Stricker Johannes, Pietrowsky Reinhard
Department of Psychology.
Personal Disord. 2022 Mar;13(2):97-107. doi: 10.1037/per0000489. Epub 2021 Mar 25.
Many persons with personality disorder experience psychological distress. The (ICD-11) contains a dimensional personality disorder model that comprises personality dysfunctioning, 5 maladaptive personality trait domains, and a borderline pattern qualifier. Research on the relations between the ICD-11 personality disorder model and psychological distress is sparse. Particularly, it is unclear whether personality dysfunctioning on the one side and the more specific personality traits in ICD-11 on the other side incrementally predict psychological distress. In addition, the incremental validity of the components of the ICD-11 personality disorder model beyond the five-factor model of normal-range personality as a widely accepted personality framework has not been established. In this study, we assessed the relations between self-report measures of the ICD-11 personality disorder model and psychological distress in 2 community samples ( = 203, = 226). Except anankastia, all ICD-11 personality trait domains assessed with the Personality Inventory for ICD-11 and the borderline pattern qualifier assessed with the Borderline Pattern Scale were strongly related to psychological distress. In hierarchical regressions, the personality traits in ICD-11 incrementally predicted psychological distress beyond personality dysfunctioning, and vice versa. In addition, the components of the ICD-11 personality disorder model were substantially related to psychological distress beyond the corresponding normal-range Big Five personality traits. Our results demonstrate the criterion-related and incremental validity of self-report instruments assessing the ICD-11 personality disorder model, which supports their utility for screening and assessment. (PsycInfo Database Record (c) 2022 APA, all rights reserved).
许多患有个性障碍的人会经历心理困扰。《国际疾病分类第11版》（ICD - 11）包含一个维度个性障碍模型，该模型由个性功能失调、5个适应不良的个性特质领域和一个边缘型模式限定词组成。关于ICD - 11个性障碍模型与心理困扰之间关系的研究很少。特别是，一方面个性功能失调与另一方面ICD - 11中更具体的个性特质是否能逐步预测心理困扰尚不清楚。此外，ICD - 11个性障碍模型的组成部分相对于作为广泛接受的个性框架的正常范围五因素个性模型的增量效度尚未得到证实。在本研究中，我们评估了ICD - 11个性障碍模型的自我报告测量与2个社区样本（n = 203，n = 226）中的心理困扰之间的关系。除强迫型人格障碍外，用ICD - 11个性问卷评估的所有ICD - 11个性特质领域以及用边缘型模式量表评估的边缘型模式限定词都与心理困扰密切相关。在分层回归中，ICD - 11中的个性特质在个性功能失调之外逐步预测心理困扰，反之亦然。此外，ICD - 11个性障碍模型的组成部分与相应的正常范围大五个性特质之外的心理困扰有显著关系。我们的结果证明了评估ICD - 11个性障碍模型的自我报告工具的标准相关效度和增量效度，这支持了它们在筛查和评估中的效用。（PsycInfo数据库记录（c）2022美国心理学会，保留所有权利）
