Personality Disorders in the ICD-11: Spanish Validation of the PiCD and the SASPD in a Mixed Community and Clinical Sample

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 Per...

Descripción completa

Detalles Bibliográficos
Autores: Gutierrez, F, Aluja, A, Ruiz, J, Garcia, LF, Garriz, M, Gutierrez-Zotes, A, Gallardo-Pujol, D, Navarro-Haro, MV, Alabernia-Segura, M, Mestre-Pinto, JI, Torrens, M, Peri, JM, Sureda, B, Soler, J, Pascual, JC, Vall, G, Calvo, N, Ferrer, M, Oltmanns, JR, Widiger, TA
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2021
País:España
Institución:Institut d’Investigació Biomèdica Sant Pau (IIB Sant Pau)
Repositorio:r-IIB SANT PAU. Repositorio Institucional de Producción Científica del Instituto de Investigación Biomédica Sant Pau
OAI Identifier:oai:iibsantpau.fundanetsuite.com:p4230
Acceso en línea:https://iibsantpau.fundanetsuite.com/Publicaciones/ProdCientif/PublicacionFrw.aspx?id=4230
http://ddd.uab.cat/record/238259
Access Level:acceso abierto
Palabra clave:personality disorder
personality pathology
ICD-11
severity
PiCD
SASPD
Descripción
Sumario: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 (alpha = .75 to .84) but less so in the SASPD (alpha = .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.