Personality Disorders in the ICD-11: Spanish Validation of the PiCD and the SASPD in a Mixed Community and Clinical Sample

Fernando Gutiérrez; Anton Aluja; José Ruiz; Luis F. García; Miguel Gárriz; Alfonso Gutiérrez-Zotes; David Gallardo-Pujol; Maria V. Navarro-Haro; Miquel Alabèrnia-Segura; Joan Ignasi Mestre-Pintó; Marta Torrens; Josep M. Peri; Bárbara Sureda; Joaquim Soler; Juan Carlos Pascual; Gemma Vall; Natalia Calvo; Marc Ferrer; Joshua R. Oltmanns; Thomas A. Widiger

doi:10.1177/1073191120936357

Personality Disorders in the ICD-11: Spanish Validation of the PiCD and the SASPD in a Mixed Community and Clinical Sample

Fernando Gutiérrez, Anton Aluja, José Ruiz, Luis F. García, Miguel Gárriz, Alfonso Gutiérrez-Zotes, David Gallardo-Pujol, Maria V. Navarro-Haro, Miquel Alabèrnia-Segura, Joan Ignasi Mestre-Pintó, Marta Torrens, Josep M. Peri, Bárbara Sureda, Joaquim Soler, Juan Carlos Pascual, Gemma Vall, Natalia Calvo, Marc Ferrer, Joshua R. Oltmanns, Thomas A. Widiger

Research output: Contribution to journal › Article › peer-review

22 Scopus citations

Abstract

The International Classification of Diseases–11th revision (ICD-11) classification of personality disorders is the official diagnostic system that is used all over the world, and it has recently been renewed. However, as yet very few data are available on its performance. This study examines the Personality Inventory for ICD-11 (PiCD), which assesses the personality domains of the system, and the Standardized Assessment of Severity of Personality Disorder (SASPD), which determines severity. The Spanish versions of the questionnaires were administered to a community (n = 2,522) and a clinical sample (n = 797). Internal consistency was adequate in the PiCD (α =.75 to.84) but less so in the SASPD (α =.64 and.73). Factor analyses suggested a unidimensional or bidimensional structure for severity, while revealing that the personality trait qualifiers are organized into four factors: negative affectivity, detachment, dissociality, and a bipolar domain of disinhibition–anankastia. The mutual relationships between traits and severity were analyzed, as well as the ability of the whole system to identify clinical subjects. Although further improvements are required, the results generally support the use of the PiCD and the SASPD and help substantiate the new ICD-11 taxonomy that underlies them.

Original language	English
Pages (from-to)	759-772
Number of pages	14
Journal	Assessment
Volume	28
Issue number	3
DOIs	https://doi.org/10.1177/1073191120936357
State	Published - Apr 2021

Bibliographical note

Funding Information:
The author(s) disclosed receipt of the following financial support for the research, authorship, and/or publication of this article: This work was supported by project PI15/00536, part of the Plan Estatal de Investigación Científica y Técnica y de Innovación 2013-2016, financed by the ISCIII Subdirección General de Evaluación and the cofinanced by the European Regional Development Fund (ERDF, “A way to build Europe”; PI: F. Gutiérrez).

Funding Information:
The author(s) disclosed receipt of the following financial support for the research, authorship, and/or publication of this article: This work was supported by project PI15/00536, part of the Plan Estatal de Investigaci?n Cient?fica y T?cnica y de Innovaci?n 2013-2016, financed by the ISCIII Subdirecci?n General de Evaluaci?n and the cofinanced by the European Regional Development Fund (ERDF, ?A way to build Europe?; PI: F. Guti?rrez).

Publisher Copyright:
© The Author(s) 2020.

Keywords

ICD-11
PiCD
SASPD
personality disorder
personality pathology
severity

ASJC Scopus subject areas

Clinical Psychology
Applied Psychology

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10.1177/1073191120936357

Cite this

Gutiérrez, F., Aluja, A., Ruiz, J., García, L. F., Gárriz, M., Gutiérrez-Zotes, A., Gallardo-Pujol, D., Navarro-Haro, M. V., Alabèrnia-Segura, M., Mestre-Pintó, J. I., Torrens, M., Peri, J. M., Sureda, B., Soler, J., Pascual, J. C., Vall, G., Calvo, N., Ferrer, M., Oltmanns, J. R., & Widiger, T. A. (2021). Personality Disorders in the ICD-11: Spanish Validation of the PiCD and the SASPD in a Mixed Community and Clinical Sample. Assessment, 28(3), 759-772. https://doi.org/10.1177/1073191120936357

