ArticleThe British journal of psychiatry : the journal of mental science2026
Determining essential dimensions for the clinical approximation of personality disorder severity: multi-method study.
Article in The British journal of psychiatry : the journal of mental science, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.
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4 citing papers in PubMed.
- A Psychoanalytically Informed Pilot Study of Moral Competence in German Young Adults Linked to Personality Structure and Parenting Experiences.Behavioral sciences (Basel, Switzerland) · 2026Article
- Article
- Mechanisms of change in naturalistic mental health care settings: study protocol for a longitudinal multimethod study.BMJ open · 2025Article
- Examining the role of personality functioning in a hierarchical taxonomy of psychopathology using two years of ambulatory assessed data.Translational psychiatry · 2024Article
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9 authors.
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Abstract
backgroundDecades of research on the dimensional nature of personality disorder have led to the replacement of categorical personality disorder diagnoses by a dimensional assessment of personality disorder severity (PDS) in ICD-11, which essentially corresponds to personality functioning in the alternative DSM-5 model for personality disorders. Besides advancing the focus in the diagnosis of PD on impairments in self- and interpersonal functioning, this shift also urges clinicians and researchers worldwide to get familiar with new diagnostic approaches.
aimsThis study investigated which PDS dimensions among different assessment methods and conceptualisations have the most predictive value for overall PDS.
methodUsing semi-structured interviews and self-reports of personality functioning, personality organisation and personality structure in clinical samples of different settings in Switzerland and Germany (
resultsOur results showed that four interview-assessed PDS dimensions: defence mechanisms, desire and capacity for closeness, sense of self, and comprehension and appreciation of others' experiences and motivations account for 91.1% of variance of g-PDS, with a combination of either two of these four dimensions already explaining between 81.8 and 91.3%. Regarding self-reports, the dimensions depth and duration of connections, self-perception, object perception and attachment capacity to internal objects predicted 61.3% of the variance of a latent interview-based score, with all investigated self-reported dimensions together adding up to 65.2% variance explanation.
conclusionsTaken together, our data suggest that focusing on specific dimensions, such as intimacy and identity, in time-limited settings might be viable in determining PDS efficiently.
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