Journal article
Initial Construction of a Maladaptive Personality Trait Model and Inventory for DSM-5
Psychological medicine, Vol.42(9), pp.1879-1890
09/2012
DOI: 10.1017/S0033291711002674
PMCID: PMC3413381
PMID: 22153017
Abstract
Background: DSM-IV-TR suggests that clinicians should assess clinically relevant personality traits that do not necessarily constitute a formal personality disorder (PD), and should note these traits on Axis II, but DSM-IV-TR does not provide a trait model to guide the clinician. Our goal was to provide a provisional trait model and a preliminary corresponding assessment instrument, in our roles as members of the DSM-5 Personality and Personality Disorders Workgroup and workgroup advisors.
Method: An initial list of specific traits and domains (broader groups of traits) was derived from DSM-5 literature reviews and workgroup deliberations, with a focus on capturing maladaptive personality characteristics deemed clinically salient, including those related to the criteria for DSM-IV-TR PDs. The model and instrument were then developed iteratively using data from community samples of treatment-seeking participants. The analytic approach relied on tools of modern psychometrics (e.g. item response theory models).
Results: A total of 25 reliably measured core elements of personality description emerged that, together, delineate five broad domains of maladaptive personality variation: negative affect, detachment, antagonism, disinhibition, and psychoticism.
Conclusions: We developed a maladaptive personality trait model and corresponding instrument as a step on the path toward helping users of DSM-5 assess traits that may or may not constitute a formal PD. The inventory we developed is reprinted in its entirety in the Supplementary online material, with the goal of encouraging additional refinement and development by other investigators prior to the finalization of DSM-5. Continuing discussion should focus on various options for integrating personality traits into DSM-5.
Details
- Title: Subtitle
- Initial Construction of a Maladaptive Personality Trait Model and Inventory for DSM-5
- Creators
- Robert F Krueger - Department of Psychology, University of Minnesota, MinneapolisJaime Derringer - Department of Psychology, University of Minnesota, MinneapolisKristian E Markon - Department of Psychology, University of Iowa, Iowa CityDavid Watson - Department of Psychology, University of Notre Dame, Notre DameAndrew E Skodol - Department of Psychiatry, University of Arizona School of Medicine, Phoenix
- Resource Type
- Journal article
- Publication Details
- Psychological medicine, Vol.42(9), pp.1879-1890
- DOI
- 10.1017/S0033291711002674
- PMID
- 22153017
- PMCID
- PMC3413381
- NLM abbreviation
- Psychol Med
- ISSN
- 0033-2917
- eISSN
- 1469-8978
- Grant note
- F31 DA029377-01 || DA / National Institute on Drug Abuse : NIDA
- Comment
- Test development: Personality Inventory for DSM-5 (PID-5)
- Language
- English
- Date published
- 09/2012
- Academic Unit
- Psychological and Brain Sciences
- Record Identifier
- 9984083882502771
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