Preliminary Steps Toward Extracting the Specific Alternative Model for Personality Disorders Diagnoses From Criteria A and B Self-Reports

J Pers Disord. 2022 Aug;36(4):476-488. doi: 10.1521/pedi_2012_35_541. Epub 2022 Jan 5.

Abstract

The Alternative DSM-5 Model for Personality Disorders (AMPD) retains six specific personality disorders (PDs) that can be diagnosed based on Criterion A level of impairment and Criterion B maladaptive facets. Those specific diagnoses are still underresearched, despite the preference expressed by most PD scholars for a mixed/hybrid classification. This study explores the possibility of using Criterion A and B self-report questionnaires to extract the specific AMPD diagnoses. Plausible prevalence estimates were found in three samples (outpatient PD, private practice, community; N = 766) using the facet score ≥ 2 and t score > 65 methods for determining the presence of a Criterion B facet; diagnoses had meaningful correlations with external variables. This study provides evidence-albeit preliminary-that the extraction of the specific AMPD PDs from self-report questionnaires might be a viable avenue. Ultimately, it could promote the use and dissemination of those diagnoses for screening purposes in clinical and research settings.

Keywords: Alternative Model for Personality Disorders; DSM-5; level of impairment; maladaptive personality traits; personality disorder; prevalence.

MeSH terms

  • Diagnostic and Statistical Manual of Mental Disorders
  • Humans
  • Personality Disorders* / diagnosis
  • Personality Inventory
  • Personality*
  • Self Report