Purpose of Review
The International Classification of Diseases 11th revision (ICD-11) introduced a new approach to personality disorders and related traits. This paper reviews recent literature on the assessment of ICD-11 personality disorders and implications for clinical diagnosis, decision-making, and treatment.
We reviewed findings on two measures developed for the ICD-11 model of personality dysfunction and six inventories for the ICD-11 trait specifiers. The psychometric qualities of these tools are promising, and they allow for both rapid screening and fine-grained assessment. Implications for clinical diagnosis and treatment of personality disorders are reviewed including utility for forensic practice. Based on evidence and our experience, we provide some recommendations for severity- and trait-informed interventions.
Initial evidence supports the available instruments for assessing ICD-11 personality disorders. More research is needed including development of clinician-rating forms and diagnostic interviews as well as treatment protocols and trials based on the new ICD-11 classification.
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The Standardized Assessment of Severity of Personality Disorder (SASPD) has been proposed as a measure of PD severity according to an earlier draft of the ICD-11 . However, the scale does not fully capture the now official ICD-11 definition of personality disturbance.
Papers of particular interest, published recently, have been highlighted as: • Of importance •• Of major importance
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Conflict of Interest
BB has contributed to the preparation of ICD-11 field trials and served as advisor for the ICD-11 personality disorder workgroup. RM was a senior member of the ICD-11 personality disorder work group and has authored clinical guidelines for the ICD-11 personality disorder classification. Both BB and RM have contributed to the development of instruments and authored clinical guidelines for the ICD-11 personality disorder classification.
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Bach, B., Mulder, R. Clinical Implications of ICD-11 for Diagnosing and Treating Personality Disorders. Curr Psychiatry Rep 24, 553–563 (2022). https://doi.org/10.1007/s11920-022-01364-x
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