From categories to traits: assessing personality dysfunction in ICD-11 and the DSM-5 alternative model for personality disorders.

IF 4.9 2区医学 Q1 PSYCHIATRY

Current Opinion in Psychiatry Pub Date : 2025-08-20 DOI:10.1097/YCO.0000000000001040

Robert F Bornstein

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引用次数: 0

Abstract

Purpose of review: A paradigm shift in the assessment of personality pathology is underway, as diagnosticians move beyond traditional personality disorder categories and assess personality dysfunction using contemporary dimensional frameworks. This article describes the assessment of personality pathology in ICD-11 and the DSM-5 Alternative Model for Personality Disorders (AMPD).

Recent findings: Recent findings in this area can be grouped into three domains: reliability, factor structure, and temporal stability of ICD-11 and AMPD constructs, convergence of personality pathology ratings with external indices of psychopathology and adjustment, and clinical utility (e.g., usefulness in rendering clinical decisions, prediction of treatment outcome).

Summary: Research in this area confirms that level of personality functioning and the presence of one or more pathological personality traits predict an array of clinical outcomes, including symptom disorders (e.g., anxiety, depression), suicide risk, and psychotherapy effectiveness. Findings support the cross-cultural generalizability of these patterns, and the clinical utility of assessing personality functioning and traits in adolescents and adults.

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从类别到特征：评估ICD-11中的人格功能障碍和DSM-5中的人格障碍替代模型。

回顾目的：人格病理学评估的范式转变正在进行中，因为诊断医生超越了传统的人格障碍类别，并使用当代维度框架评估人格功能障碍。本文描述了ICD-11和DSM-5人格障碍替代模型（AMPD）中人格病理的评估。最新发现：该领域的最新发现可分为三个领域：ICD-11和AMPD结构的可靠性、因素结构和时间稳定性，人格病理评分与精神病理和适应的外部指标的趋同，以及临床实用性（例如，在临床决策、治疗结果预测方面的有用性）。摘要：该领域的研究证实，人格功能水平和一种或多种病态人格特征的存在可以预测一系列临床结果，包括症状障碍（如焦虑、抑郁）、自杀风险和心理治疗效果。研究结果支持这些模式的跨文化普遍性，以及评估青少年和成人人格功能和特征的临床应用。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Current Opinion in Psychiatry 医学-精神病学

CiteScore

12.20

自引率

1.40%

发文量

审稿时长

6-12 weeks

期刊介绍： Current Opinion in Psychiatry is an easy-to-digest bimonthly journal covering the most interesting and important advances in the field of psychiatry. Eight sections on mental health disorders including schizophrenia, neurodevelopmental disorders and eating disorders, are presented alongside five area-specific sections, offering an expert evaluation on the most exciting developments in the field.