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Patient-Reported ICD-11 Personality Disorder Severity and DSM-5 Level of Personality Functioning.
Journal of Personality Disorders ( IF 2.1 ) Pub Date : 2020-04-01 , DOI: 10.1521/pedi_2018_32_393
Bo Bach 1 , Jaime L Anderson 2
Affiliation  

This study evaluated the Standardized Assessment of Severity of Personality Disorder (SASPD) proposed for ICD-11 and the Level of Personality Functioning Scale-Brief Form 2.0 (LPFS-BF) developed for DSM-5 Section III and their relationships with external correlates. We used a clinical sample (N = 150; 33% women) of 65 psychiatric outpatients and 85 incarcerated addicts, who self-reported the SASPD and the LPFS-BF. We conducted correlation and regression analyses in order to determine the relative associations of these two measures with relevant external criteria. SASPD predominantly captured externalizing and other-related problems (e.g., potential harm to others), whereas LPFS-BF predominantly captured internalizing and self-related problems (e.g., identity and distress). Generally, LPFS-BF explained more variance of the external criteria relative to SASPD. The findings seem to reflect that the ICD-11 oriented SASPD emphasizes interpersonal and aggressive features, whereas the DSM-5-oriented LPFS-BF emphasizes self-pathology and distress. More conclusive findings warrant interview-rated personality functioning.

中文翻译:

患者报告的ICD-11人格障碍严重程度和DSM-5人格功能水平。

这项研究评估了针对ICD-11提出的人格障碍严重程度(SASPD)的标准化评估以及针对DSM-5第三部分制定的人格功能量表-简表2.0(LPFS-BF)的水平及其与外部相关因素的关系。我们使用了65名精神科门诊患者和85名被监禁的吸毒成瘾者的临床样本(N = 150; 33%为女性),他们自行报告了SASPD和LPFS-BF。我们进行了相关性和回归分析,以确定这两个量度与相关外部标准的相对关联。SASPD主要解决了外部化和其他相关问题(例如,对他人的潜在危害),而LPFS-BF主要解决了内部化和自身相关的问题(例如,身份和困扰)。一般来说,LPFS-BF解释了相对于SASPD的外部标准的更多差异。这些发现似乎反映出,面向ICD-11的SASPD强调人际关系和攻击性特征,而面向DSM-5的LPFS-BF则强调自我病理和痛苦。更具决定性的发现值得接受面试评定的人格功能。
更新日期:2020-04-01
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