Imperial College London
Alternate

Emeritus ProfessorPeterTyrer

Faculty of Medicine, Department of Brain Sciences

Emeritus Professor in Community Psychiatry - Clinical
 
 
 
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Contact

 

+44 (0)20 3313 4161p.tyrer

 
 
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Location

 

Commonwealth BuildingHammersmith Campus

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Summary

 

Publications

Citation

BibTex format

@article{Mulder:2016:10.1002/pmh.1336,
author = {Mulder, RT and Horwood, J and Tyrer, P and Carter, J and Joyce, PR},
doi = {10.1002/pmh.1336},
journal = {Personality and Mental Health},
pages = {84--95},
title = {Validating the proposed ICD11 domains},
url = {http://dx.doi.org/10.1002/pmh.1336},
volume = {10},
year = {2016}
}
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RIS format (EndNote, RefMan)

TY  - JOUR
AB  - <jats:title>Abstract</jats:title><jats:sec><jats:title>Aim</jats:title><jats:p>The ICD11 Personality Disorders Committee has proposed five personality domains: Detached, Anankastic, Negative Affective, Dissocial and Disinhibited. We attempted to validate these proposed domains in a large sample of patients with major depression.</jats:p></jats:sec><jats:sec><jats:title>Methods</jats:title><jats:p>Participants from five treatment studies received a SCID assessment interview to assess DSM5 personality disorder symptoms. Personality disorder symptoms were assigned to the five proposed domains. Confirmatory factor analysis in an exploratory framework was used to test the hypothesized domain structure.</jats:p></jats:sec><jats:sec><jats:title>Results</jats:title><jats:p>A total of 606 patients were included in the analysis. A series of models were tested on the data set. The best fitting model produced five domains. Three domains detached, anankastic and negative affective were similar to the ICD11 proposed domains. The Disinhibited domain did not emerge as a distinct factor but loaded onto a single Dissocial/Disinhibited factor. The model was improved by adding a separate Antisocial domain. The remaining domain incorporating borderline, histrionic and narcissistic symptoms is tentatively labelled Borderline to retain continuity with clinical practice and research.</jats:p></jats:sec><jats:sec><jats:title>Conclusions</jats:title><jats:p>The proposed ICD11 personality disorder domains were partially validated. We have five domains currently labelled Detached, Anankastic, Negative Emotional, Antisocial and Borderline. The sample studied limits the generalizability of our findings. In particular, the broad domain we have called Borderline requires further study. Copyright © 2016 John Wiley & Sons, Ltd.</jats:p>
AU  - Mulder,RT
AU  - Horwood,J
AU  - Tyrer,P
AU  - Carter,J
AU  - Joyce,PR
DO  - 10.1002/pmh.1336
EP  - 95
PY  - 2016///
SN  - 1932-8621
SP  - 84
TI  - Validating the proposed ICD11 domains
T2  - Personality and Mental Health
UR  - http://dx.doi.org/10.1002/pmh.1336
VL  - 10
ER  -
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