The DSM-5 Alternative Model of Personality Disorder's Coverage of Borderline Personality Concepts.

IF 2.8 3区医学 Q3 PSYCHIATRY

Personality and Mental Health Pub Date : 2026-05-01 DOI:10.1002/pmh.70070

Kimberly J Gilbert, Isabella A Manuel, Reed M Morgan, Gabrielle S Ilagan, Emilia Soroko, Christopher C Conway

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引用次数: 0

Abstract

The clinical utility of the DSM-5's Alternative Model of Personality Disorders (AMPD) depends on how well it encodes diagnostic concepts recognized in clinical descriptions of PDs. The present study examined the AMPD's coverage of borderline personality features identified in the clinical literature. In three independent samples (total N = 1166), community adults and university students rated their borderline features, level of personality functioning (AMPD Criterion A), and maladaptive personality traits (AMPD Criterion B). We observed that, collectively, the AMPD dimensions accounted for 76%-82% of borderline PD variance across samples. In supplemental analyses that adjusted for measurement error, the variance-explained range climbed to 84%-96%. Some domains of borderline pathology were better represented than others in the AMPD, highlighting areas for improvement in future iterations of the AMPD and related dimensional nosologies. We conclude that, at least in the populations studied here, the AMPD is a serviceable model of longstanding borderline constructs, providing a bridge from categorical to dimensional conceptualizations of borderline PD.

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DSM-5替代性人格障碍模型中边缘性人格概念的覆盖。

DSM-5的人格障碍替代模型（AMPD）的临床效用取决于它如何很好地编码pd临床描述中公认的诊断概念。本研究检查了AMPD在临床文献中确定的边缘性人格特征的覆盖范围。在三个独立的样本中（总N = 1166），社区成年人和大学生对他们的边缘特征、人格功能水平（AMPD标准A）和适应不良人格特征（AMPD标准B）进行评分。我们观察到，总的来说，AMPD维度占整个样本的边缘PD方差的76%-82%。在对测量误差进行调整的补充分析中，方差解释范围攀升至84%-96%。在AMPD中，一些边缘性病理领域比其他领域得到了更好的体现，这突出了在AMPD和相关维度分册的未来迭代中需要改进的领域。我们的结论是，至少在这里研究的人群中，AMPD是一个长期存在的边缘性结构的可用模型，提供了从边缘性PD的分类到维度概念化的桥梁。

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

Personality and Mental Health Multiple-

CiteScore

4.80

自引率

14.80%

发文量

期刊介绍： Personality and Mental Health: Multidisciplinary Studies from Personality Dysfunction to Criminal Behaviour aims to lead and shape the international field in this rapidly expanding area, uniting three distinct literatures: DSM-IV/ICD-10 defined personality disorders, psychopathy and offending behaviour. Through its multi-disciplinary and service orientated approach, Personality and Mental Health provides a peer-reviewed, authoritative resource for researchers, practitioners and policy makers working in the areas of personality and mental health.