Mental health professionals' perceived clinical utility of the ICD-10 vs. ICD-11 classification of personality disorders

Signe Joost Hansen, Sune Christensen, Mickey T. Kongerslev, Michael B. First, Thomas A. Widiger, Erik Simonsen, Bo Bach

Research output: Contribution to journalArticlepeer-review

40 Scopus citations


Aim: The ICD-11 classification of personality disorders (PDs) has adopted a dimensional approach which includes three levels of severity (mild, moderate and severe) with the option of specifying five trait qualifiers (negative affectivity, detachment, dissociality, disinhibition and anankastia) and one borderline pattern qualifier. This study examined mental health professionals' perceived clinical utility of the ICD-11 PD framework compared with the ICD-10 categorical PD framework. Method: A sample of 163 mental health professionals (primarily psychologists, nurses and medical doctors) completed a survey in which they were asked to apply the ICD-10 and ICD-11 PD classifications on one of their patients followed by judgement of their clinical utility. Results: The ICD-11 PD framework was generally rated as being slightly more useful than the ICD-10 framework even when accounting for educational background and years of experience. This advantage particularly involved the utility for treatment planning, communicating with patients, comprehensiveness and ease of use. The two frameworks showed no significant differences with respect to utility for communicating with other professionals and describing global personality. Conclusion: This study provided initial evidence that mental health professionals perceive the ICD-11 PD classification as slightly more useful for clinical practice than the ICD-10 classification.

Original languageEnglish
Pages (from-to)84-95
Number of pages12
JournalPersonality and Mental Health
Issue number2
StatePublished - May 2019

Bibliographical note

Publisher Copyright:
© 2019 John Wiley & Sons, Ltd.

ASJC Scopus subject areas

  • Psychiatric Mental Health
  • Health Policy
  • Psychiatry and Mental health


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