Multidimensional perfectionism and the ICD-11 personality disorder model

Stricker, Johannes; Flett, Gordon L.; Hewitt, Paul L.; Pietrowsky, Reinhard

doi:10.1016/j.paid.2021.111455

Cited by 5 publications

(1 citation statement)

References 48 publications

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“…In previous studies, perfectionism has also been linked to body dissatisfaction [ 34 ] and binge eating [ 66 ]. As these associations were not observed for the anankastia scale, this study strengthens the argument that ICD-11 anankastia may not capture all maladaptive elements of perfectionism [ 67 ].…”

Section: Discussionsupporting

confidence: 84%

An exploratory study of associations between the ICD-11 personality disorder model and eating pathology

et al. 2022

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Background Recently, the International Classification of Diseases 11th Revision (ICD-11) has introduced a paradigm shift in personality disorder conceptualization. The novel ICD-11 personality disorder model comprises a dimensional assessment of personality dysfunction and five maladaptive personality trait domains. Maladaptive personality plays a central role in eating pathology. Yet, relations between the ICD-11 personality disorder model and eating pathology are, to date, unclear. Thus, this study aimed to explore the bivariate, incremental, and interactive associations of the ICD-11 personality disorder model components with eating pathology domains. Methods A predominantly female (85%) sample of 888 German-speaking community adults completed validated self-report measures of personality dysfunction, the ICD-11 personality trait domains, and five eating pathology domains (drive for thinness, bulimia, body dissatisfaction, orthorexia, binge eating). Bivariate and hierarchical regressions models were used to investigate bivariate, incremental, and interactive relations between the ICD-11 personality disorder model components and eating pathology. Results Personality dysfunction and the ICD-11 personality trait domains showed statistically significant bivariate relations with eating pathology. Additionally, personality dysfunction and most ICD-11 personality trait domains displayed incremental links with eating pathology. Finally, the relations of the ICD-11 personality trait domains with eating pathology were largely independent of the severity of personality dysfunction. Conclusions This study indicated that all ICD-11 personality disorder model components are uniquely linked to eating pathology. Beyond maladaptive personality trait domains, the strong and incremental relations of personality dysfunction with eating pathology have potential implications for theory building. Further research using longitudinal designs is needed to evaluate causal links between the ICD-11 personality disorder model components and eating pathology.

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Section: Discussionsupporting

confidence: 84%

An exploratory study of associations between the ICD-11 personality disorder model and eating pathology

et al. 2022

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Clinical Implications of ICD-11 for Diagnosing and Treating Personality Disorders

Bach

Mulder

2022

Curr Psychiatry Rep

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The Relationships between Metacognitive Beliefs and Personality Dysfunction: A Test Controlling for Personality Traits, Emotional Distress Symptoms and General Functioning

Strand,

Hjemdal,

Nordahl

et al. 2024

J Cogn Ther

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Personality dysfunction operationalized as impairment in self- and interpersonal functioning is a characteristic of personality disorders. The metacognitive model suggests that dysfunctional metacognitive beliefs are a common cause of psychological disorders, but the relevance and importance of metacognitions for personality dysfunction is less explored and was the objective for the current study. In a sample of 1278 individuals, we conducted a multiple hierarchical regression analysis to test the predictive role of metacognitive beliefs for personality dysfunction. We found a unique and independent contribution from negative beliefs about the uncontrollability and danger of worry and lower cognitive confidence to personality dysfunction whilst controlling age, gender, maladaptive personality traits, big-5 personality traits, emotional distress symptoms, and general psychosocial functioning. The results bring further support for the metacognitive model of psychological disorders which may be relevant for formulation and treatment of personality dysfunction and disorder.

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Multidimensional perfectionism and the ICD-11 personality disorder model

Cited by 5 publications

References 48 publications

An exploratory study of associations between the ICD-11 personality disorder model and eating pathology

An exploratory study of associations between the ICD-11 personality disorder model and eating pathology

Clinical Implications of ICD-11 for Diagnosing and Treating Personality Disorders

The Relationships between Metacognitive Beliefs and Personality Dysfunction: A Test Controlling for Personality Traits, Emotional Distress Symptoms and General Functioning

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