A Brief but Comprehensive Review of Research on the Alternative DSM-5 Model for Personality Disorders

Johannes Zimmermann, André Kerber, Katharina Rek, Christopher J. Hopwood, Robert F. Krueger

Research output: Contribution to journalReview article

5 Scopus citations


Purpose of Review: Both the Alternative DSM-5 Model for Personality Disorders (AMPD) and the chapter on personality disorders (PD) in the recent version of ICD-11 embody a shift from a categorical to a dimensional paradigm for the classification of PD. We describe these new models, summarize available measures, and provide a comprehensive review of research on the AMPD. Recent Findings: A total of 237 publications on severity (criterion A) and maladaptive traits (criterion B) of the AMPD indicate (a) acceptable interrater reliability, (b) largely consistent latent structures, (c) substantial convergence with a range of theoretically and clinically relevant external measures, and (d) some evidence for incremental validity when controlling for categorical PD diagnoses. However, measures of criterion A and B are highly correlated, which poses conceptual challenges. Summary: The AMPD has stimulated extensive research with promising findings. We highlight open questions and provide recommendations for future research.

Original languageEnglish (US)
Article number92
JournalCurrent psychiatry reports
Issue number9
StatePublished - Sep 1 2019



  • DSM-5
  • Dimensional models
  • ICD-11
  • Personality disorders
  • Reliability
  • Validity

PubMed: MeSH publication types

  • Journal Article
  • Review

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