Document Detail


Revising the personality disorder diagnostic criteria for the Diagnostic and Statistical Manual of Mental Disorders-Fifth Edition (DSM-V): consider the later life context.
MedLine Citation:
PMID:  20099936     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The categorical measurement approach implemented by the Diagnostic and Statistical Manual of Mental Disorders-Fourth Edition (DSM-IV) personality disorder (PD) diagnostic system is theoretically and pragmatically limited. As a result, many prominent psychologists now advocate for a shift away from this approach in favor of more conceptually sound dimensional measurement. This shift is expected to improve the psychometric properties of the personality disorder (PD) diagnostic system and make it more useful for clinicians and researchers. The current article suggests that despite the probable benefits of such a change, several limitations will remain if the new diagnostic system does not closely consider the context of later life. A failure to address the unique challenges associated with the assessment of personality in older adults likely will result in the continued limited validity, reliability, and utility of the Diagnostic and Statistical Manual of Mental Disorders (DSM) system for this growing population. This article discusses these limitations and their possible implications.
Authors:
Steve Balsis; Daniel L Segal; Cailin Donahue
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Publication Detail:
Type:  Journal Article; Research Support, N.I.H., Extramural    
Journal Detail:
Title:  The American journal of orthopsychiatry     Volume:  79     ISSN:  1939-0025     ISO Abbreviation:  Am J Orthopsychiatry     Publication Date:  2009 Oct 
Date Detail:
Created Date:  2010-01-26     Completed Date:  2010-04-05     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0400640     Medline TA:  Am J Orthopsychiatry     Country:  United States    
Other Details:
Languages:  eng     Pagination:  452-60     Citation Subset:  IM    
Copyright Information:
(c) 2009 APA, all rights reserved.
Affiliation:
Department of Psychology, Texas A&M University, College Station, TX 77843, USA. balsis@tamu.edu
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MeSH Terms
Descriptor/Qualifier:
Aged
Aging / psychology*
Diagnostic and Statistical Manual of Mental Disorders*
Humans
Personality Assessment
Personality Disorders / diagnosis*
Psychometrics / methods*
Reproducibility of Results
Grant Support
ID/Acronym/Agency:
1F31-MH075336-01A1/MH/NIMH NIH HHS

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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