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 articlepeer-review

37 Scopus citations

Abstract

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
Volume21
Issue number9
DOIs
StatePublished - Sep 1 2019

Bibliographical note

Publisher Copyright:
© 2019, Springer Science+Business Media, LLC, part of Springer Nature.

Copyright:
Copyright 2019 Elsevier B.V., All rights reserved.

Keywords

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

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