Personality Disorders in the ICD-11: Spanish Validation of the PiCD and the SASPD in a Mixed Community and Clinical Sample
Por:
Gutierrez, F, Aluja, A, Ruiz, J, Garcia, LF, Garriz, M, Gutierrez-Zotes, A, Gallardo-Pujol, D, Navarro-Haro, MV, Alabernia-Segura, M, Mestre-Pinto, JI, Torrens, M, Peri, JM, Sureda, B, Soler, J, Pascual, JC, Vall, G, Calvo, N, Ferrer, M, Oltmanns, JR, Widiger, TA
Publicada:
1 abr 2021
Ahead of Print:
1 jun 2020
Resumen:
The International Classification of Diseases-11th revision (ICD-11) classification of personality disorders is the official diagnostic system that is used all over the world, and it has recently been renewed. However, as yet very few data are available on its performance. This study examines the Personality Inventory for ICD-11 (PiCD), which assesses the personality domains of the system, and the Standardized Assessment of Severity of Personality Disorder (SASPD), which determines severity. The Spanish versions of the questionnaires were administered to a community (n= 2,522) and a clinical sample (n= 797). Internal consistency was adequate in the PiCD (alpha = .75 to .84) but less so in the SASPD (alpha = .64 and .73). Factor analyses suggested a unidimensional or bidimensional structure for severity, while revealing that the personality trait qualifiers are organized into four factors: negative affectivity, detachment, dissociality, and a bipolar domain of disinhibition-anankastia. The mutual relationships between traits and severity were analyzed, as well as the ability of the whole system to identify clinical subjects. Although further improvements are required, the results generally support the use of the PiCD and the SASPD and help substantiate the new ICD-11 taxonomy that underlies them.
Filiaciones:
Gutierrez, F:
Hosp Clin Barcelona, Barcelona, Spain
IDIBAPS, Barcelona, Spain
Aluja, A:
Univ Lleida, Lleida, Spain
Biomed Res Inst Lleida, Lleida, Spain
Ruiz, J:
Univ Barcelona, Barcelona, Spain
Garcia, LF:
Biomed Res Inst Lleida, Lleida, Spain
Autonomous Univ Madrid, Madrid, Spain
Garriz, M:
Inst Neuropsiquiatria & Addicc, Barcelona, Spain
Gutierrez-Zotes, A:
IISPV Univ Rovira i Virgili, Reus, Spain
Gallardo-Pujol, D:
Univ Barcelona, Barcelona, Spain
Inst Neurosci, Barcelona, Spain
Navarro-Haro, MV:
Univ Zaragoza, Zaragoza, Spain
Aragon Hlth Res Inst, Zaragoza, Spain
Alabernia-Segura, M:
Univ Barcelona, Barcelona, Spain
Mestre-Pinto, JI:
IMIM Hosp Mar Med Res Inst, Barcelona, Spain
Univ Pompeu Fabra, Barcelona, Spain
Torrens, M:
IMIM Hosp Mar Med Res Inst, Barcelona, Spain
Univ Autonoma Barcelona, Barcelona, Spain
Peri, JM:
Hosp Clin Barcelona, Barcelona, Spain
Sureda, B:
Hosp Clin Barcelona, Barcelona, Spain
Soler, J:
Univ Autonoma Barcelona, Barcelona, Spain
Hosp Santa Creu & Sant Pau, Barcelona, Spain
Pascual, JC:
Univ Autonoma Barcelona, Barcelona, Spain
Hosp Santa Creu & Sant Pau, Barcelona, Spain
Vall, G:
Biomed Res Inst Lleida, Lleida, Spain
GSSHosp Santa Maria, Lleida, Spain
Calvo, N:
Univ Autonoma Barcelona, Barcelona, Spain
Vall dHebron Univ Hosp, Barcelona, Spain
Ferrer, M:
Univ Autonoma Barcelona, Barcelona, Spain
Vall dHebron Univ Hosp, Barcelona, Spain
Oltmanns, JR:
Univ Kentucky, Lexington, KY USA
Widiger, TA:
Univ Kentucky, Lexington, KY USA
Green Published, hybrid
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