 trait domains, and (ii) how these ICD-11 trait features are hierarchically organized. A mixed Danish derivation sample (N = 1541) of 615 psychiatric out-patients and 925 community participants along with a US replication sample (N = 637) completed the Personality Inventory for DSM-5 (PID-5). Sixteen PID-5 traits were designated to cover features of the ICD-11 trait domains.
Exploratory structural equation modeling (ESEM) analyzes showed that the designated traits were meaningfully organized in the proposed ICD-11 five-domain structure as well as other recognizable higher-order models of personality and psychopathology. Model fits revealed that the five proposed ICD-11 personality disorder domains were satisfactorily resembled, and replicated in the independent US sample.
The proposed ICD-11 personality disorder domains can be accurately described using designated traits from the DSM-5 personality trait system. A scoring algorithm for the ICD-11 personality disorder domains is provided in appendix.
ICD-11 提出的人格障碍领域包括负性情绪、超脱、反社会、冲动和强迫，这些与替代 DSM-5 人格障碍模型中的高阶特质领域相当一致。
我们检验了(i)DSM-5 特质方面是否可以用于描述 ICD-11 特质领域，以及(ii)这些 ICD-11 特质特征是如何分层组织的。一个由丹麦的 615 名精神科门诊患者和 925 名社区参与者组成的混合样本（N=1541），以及一个美国复制样本（N=637）完成了 DSM-5 人格量表（PID-5）。16 个 PID-5 特质被指定用于涵盖 ICD-11 特质领域的特征。
探索性结构方程模型（ESEM）分析表明，指定的特质在提议的 ICD-11 五领域结构中以及其他可识别的人格和精神病理学高阶模型中具有有意义的组织。模型拟合表明，五个提议的 ICD-11 人格障碍领域得到了令人满意的模拟，并在独立的美国样本中得到了复制。
可以使用 DSM-5 人格特质系统中的指定特质准确描述提议的 ICD-11 人格障碍领域。在附录中提供了 ICD-11 人格障碍领域的评分算法。
