The Incremental Utility of Criteria A and B of the DSM-5 Alternative Model for Personality Disorders for Predicting DSM-IV/DSM-5 Section II Personality Disorders
Nysæter, Tor Erik; Hummelen, Benjamin; Christensen, Tore Buer; Eikenæs, Ingeborg Helene Ulltveit-Moe; Germans Selvik, Sara; Pedersen, Geir Arild Feigum; Bender, Donna S.; Skodol, Andrew E.; Paap, Muirne C. S.
Peer reviewed, Journal article
Published version
Permanent lenke
https://hdl.handle.net/11250/3039493Utgivelsesdato
2022Metadata
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- Institutt for psykologi [2886]
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Originalversjon
10.1080/00223891.2022.2039166Sammendrag
The DSM-5 Alternative Model for Personality Disorders (AMPD) includes two main criteria: moderate or greater impairment in personality functioning (Criterion A) and the presence of one or more pathological personality traits (Criterion B). The aim of the study was to investigate the incremental utility of Criteria A and B for predicting DSM-5 Section II personality disorders (PD). The sample (N = 317) consisted of three well-defined groups: non-clinical participants (n = 35), psychiatric patients with PD (n = 193), and without PD (n = 83). All were assessed using the Structured Clinical Interview for the DSM-5 Alternative Model for Personality Disorders Module I (SCID-5-AMPD-I): Level of Personality Functioning Scale (LPFS), and the Personality Inventory for DSM-5 (PID-5). Logistic regression analyses showed that the SCID-5-AMPD-I could predict the presence of PDs in general, and the three specific PDs that were investigated (i.e., Antisocial, Borderline, and Avoidant PDs). The PID-5 domains enhanced prediction of the specific PDs, but not the presence of PDs in general, when entered in the second step. Our results support the AMPD model: Criterion A predicted the presence of DSM-5 Section II PDs in general, whereas measures of Criterion B incremented prediction of Antisocial, Borderline, and Avoidant PDs.