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title = "Personality Disorders in the ICD-11: Spanish Validation of the PiCD and the SASPD in a Mixed Community and Clinical Sample",

abstract = "The International Classification of Diseases–11th revision (ICD-11) classification of personality disorders is the official diagnostic system that is used all over the world, and it has recently been renewed. However, as yet very few data are available on its performance. This study examines the Personality Inventory for ICD-11 (PiCD), which assesses the personality domains of the system, and the Standardized Assessment of Severity of Personality Disorder (SASPD), which determines severity. The Spanish versions of the questionnaires were administered to a community (n = 2,522) and a clinical sample (n = 797). Internal consistency was adequate in the PiCD (α =.75 to.84) but less so in the SASPD (α =.64 and.73). Factor analyses suggested a unidimensional or bidimensional structure for severity, while revealing that the personality trait qualifiers are organized into four factors: negative affectivity, detachment, dissociality, and a bipolar domain of disinhibition–anankastia. The mutual relationships between traits and severity were analyzed, as well as the ability of the whole system to identify clinical subjects. Although further improvements are required, the results generally support the use of the PiCD and the SASPD and help substantiate the new ICD-11 taxonomy that underlies them.",

keywords = "ICD-11, PiCD, SASPD, personality disorder, personality pathology, severity",

author = "Fernando Guti{\'e}rrez and Anton Aluja and Jos{\'e} Ruiz and Garc{\'i}a, {Luis F.} and Miguel G{\'a}rriz and Alfonso Guti{\'e}rrez-Zotes and David Gallardo-Pujol and Navarro-Haro, {Maria V.} and Miquel Alab{\`e}rnia-Segura and Mestre-Pint{\'o}, {Joan Ignasi} and Marta Torrens and Peri, {Josep M.} and B{\'a}rbara Sureda and Joaquim Soler and Pascual, {Juan Carlos} and Gemma Vall and Natalia Calvo and Marc Ferrer and Oltmanns, {Joshua R.} and Widiger, {Thomas A.}",

note = "Funding Information: The author(s) disclosed receipt of the following financial support for the research, authorship, and/or publication of this article: This work was supported by project PI15/00536, part of the Plan Estatal de Investigaci{\'o}n Cient{\'i}fica y T{\'e}cnica y de Innovaci{\'o}n 2013-2016, financed by the ISCIII Subdirecci{\'o}n General de Evaluaci{\'o}n and the cofinanced by the European Regional Development Fund (ERDF, “A way to build Europe”; PI: F. Guti{\'e}rrez). Funding Information: The author(s) disclosed receipt of the following financial support for the research, authorship, and/or publication of this article: This work was supported by project PI15/00536, part of the Plan Estatal de Investigaci?n Cient?fica y T?cnica y de Innovaci?n 2013-2016, financed by the ISCIII Subdirecci?n General de Evaluaci?n and the cofinanced by the European Regional Development Fund (ERDF, ?A way to build Europe?; PI: F. Guti?rrez). Publisher Copyright: {\textcopyright} The Author(s) 2020.",

year = "2021",

month = apr,

doi = "10.1177/1073191120936357",

language = "English",

volume = "28",

pages = "759--772",

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Gutiérrez, F, Aluja, A, Ruiz, J, García, LF, Gárriz, M, Gutiérrez-Zotes, A, Gallardo-Pujol, D, Navarro-Haro, MV, Alabèrnia-Segura, M, Mestre-Pintó, JI, Torrens, M, Peri, JM, Sureda, B, Soler, J, Pascual, JC, Vall, G, Calvo, N, Ferrer, M, Oltmanns, JR & Widiger, TA 2021, 'Personality Disorders in the ICD-11: Spanish Validation of the PiCD and the SASPD in a Mixed Community and Clinical Sample', Assessment, vol. 28, no. 3, pp. 759-772. https://doi.org/10.1177/1073191120936357

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AU - Aluja, Anton

AU - Ruiz, José

AU - García, Luis F.

AU - Gárriz, Miguel

AU - Gutiérrez-Zotes, Alfonso

AU - Gallardo-Pujol, David

AU - Navarro-Haro, Maria V.

AU - Alabèrnia-Segura, Miquel

AU - Mestre-Pintó, Joan Ignasi

AU - Torrens, Marta

AU - Peri, Josep M.

AU - Sureda, Bárbara

AU - Soler, Joaquim

AU - Pascual, Juan Carlos

AU - Vall, Gemma

AU - Calvo, Natalia

AU - Ferrer, Marc

AU - Oltmanns, Joshua R.

AU - Widiger, Thomas A.

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PY - 2021/4

Y1 - 2021/4

N2 - The International Classification of Diseases–11th revision (ICD-11) classification of personality disorders is the official diagnostic system that is used all over the world, and it has recently been renewed. However, as yet very few data are available on its performance. This study examines the Personality Inventory for ICD-11 (PiCD), which assesses the personality domains of the system, and the Standardized Assessment of Severity of Personality Disorder (SASPD), which determines severity. The Spanish versions of the questionnaires were administered to a community (n = 2,522) and a clinical sample (n = 797). Internal consistency was adequate in the PiCD (α =.75 to.84) but less so in the SASPD (α =.64 and.73). Factor analyses suggested a unidimensional or bidimensional structure for severity, while revealing that the personality trait qualifiers are organized into four factors: negative affectivity, detachment, dissociality, and a bipolar domain of disinhibition–anankastia. The mutual relationships between traits and severity were analyzed, as well as the ability of the whole system to identify clinical subjects. Although further improvements are required, the results generally support the use of the PiCD and the SASPD and help substantiate the new ICD-11 taxonomy that underlies them.

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Personality Disorders in the ICD-11: Spanish Validation of the PiCD and the SASPD in a Mixed Community and Clinical Sample

Abstract

Bibliographical note

Keywords

ASJC Scopus subject areas

Access to Document

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