The criterion validity of general and antisocial personality disorder-specific criterion A in the alternative model of personality disorders: A scoping review and meta-analysis.
Nathan Akoka, Ashley L Dunne, Michael Trood, Michael Daffern
{"title":"The criterion validity of general and antisocial personality disorder-specific criterion A in the alternative model of personality disorders: A scoping review and meta-analysis.","authors":"Nathan Akoka, Ashley L Dunne, Michael Trood, Michael Daffern","doi":"10.1037/per0000773","DOIUrl":null,"url":null,"abstract":"<p><p>The alternative model for personality disorders include two-dimensional criteria: self and interpersonal dysfunction (Criterion A) and maladaptive personality traits (Criterion B). Criterion A is appraised using the Levels of Personality Functioning Scale (LPFS). Personality disorder-specific impairments are also described. This scoping review and meta-analysis evaluates the criterion validity of self-report and observer-rated LPFS measures, and two antisocial personality disorder (ASPD)-specific measures, in assessing Criterion A for ASPD, psychopathy, antisocial behavior, and aggression. Six databases (CINAHL, EMBASE, EMCare, MEDLINE, PsycINFO, and PubMed) were searched for studies assessing Criterion A and ASPD, aggression, antisocial behavior, and/or psychopathy. Thirty-two studies were identified. Meta-analysis revealed strong pooled associations between self-report and clinician-rated LPFS measures and Section II ASPD. Effects with psychopathy for self-report LPFS measures were moderate and weak for clinician-rated LPFS. Weak to moderate pooled effects for LPFS with aggression and antisocial behavior were found. ASPD-specific impairments showed moderate associations with Section II ASPD and large associations for psychopathy. Overall, general and ASPD-specific measures demonstrated variable criterion validity with Section II ASPD and associated antisocial constructs. Caution is warranted when assessing Criterion A impairment for antisociality using a single measure in isolation. A clinician-led, multimethod approach that integrates general LPFS-based assessment with instruments specifically designed to capture antisocial features is likely to (a) enhance diagnostic accuracy and (b) improve the clinical utility of Criterion A assessment in informing violence risk formulation and management. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":74420,"journal":{"name":"Personality disorders","volume":" ","pages":""},"PeriodicalIF":4.2000,"publicationDate":"2026-04-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Personality disorders","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1037/per0000773","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 0
Abstract
The alternative model for personality disorders include two-dimensional criteria: self and interpersonal dysfunction (Criterion A) and maladaptive personality traits (Criterion B). Criterion A is appraised using the Levels of Personality Functioning Scale (LPFS). Personality disorder-specific impairments are also described. This scoping review and meta-analysis evaluates the criterion validity of self-report and observer-rated LPFS measures, and two antisocial personality disorder (ASPD)-specific measures, in assessing Criterion A for ASPD, psychopathy, antisocial behavior, and aggression. Six databases (CINAHL, EMBASE, EMCare, MEDLINE, PsycINFO, and PubMed) were searched for studies assessing Criterion A and ASPD, aggression, antisocial behavior, and/or psychopathy. Thirty-two studies were identified. Meta-analysis revealed strong pooled associations between self-report and clinician-rated LPFS measures and Section II ASPD. Effects with psychopathy for self-report LPFS measures were moderate and weak for clinician-rated LPFS. Weak to moderate pooled effects for LPFS with aggression and antisocial behavior were found. ASPD-specific impairments showed moderate associations with Section II ASPD and large associations for psychopathy. Overall, general and ASPD-specific measures demonstrated variable criterion validity with Section II ASPD and associated antisocial constructs. Caution is warranted when assessing Criterion A impairment for antisociality using a single measure in isolation. A clinician-led, multimethod approach that integrates general LPFS-based assessment with instruments specifically designed to capture antisocial features is likely to (a) enhance diagnostic accuracy and (b) improve the clinical utility of Criterion A assessment in informing violence risk formulation and management. (PsycInfo Database Record (c) 2026 APA, all rights reserved).
求助内容：
应助结果提醒方式：
京公网安备 11010802042870号
