The organization of personality pathology into trait domains (vs. specific disorders) in ICD-11 represents an important shift in personality disorder (PD) nosology. However, to facilitate clinical implementation, a bridge is needed between this system and the DSM-5 Section II system familiar to many researchers and clinicians. In this study, individual DSM-5 PD criteria were assigned to ICD-11 trait domains based on the published Clinical Descriptions and Diagnostic Requirements. This scoring scheme was examined empirically alongside DSM-5 PD dimensions (using SIDP ratings from the MIDAS project; N = 2,147 outpatients) in terms of descriptive properties and relations with psychosocial morbidity and functioning. Most PD criteria could be matched to at least one ICD-11 trait domain, indicating considerable cross-system continuity. However, points of incongruity are noteworthy for research and clinical applications. Results provide key information for bridging categorical and dimensional frameworks, indicating that the shift toward trait-based PD models need not be as disruptive as feared.
CITATION STYLE
Levin-Aspenson, H. F., Khoo, S., Stanton, K., King, B., & Zimmerman, M. (2023). A BRIDGE BETWEEN DSM-5 SECTION II PERSONALITY DISORDER CRITERIA AND ICD-11 PERSONALITY DISORDER TRAIT DOMAINS. Journal of Personality Disorders, 37(3), 317–336. https://doi.org/10.1521/pedi.2023.37.3.317
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