Incremental validity of the ICD-11 personality disorder model for explaining psychological distress.

Johannes Stricker, Reinhard Pietrowsky
Author Information
  1. Johannes Stricker: Department of Psychology. ORCID
  2. Reinhard Pietrowsky: Department of Psychology.

Abstract

Many persons with personality disorder experience psychological distress. The (ICD-11) contains a dimensional personality disorder model that comprises personality dysfunctioning, 5 maladaptive personality trait domains, and a borderline pattern qualifier. Research on the relations between the ICD-11 personality disorder model and psychological distress is sparse. Particularly, it is unclear whether personality dysfunctioning on the one side and the more specific personality traits in ICD-11 on the other side incrementally predict psychological distress. In addition, the incremental validity of the components of the ICD-11 personality disorder model beyond the five-factor model of normal-range personality as a widely accepted personality framework has not been established. In this study, we assessed the relations between self-report measures of the ICD-11 personality disorder model and psychological distress in 2 community samples ( = 203, = 226). Except anankastia, all ICD-11 personality trait domains assessed with the Personality Inventory for ICD-11 and the borderline pattern qualifier assessed with the Borderline Pattern Scale were strongly related to psychological distress. In hierarchical regressions, the personality traits in ICD-11 incrementally predicted psychological distress beyond personality dysfunctioning, and vice versa. In addition, the components of the ICD-11 personality disorder model were substantially related to psychological distress beyond the corresponding normal-range Big Five personality traits. Our results demonstrate the criterion-related and incremental validity of self-report instruments assessing the ICD-11 personality disorder model, which supports their utility for screening and assessment. (PsycInfo Database Record (c) 2022 APA, all rights reserved).

MeSH Term

Diagnostic and Statistical Manual of Mental Disorders
Humans
International Classification of Diseases
Personality
Personality Disorders
Personality Inventory
Psychological Distress

Word Cloud

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