Introduction: The DSM-5 Alternative Model of Personality Disorders (AMPD) and the ICD-11 classification of personality disorders (PD) are largely commensurate and, when combined, they delineate 6 trait domains: negative affectivity, detachment, antagonism/dissociality, disinhibition, anankastia, and psychoticism. Objective: The present study evaluated the international validity of a brief 36-item patientreport measure that portrays all 6 domains simultaneously including 18 primary subfacets. Methods: We developed and employed a modified version of the Personality Inventory for DSM-5-Brief Form Plus (PID5BF+). A total of 16,327 individuals were included, 2,347 of whom were patients. The expected 6-factor structure of facets was initially investigated in samples from Denmark (n = 584), Germany (n = 1,271), and the USA (n = 605) and subsequently replicated in both patient-and community samples from Italy,
The factor structure and the convergent validity of the Personality Inventory for DSM-5 (PID-5), a self-report questionnaire designed to measure personality pathology as advocated in the fifth edition, Section III of Diagnostic and Statistical Manual of Mental Disorders (DSM-5), are already demonstrated in general population samples, but need replication in clinical samples. In 240 Flemish inpatients, we examined the factor structure of the PID-5 by means of exploratory structural equation modeling. Additionally, we investigated differences in PID-5 higher order domain scores according to gender, age and educational level, and explored convergent and discriminant validity by relating the PID-5 with the Dimensional Assessment of Personality Pathology-Basic Questionnaire and by comparing PID-5 scores of inpatients with and without a DSM-IV categorical personality disorder diagnosis. Our results confirmed the original five-factor structure of the PID-5. The reliability and the convergent and discriminant validity of the PID-5 proved to be adequate. Implications for future research are discussed.
Introduction: Research on identity development has primarily studied over-time trends in identity status change and exploration and commitment processes among late adolescents and emerging adults. Identity development in early and mid-adolescents has generally been overlooked. Hence, little is known about how a sense of identity synthesis and confusion evolves from early to late adolescence for boys and girls. Methods: The present cross-sectional study examined gender-moderated age trends in identity synthesis and confusion from ages 12 to 25 among 5860 Belgian adolescents (56.1% girls; Mage = 16.09). In addition, using a subsample of 2782 participants, we investigated associations of identity synthesis and confusion with depressive symptoms in early, mid-, and late adolescents. Results: Mean scores on identity synthesis decreased from ages 12 to 15, subsequently increased from ages 15 to 23, and decreased again later on. Mean scores on identity confusion followed a parallel but opposite cubic trend. Gender differences in these age trends were dependent upon the developmental period. For all age groups, identity synthesis scores were negatively associated with depressive symptoms, whereas positive associations emerged between identity confusion and depressive symptoms. Conclusions: From 12 to 25 years old, individuals experience an increasing sense of identity synthesis and less identity confusion, despite luctuations that appear to be dependent upon the developmental period. Identity synthesis and confusion seem to be strongly negatively and positively associated with depressive symptoms in early, mid-, and late adolescents.
Recent studies have successfully investigated the validity of the DSM-5 Alternative Model for Personality Disorders. In a final sample of 174 psychiatric patients, the present study examined the relationship between the Personality Inventory for the DSM-5 (PID-5) and syndromal psychosis. Results showed that patients diagnosed with versus without a psychotic disorder significantly differed on all PID-5 domains except Antagonism. Discriminant function analysis indicated that lower Detachment, lower Negative Affect, lower Disinhibition, and higher Psychoticism best discriminated patients with a psychotic disorder from patients with other psychiatric conditions. Subsequent stepwise discriminant analysis on all facet scales of the contributing PID-5 domains revealed that higher Unusual Beliefs, lower Depressivity, and lower Distractibility contributed the most to this differentiation. PID-5 Psychoticism scores showed moderate correlations with current psychotic symptoms and were not influenced by dose of antipsychotic medication. Our results support the ability of the PID-5 to discriminate between patients with and without psychotic disorder.
Abstract. Identity difficulties have been associated with various psychiatric conditions and are considered a central issue in personality pathology. Following the Alternative Model for Personality Disorders, measures of self- and interpersonal functioning have been developed. Although these measures were intended to be separate ratings of self-other deficits, only a global rating was obtained. Moreover, these measures fall short in bridging the gap between developmental and clinical identity work. To capture both adaptive and disturbed identity dimensions, Kaufman et al. (2015) developed the Self-Concept and Identity Measure (SCIM) that assesses consolidated identity, disturbed identity, and lack of identity. Using two-wave longitudinal data (2,150 adolescents; 54.2% girls; age range = 12–19), this study investigated the factor structure and reliability of the Dutch SCIM, its measurement invariance across time, its longitudinal measurement invariance across gender and age groups, and associations of the SCIM with identity synthesis and confusion, Big-Five personality traits, and borderline personality disorder features. Consolidated identity scores were positively related to identity synthesis and adaptive Big-Five traits, whereas negatively related to identity confusion, neuroticism, and borderline features. Opposite associations were obtained for disturbed identity and lack of identity scores. The Dutch SCIM appeared to produce valid and reliable scores and seemed suited to assess longitudinal identity functioning in Belgian adolescents.
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