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The utility of ICD-11 and DSM-5 traits for differentiating patients with personality disorders from other clinical groups

2021Journal article Open access
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dc.contributor.authorPires, Rute
dc.contributor.authorHenriques-Calado, Joana
dc.contributor.authorSousa Ferreira, Ana
dc.contributor.authorBach, Bo
dc.contributor.authorPaulino, Marco
dc.contributor.authorMarques, João Gama
dc.contributor.authorRibeiro Moreira, Ana
dc.contributor.authorGrácio, Jaime
dc.contributor.authorGonçalves, Bruno
dc.date.accessioned2021-05-21T15:32:15Z
dc.date.available2021-05-21T15:32:15Z
dc.date.issued2021
dc.descriptionCopyright © 2021 Pires, Henriques-Calado, Sousa Ferreira, Bach, Paulino, Gama Marques, Ribeiro Moreira, Grácio and Gonçalves. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.pt_PT
dc.description.abstractThe ICD-11 Classification of Personality Disorders delineates five trait domain qualifiers (i.e., negative affectivity, detachment, dissociality, disinhibition, and anankastia), whereas the DSM-5 Alternative Model of Personality Disorders also delineates a separate domain of psychoticism. These six combined traits not only characterize individual stylistic features, but also the severity of their maladaptive expressions. It was, therefore, the aim of this study to investigate the utility of ICD-11 and DSM-5 trait domains to differentiate patients with personality disorders (PD) from patients with other mental disorders (non-PD). The Personality Inventory for DSM-5 Brief Form Plus (PID5BF+M) was administered to a sample of patients diagnosed with a personality disorder (N = 124, M age = 42.21, 42.7% females) along with a sample of patients diagnosed with other mental disorders (N = 335, M age = 44.83, 46.6% females). Group differences were explored using the independent sample t test or the Mann-Whitney U test for independent samples, and discriminant factor analysis was used to maximize group differences for each trait domain and facet score. The PD group showed significantly higher scores for the total PID5BF+M composite score, for the trait domains of negative affectivity, antagonism/dissociality, and disinhibition and for the trait facets of emotional lability, manipulativeness, deceitfulness, and impulsivity. The trait domains of disinhibition, negative affectivity, and antagonism/dissociality as well as the trait facets of impulsivity, deceitfulness, emotional lability, and manipulativeness were the best discriminators between PD and non-PD patients. The global PID5BF+M composite score was also one of the best discriminators supporting its potential as a global severity index for detecting personality dysfunction. Finally, high scores in three or more of the 18 PID5BF+M facets suggested the possible presence of a PD diagnosis. Despite some limitations, our findings suggest that the ICD-11 and DSM-5 traits have the potential to specifically describe the stylistic features that characterize individuals with PD, including the severity of their maladaptive expressions.pt_PT
dc.description.sponsorshipThis research was financially supported by the Fundação para a Ciência e a Tecnologia [Foundation for Science and Technology] through the Research Center for Psychological Science, CICPSI (UIDP/04527/2020) and the Business Research Unit, BRU-IUL (UIDB/00315/2020).pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationFront Psychiatry. 2021 Apr 16;12:633882pt_PT
dc.identifier.doi10.3389/fpsyt.2021.633882pt_PT
dc.identifier.eissn1664-0640
dc.identifier.urihttp://hdl.handle.net/10451/48090
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.publisherFrontierspt_PT
dc.relationResearch Center for Psychological Science
dc.relationBusiness Research Unit - BRU-IUL
dc.relation.publisherversionhttps://www.frontiersin.org/journals/psychiatrypt_PT
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/pt_PT
dc.subjectICD-11 classification of personality disorderspt_PT
dc.subjectDSM-5 alternative model for personality disorderspt_PT
dc.subjectPersonality disorderspt_PT
dc.subjectSeveritypt_PT
dc.subjectPersonality traitspt_PT
dc.subjectPID5BF+Mpt_PT
dc.titleThe utility of ICD-11 and DSM-5 traits for differentiating patients with personality disorders from other clinical groupspt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.awardTitleResearch Center for Psychological Science
oaire.awardTitleBusiness Research Unit - BRU-IUL
oaire.awardURIinfo:eu-repo/grantAgreement/FCT/6817 - DCRRNI ID/UIDP%2F04527%2F2020/PT
oaire.awardURIinfo:eu-repo/grantAgreement/FCT/6817 - DCRRNI ID/UIDB%2F00315%2F2020/PT
oaire.citation.titleFrontiers in Psychiatrypt_PT
oaire.citation.volume12pt_PT
oaire.fundingStream6817 - DCRRNI ID
oaire.fundingStream6817 - DCRRNI ID
person.familyNamePaulino
person.familyNamePereira Gama Marques
person.givenNameMarco
person.givenNameJoão Carlos
person.identifierQ-9004-2017
person.identifier.ciencia-id0518-6E23-CF22
person.identifier.orcid0000-0001-5576-0670
person.identifier.orcid0000-0003-0662-5178
person.identifier.scopus-author-id7003349370
person.identifier.scopus-author-id56152909900
project.funder.identifierhttp://doi.org/10.13039/501100001871
project.funder.identifierhttp://doi.org/10.13039/501100001871
project.funder.nameFundação para a Ciência e a Tecnologia
project.funder.nameFundação para a Ciência e a Tecnologia
rcaap.rightsopenAccesspt_PT
rcaap.typearticlept_PT
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relation.isAuthorOfPublication18374492-fae6-44b7-818c-4fb32dceb10f
relation.isAuthorOfPublication.latestForDiscovery6f2ed2e1-8654-4172-a83f-7f06760be04c
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