Initial construction of a maladaptive personality trait model and inventory for DSM-5.
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A maladaptive personality trait model and corresponding instrument are developed as a step on the path toward helping users of DSM-5 assess traits that may or may not constitute a formal personality disorder.Abstract:
Background DSM-IV-TR suggests that clinicians should assess clinically relevant personality traits that do not necessarily constitute a formal personality disorder (PD), and should note these traits on Axis II, but DSM-IV-TR does not provide a trait model to guide the clinician. Our goal was to provide a provisional trait model and a preliminary corresponding assessment instrument, in our roles as members of the DSM-5 Personality and Personality Disorders Workgroup and workgroup advisors. Method An initial list of specific traits and domains (broader groups of traits) was derived from DSM-5 literature reviews and workgroup deliberations, with a focus on capturing maladaptive personality characteristics deemed clinically salient, including those related to the criteria for DSM-IV-TR PDs. The model and instrument were then developed iteratively using data from community samples of treatment-seeking participants. The analytic approach relied on tools of modern psychometrics (e.g. item response theory models). Results A total of 25 reliably measured core elements of personality description emerged that, together, delineate five broad domains of maladaptive personality variation: negative affect, detachment, antagonism, disinhibition, and psychoticism. Conclusions We developed a maladaptive personality trait model and corresponding instrument as a step on the path toward helping users of DSM-5 assess traits that may or may not constitute a formal PD. The inventory we developed is reprinted in its entirety in the Supplementary online material, with the goal of encouraging additional refinement and development by other investigators prior to the finalization of DSM-5. Continuing discussion should focus on various options for integrating personality traits into DSM-5.read more
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The Hierarchical Taxonomy of Psychopathology (HiTOP): A Dimensional Alternative to Traditional Nosologies
Roman Kotov,Robert F. Krueger,David Watson,Thomas M. Achenbach,Robert R. Althoff,R. Michael Bagby,Timothy A. Brown,William T. Carpenter,Avshalom Caspi,Lee Anna Clark,Nicholas R. Eaton,Miriam K. Forbes,Kelsie T. Forbush,David Goldberg,Deborah S. Hasin,Steven E. Hyman,Masha Y. Ivanova,Donald R. Lynam,Kristian E. Markon,Joshua D. Miller,Terrie E. Moffitt,Leslie C. Morey,Stephanie N. Mullins-Sweatt,Johan Ormel,Christopher J. Patrick,Darrel A. Regier,Leslie Rescorla,Camilo J. Ruggero,Douglas B. Samuel,Martin Sellbom,Leonard J. Simms,Andrew E. Skodol,Tim Slade,Susan C. South,Jennifer L. Tackett,Irwin D. Waldman,Monika A. Waszczuk,Thomas A. Widiger,Aidan G. C. Wright,Mark Zimmerman +39 more
TL;DR: The HiTOP promises to improve research and clinical practice by addressing the aforementioned shortcomings of traditional nosologies and provides an effective way to summarize and convey information on risk factors, etiology, pathophysiology, phenomenology, illness course, and treatment response.
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TL;DR: Research to date suggests that the DSM-5 trait model provides reasonable coverage of personality pathology but also suggest areas for continued refinement, which provides a way of evolving psychopathology classification on the basis of research evidence as opposed to clinical authority.
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Aidan G. C. Wright,Katherine M. Thomas,Christopher J. Hopwood,Kristian E. Markon,Aaron L. Pincus,Robert F. Krueger +5 more
TL;DR: Beyond the description of individual differences in personality disorder, the trait dimensions might provide a framework for the metastructure of psychopathology in the DSM-5 and the integration of a number of ostensibly competing models of personality trait covariation.
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DSM-5 Field Trials in the United States and Canada, Part III: Development and Reliability Testing of a Cross-Cutting Symptom Assessment for DSM-5
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TL;DR: These results show promising test-retest reliability results for this group of assessments, many of which are newly developed or have not been previously tested in psychiatric populations.
References
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Journal ArticleDOI
The 'four As': a common framework for normal and abnormal personality?
Elizabeth J. Austin,Ian J. Deary +1 more
TL;DR: An item-level factor analysis of the personality disorder questionnaire from the Structured Clinical Interview for DSM-III-R (SCID-II) completed by 400 students is presented in this article.
Journal ArticleDOI
Moving toward DSM-5: the field trials.
TL;DR: As occurred for DSM-III and DSM-IV, trials are now needed to assess the clinical utility of the criteria and their reliability when used by different clinicians, but now additional focus is on their test-retest reliability over time in the same patient (precision).
Journal ArticleDOI
The relationship between the five-factor model and latent Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition personality disorder dimensions.
TL;DR: Dimensional measures of general personality may be a suitable alternative to the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition and whether additional maladaptive traits would better define the domain of PDs remains an important objective for future research.
Journal ArticleDOI
Reducing the Length of Questionnaires through Structurally Incomplete Designs: An Illustration.
Niels Smits,Harrie C. M. Vorst +1 more
TL;DR: In this article, two structurally incomplete test designs, one recording two thirds and the other recording a half of the potentially complete data, were applied to the complete item scores on 8 educational psychology scales.