Personality Disorders: A Burden in the Community, Neglected in the Clinic?

Skodol, Andrew E.

doi:10.4088/jcp.14com09597

Cited by 9 publications

(6 citation statements)

References 18 publications

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“…Using such a sample limits the generalizability of these findings to clinical populations. However, it should be noted that PDs have been ignored as a public health issue and a burden in the general community (Skodol, 2015) despite meta‐analytic evidence estimates that around 12% of individuals in Western societies meet diagnostic requirements for a PD diagnosis (Volkert et al, 2018). Second, the present study only used concurrent self‐reported data as external criteria, which potentially involve a risk for artificially high correlations among measures due to shared method variance to an unknown degree.…”

Section: Discussionmentioning

confidence: 99%

Examining the construct validity of the Personality Assessment Questionnaire for ICD‐11 (PAQ‐11) personality trait domains in a community sample

Sellbom

Chiasson

Brown

et al. 2022

Personality & Mental Health

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The ICD‐11 has a new diagnostic system for personality disorder, which includes five optional trait specifiers to characterize the diagnosed pathology. The current study evaluated the internal structure and construct validity of the Personality Assessment Questionnaire for ICD‐11 (PAQ‐11) personality trait domains in a US population‐representative community sample. An exploratory factor analysis revealed the support for a four‐factor model underlying the 17 PAQ‐11 items, reflecting four of the five ICD‐11 trait domains (Negative Affectivity, Detachment, Disinhibition and Anankastia). Moreover, correlation analyses revealed that the PAQ‐11 domain scale scores were associated, as expected, with their counterparts from two other ICD‐11 trait domain measures, as well as with traditional personality disorder scores. More broadly, the results raised questions about the structural integrity of the Dissociality domain scale, and the discriminant validity of the Disinhibition and Anankastia scales. The overall conclusion was nevertheless promising with respect to the PAQ‐11 serving as a brief screening measure for the ICD‐11 trait domains.

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Section: Discussionmentioning

confidence: 99%

Examining the construct validity of the Personality Assessment Questionnaire for ICD‐11 (PAQ‐11) personality trait domains in a community sample

Sellbom

Chiasson

Brown

et al. 2022

Personality & Mental Health

View full text Add to dashboard Cite

show abstract

“…Despite limitations associated with range restriction and generalizability to clinical contexts, research in community samples are nonetheless important as PDs have been ignored as a public health issue and a burden in the general community (Skodol, 2015). Meta-analytic studies estimate that around 12% of individuals in Western societies meet diagnostic requirements for a PD diagnosis (Volkert et al, 2018).…”

Section: Limitations and Future Directionsmentioning

confidence: 99%

Development and initial evaluation of the ICD‐11 personality disorder severity scale: PDS‐ICD‐11

Bach

Brown

Mulder

et al. 2021

Personality & Mental Health

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Aim No measure has formally been developed to assess the published ICD‐11 model of Personality Disorder (PD) severity. We therefore set out to develop and evaluate the 14‐item Personality Disorder Severity ICD‐11 (PDS‐ICD‐11) scale. Method A representative U.S. community sample (N = 428; 50.9% women) and a New Zealand mental health sample (N = 87; 61.5% women) completed the PDS‐ICD‐11 scale along with a series of established PD and impairment measures. Results Item response theory supported the unidimensionality of PDS‐ICD‐11 (median item loading of 0.68) and indicated that a PDS‐ICD‐11 score of 17.5 may serve as a benchmark for pronounced dysfunction. Correlation and regression analyses supported both criterion validity and incremental validity in predicting impairment and PD symptoms. The PDS‐ICD‐11 was particularly associated with measures of Level of Personality Functioning Scale (LPFS), Global PD severity, and Borderline PD symptom score. A comparison between clinical individuals diagnosed with an ICD‐11 PD vs. no PD supported diagnostic validity. Conclusion This initial construction study suggests that the PDS‐ICD‐11 constitutes a promising instrument that provides a quick impression of the severity of personality dysfunction according to the official ICD‐11 PD guidelines. Clearly, more research is needed to corroborate its validity and utility. The PDS‐ICD‐11 scale is provided as online supporting information.

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“…P ersonality disorders (PDs) are among the most challenging psychiatric conditions to diagnose and treat, with patients receiving poor treatment to a life shortening condition 1,2 which accounts for heavy social and economic costs. 3,4 Currently considered a mental health priority, it is estimated to affect 7.8% of the general population worldwide, 5 45% to 51% of psychiatric outpatients in the United States, and 40% to 92% in Europe.…”

mentioning

confidence: 99%

The Arabic Version of the Personality Inventory for the DSM-5 (PID-5) in a Clinical Sample of United Arab Emirates (UAE) Nationals

et al. 2020

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Objectives: We aimed to test the potential of the Arabic version of the PID-5 to distinguish between clinical and non-clinical participants, as well as to examine its convergent validity and factor structure in an Emirati clinical sample. Methods: The Arabic version of the PID-5 was administered to a clinical sample comprised of 156 participants (Mage = 31.38, SD = 8.99, 37.8% male, 62.2% female) and a community sample also comprised of 156 participants (Mage = 31.43, SD = 9.52, 37.2% male, 62.8% female). We addressed the descriptive measures, internal consistency, mean rank scores differences, convergent validity with SCL-90-R, and PID-5's factor structure. Results: As expected, the clinical sample presented statistically significantly higher scores than the non-clinical sample, with medium to high effect sizes. In addition, all the PID-5 domains showed positive correlations with most of the symptomatic constellations of the SCL-90-R as well as the PID-5 facets with all their SCL-90-R counterparts. However, our findings did not entirely replicate the PID-5 original 5-factor structure, as only a 4-factor solution was retained. Conclusions: Future studies with the Arabic PID-5 in clinical samples are needed to understand its relevance and clinical utility in Arabic countries.

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Personality Disorders: A Burden in the Community, Neglected in the Clinic?

Cited by 9 publications

References 18 publications

Examining the construct validity of the Personality Assessment Questionnaire for ICD‐11 (PAQ‐11) personality trait domains in a community sample

Examining the construct validity of the Personality Assessment Questionnaire for ICD‐11 (PAQ‐11) personality trait domains in a community sample

Development and initial evaluation of the ICD‐11 personality disorder severity scale: PDS‐ICD‐11

The Arabic Version of the Personality Inventory for the DSM-5 (PID-5) in a Clinical Sample of United Arab Emirates (UAE) Nationals

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