Dimensional Representations of DSM-IV Personality Disorders: Relationships to Functional Impairment

• DOI: 10.1176/appi.ajp.162.10.1919
• Publication Date: 2005-09-30T23:52:45Z
• Authors: Andrew E. Skodol; John M. Oldham; Donna S. Bender; Ingrid R. Dyck; Robert L. Stout; Leslie C. Morey; M. Tracie Shea; Mary C. Zanarini; Charles A. Sanislow; Carlos M. Grilo; Thomas H. McGlashan; John G. Gunderson
• Keywords: Avoidant personality disorder; DSM-5; Functional impairment

This study compared three-dimensional representations of DSM-IV personality disorders and standard categories with respect to their associations psychosocial functioning.Six hundred sixty-eight patients semistructured interview diagnoses schizotypal, borderline, avoidant, or obsessive-compulsive major depressive disorder no completed questionnaires assessing three-factor five-factor dimensional models personality. Personality categories, the based on criteria counts, three- dimensions were relationships impairment in seven domains functioning, as measured by Longitudinal Interval Follow-up Evaluation-Baseline Version.Both categorical had stronger functioning employment, social parents friends, global adjustment axis V ratings than models. predicted functional best four approaches. Although traits captured variance not dimensions, accounted for significantly more measures personality.Scores general do appear be strongly associated psychopathology DSM disorder. A compromise ongoing debate over versus might rating that comprise traditional categories.