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Doris Hoffmann-Lamplmair, Simon Schober, Victor Blüml

    Zeitschrift Fur Psychosomatische Medizin Und Psychotherapie
    |September 1, 2025
    PubMed
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    New diagnostic tools for the International Classification of Diseases, 11th Revision (ICD-11) personality disorder model show promise. Research indicates these instruments offer reliable and valid assessments for adults, supporting the new dimensional approach.

    Area of Science:

    • Psychiatry
    • Psychometrics

    Context:

    • The International Classification of Diseases, 11th Revision (ICD-11) introduces a dimensional approach to personality disorder (PD) diagnosis.
    • Valid instruments are crucial for operationalizing this new diagnostic model in clinical practice and research.

    Purpose:

    • To systematically review and summarize existing research on diagnostic instruments for the ICD-11 PD model.
    • To assess the psychometric properties of these instruments in adult populations.

    Summary:

    • A systematic literature search identified 79 studies utilizing diagnostic instruments for the ICD-11 PD model.
    • Most instruments demonstrated satisfactory reliability, construct validity, and criterion-related validity.
    • Key measures investigated include the Standardized Assessment of Severity of Personality Disorder (SASPD), Personality Disorder Severity ICD-11 scale (PDS-ICD-11), Personality Inventory for ICD-11 (PiCD), and Personality Inventory for DSM-5 Brief-Version-Modified+ (PID-5-BF+M).
    Keywords:
    ICD-11 - Personality disorders - classification system - Severity - Pathological personality traits - Diagnostic instrumentsICD-11 - Personlichkeitsstorungen - Schweregrad - Pathologische Personlichkeitseigenschaften - Klassifikationssystem - Diagnostische Instrumente

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    Impact:

    • The findings suggest that current instruments for the ICD-11 PD model are promising for clinical application.
    • Highlights the need for further development, particularly a robust structured clinical interview, to fully support the new dimensional diagnostic system.