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The Incremental Utility of Criteria A and B of the DSM-5 Alternative Model for Personality Disorders for Predicting DSM-IV/DSM-5 Section II Personality Disorders
Journal of Personality Assessment ( IF 3.720 ) Pub Date : 2022-03-14 , DOI: 10.1080/00223891.2022.2039166
Tor Erik Nysaeter 1 , Benjamin Hummelen 2 , Tore Buer Christensen 1 , Ingeborg Ulltveit-Moe Eikenaes 3, 4 , Sara Germans Selvik 5 , Geir Pedersen 6, 7 , Donna S Bender 8 , Andrew E Skodol 9 , Muirne C S Paap 2, 10
Affiliation  

Abstract

The DSM-5 Alternative Model for Personality Disorders (AMPD) includes two main criteria: moderate or greater impairment in personality functioning (Criterion A) and the presence of one or more pathological personality traits (Criterion B). The aim of the study was to investigate the incremental utility of Criteria A and B for predicting DSM-5 Section II personality disorders (PD). The sample (N = 317) consisted of three well-defined groups: non-clinical participants (n = 35), psychiatric patients with PD (n = 193), and without PD (n = 83). All were assessed using the Structured Clinical Interview for the DSM-5 Alternative Model for Personality Disorders Module I (SCID-5-AMPD-I): Level of Personality Functioning Scale (LPFS), and the Personality Inventory for DSM-5 (PID-5). Logistic regression analyses showed that the SCID-5-AMPD-I could predict the presence of PDs in general, and the three specific PDs that were investigated (i.e., Antisocial, Borderline, and Avoidant PDs). The PID-5 domains enhanced prediction of the specific PDs, but not the presence of PDs in general, when entered in the second step. Our results support the AMPD model: Criterion A predicted the presence of DSM-5 Section II PDs in general, whereas measures of Criterion B incremented prediction of Antisocial, Borderline, and Avoidant PDs.



中文翻译:

DSM-5 人格障碍替代模型的标准 A 和 B 的增量效用用于预测 DSM-IV/DSM-5 第二节人格障碍

摘要

DSM-5 人格障碍替代模型 (AMPD) 包括两个主要标准:人格功能中度或更严重的损害(标准 A)和存在一种或多种病态人格特征(标准 B)。该研究的目的是调查标准 A 和 B 在预测 DSM-5 第 II 节人格障碍 (PD) 方面的增量效用。样本 (N = 317) 由三个明确定义的组组成:非临床参与者 (n = 35)、患有 PD 的精神病患者 (n = 193) 和没有 PD 的精神病患者 (n = 83)。所有评估均使用 DSM-5 人格障碍替代模型模块 I (SCID-5-AMPD-I) 的结构化临床访谈:人格功能量表水平 (LPFS) 和 DSM-5 人格量表 (PID- 5). Logistic 回归分析表明,SCID-5-AMPD-I 可以预测一般 PD 的存在,以及所调查的三种特定 PD(即反社会、边缘和回避型 PD)。在第二步输入时,PID-5 域增强了对特定 PD 的预测,但一般不会增强 PD 的存在。我们的结果支持 AMPD 模型:标准 A 总体上预测了 DSM-5 第 II 节 PD 的存在,而标准 B 的测量增加了对反社会、边缘和回避型 PD 的预测。

更新日期:2022-03-14
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