Martin Rachael, Sellbom Martin, Bach Bo
School of Psychological Sciences, Monash University, Melbourne, Australia.
Psychiatric Research Unit, Center for Personality Disorder Research, Region Zealand, Slagelse, Denmark.
Personal Ment Health. 2025 Nov;19(4):e70039. doi: 10.1002/pmh.70039.
The International Classification of Diseases, 11th Edition (ICD-11) has adopted a new model for the diagnosis of personality disorder (PD), and novel measures have therefore been developed to assist in its assessment. This study examined the psychometric properties of the Personality Disorder Severity ICD-11 (PDS-ICD-11) scale in a mixed sample of Danish adults in prison (n = 101; 100% males; M = 34.57, SD = 9.27) or in a rehabilitation program (n = 132; 64% males; M = 39.47, SD = 11.60) with co-occurring substance use dependency and personality pathology. Participants were administered the PDS-ICD-11, Level of Personality Functioning Scale-Brief Form 2.0 (LPFS 2.0), World Health Organization Well-being Index (WHO-5), Symptom Checklist-90-Revised (SCL-90-R), Personality Inventory for DSM-5 Short Form (PID-5-SF) and the Schema Mode Inventory (SMI). The PDS-ICD-11 items conformed to a unidimensional structure, and the total score demonstrated relevant associations with severity indexes, maladaptive personality traits, well-being and dysfunctional schema modes. The PDS-ICD-11 was similarly correlated with both internalising and externalising measures of personality dysfunction across the sample, with the incarcerated sample demonstrating stronger associations with externalising personality traits. Overall, these findings support the validity and utility of the PDS-ICD-11 for the assessment of ICD-11 PD in externalising forensic and rehabilitation samples.
《国际疾病分类》第11版（ICD - 11）采用了一种新的人格障碍（PD）诊断模型，因此开发了新的测量方法来辅助其评估。本研究在丹麦成年男性混合样本中检验了人格障碍严重程度ICD - 11（PDS - ICD - 11）量表的心理测量特性，这些男性样本来自监狱（n = 101；100%为男性；M = 34.57，SD = 9.27）或康复项目（n = 132；64%为男性；M = 39.47，SD = 11.60），他们同时存在物质使用依赖和人格病理学问题。参与者接受了PDS - ICD - 11、人格功能水平量表简版2.0（LPFS 2.0）、世界卫生组织幸福指数（WHO - 5）、症状自评量表90修订版（SCL - 90 - R）、精神疾病诊断与统计手册第5版简版人格量表（PID - 5 - SF）和图式模式量表（SMI）的测试。PDS - ICD - 11项目符合单维结构，总分与严重程度指标、适应不良人格特质、幸福感和功能失调图式模式存在相关关联。在整个样本中，PDS - ICD - 11与人格功能障碍的内化和外化测量指标同样相关，而被监禁样本与外化人格特质的关联更强。总体而言，这些发现支持了PDS - ICD - 11在评估外化法医和康复样本中的ICD - 11人格障碍方面的有效性和实用性。
