Evaluation of DSM-5 and ICD-11 personality traits using the Personality Inventory for DSM-5 (PID-5) in a Brazilian sample of psychiatric inpatients

Personal Ment Health. 2019 Feb;13(1):24-39. doi: 10.1002/pmh.1436. Epub 2018 Oct 24.

Abstract

Objective: The objective of this study was to test if the Personality Inventory for DSM-5 (PID-5) is an adequate instrument to evaluate psychiatric inpatients' pathological personality traits.

Methods: Inpatients (n = 130; mean age: 38.5 years; 62.3% female; 63.9% single) answered the PID-5 after clinical improvement of their psychiatric symptoms. The mean scores of the DSM-5 personality domains, facets and profiles, and ICD-11 domain traits were compared with the mean scores of a Brazilian normative sample (n = 656). We investigated the diagnostic performance of the scales to identify individuals with and without psychopathology.

Results: The final sample included mainly diagnoses of mood disorders. Except for Antagonism and Disinhibition, all DSM-5 personality domains and most facets as well as almost all DSM-5 personality disorder profiles (except Narcissist) and ICD-11 trait domains (except Detachment and Dissociality) of the inpatients presented high differences compared with the normative sample. In general, the PID-5 scales presented a high negative predictive value and a low positive predictive value to identify individuals with severe psychopathology.

Discussion: This study found high scores of pathological personality traits in a sample of Brazilian psychiatric inpatients. The PID-5 may be a promising instrument to measure pathological personality traits among psychiatric inpatients. Methodological and sample size limitations may have influenced the results. © 2018 John Wiley & Sons, Ltd.

Publication types

  • Observational Study

MeSH terms

  • Adult
  • Brazil
  • Diagnostic and Statistical Manual of Mental Disorders*
  • Female
  • Hospitals, Psychiatric
  • Humans
  • Inpatients
  • International Classification of Diseases / standards*
  • Male
  • Middle Aged
  • Mood Disorders* / physiopathology
  • Personality Disorders / diagnosis*
  • Personality Disorders / physiopathology
  • Personality Inventory / standards*
  • Personality* / physiology
  • Psychiatric Status Rating Scales / standards*
  • Young Adult