Personality Disorders in the ICD-11 : Spanish Validation of the PiCD and the SASPD in a Mixed Community and Clinical Sample
Gutiérrez, Fernando (Institut d'Investigacions Biomèdiques August Pi i Sunyer)
Aluja, Anton (Institut de Recerca Biomèdica de Lleida)
Ruiz Rodríguez, José (Universitat de Barcelona)
García, Luis F. (Universidad Autónoma de Madrid)
Gárriz, Miguel (Institut de Neuropsiquiatria i Addiccions (INAD))
Gutiérrez-Zotes, Alfonso (Universitat Rovira i Virgili. Hospital Universitari Institut Pere Mata)
Gallardo-Pujol, David (Universitat de Barcelona. Institut de Neurociències)
Navarro-Haro, Maria V. (Instituto de Investigación Sanitaria de Aragón)
Alabèrnia-Segura, Miquel (Universitat de Barcelona)
Mestre-Pintó, Joan Ignasi (Universitat Pompeu Fabra)
Torrens, Marta (Universitat Autònoma de Barcelona. Departament de Psiquiatria i de Medicina Legal)
Peri i Nogués, Josep Maria (Hospital Clínic i Provincial de Barcelona)
Sureda, Bárbara (Hospital Clínic i Provincial de Barcelona)
Soler, Joaquim (Institut d'Investigació Biomèdica Sant Pau)
Pascual Mateos, Juan Carlos (Universitat Autònoma de Barcelona. Departament de Psiquiatria i de Medicina Legal)
Vall, Gemma (GSS-Hospital Santa Maria, Lleida, Spain)
Calvo, Natalia (Hospital Universitari Vall d'Hebron)
Ferrer Vinardel, Marc (Hospital Universitari Vall d'Hebron)
Oltmanns, Joshua R. (University of Kentucky)
Widiger, Thomas A. (University of Kentucky)

Date:	2020
Abstract:	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 (α =. 75 to. 84) but less so in the SASPD (α =. 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.
Grants:	Instituto de Salud Carlos III PI15-00536
Rights:	Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, la comunicació pública de l'obra i la creació d'obres derivades, sempre que no sigui amb finalitats comercials, i sempre que es reconegui l'autoria de l'obra original.
Language:	Anglès
Document:	Article ; recerca ; Versió publicada
Subject:	Personality disorder ; Personality pathology ; ICD-11 ; Severity ; PiCD ; SASPD
Published in:	Assessment, Vol. 28 (june 2020) , p. 759-772, ISSN 1552-3489

DOI: 10.1177/1073191120936357
PMID: 32583685

14 p, 1.2 MB

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Research literature > UAB research groups literature > Research Centres and Groups (research output) > Health sciences and biosciences > Institut de Neurociències (INc)
Research literature > UAB research groups literature > Research Centres and Groups (research output) > Health sciences and biosciences > Institut de Recerca Sant Pau
Articles > Research articles
Articles > Published articles