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.
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References
Papers of particular interest, published recently, have been highlighted as: • Of importance •• Of major importance
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We would like to thank Hannah Jungmann, Christine Starke, and Lara Oeltjen for their support in reviewing the published literature.
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Johannes Zimmermann, André Kerber, Katharina Rek, and Christopher J. Hopwood each declare no potential conflicts of interest.
Robert F. Krueger is a co-author of the PID-5 and provides consulting services to aid users of the PID-5 in the interpretation of test scores. PID-5 is the intellectual property of the American Psychiatric Association, and Robert F. Krueger does not receive royalties or any other compensation from publication or administration of the inventory.
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Zimmermann, J., Kerber, A., Rek, K. et al. A Brief but Comprehensive Review of Research on the Alternative DSM-5 Model for Personality Disorders. Curr Psychiatry Rep 21, 92 (2019). https://doi.org/10.1007/s11920-019-1079-z
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DOI: https://doi.org/10.1007/s11920-019-1079-z