title: The structure of Diagnostic and Statistical Manual of Mental Disorders (4th edition, text revision) personality disorder symptoms in a large national sample.
abstract: We examined the latent structure underlying the criteria for DSM-IV-TR (American Psychiatric Association, 2000, Diagnostic and statistical manual of mental disorders (4th ed., text revision). Washington, DC: Author.) personality disorders in a large nationally representative sample of U.S. adults. Personality disorder symptom data were collected using a structured diagnostic interview from approximately 35,000 adults assessed over two waves of data collection in the National Epidemiologic Survey on Alcohol and Related Conditions. Our analyses suggested that a seven-factor solution provided the best fit for the data, and these factors were marked primarily by one or at most two personality disorder criteria sets. A series of regression analyses that used external validators tapping Axis I psychopathology, treatment for mental health problems, functioning scores, interpersonal conflict, and suicidal ideation and behavior provided support for the seven-factor solution. We discuss these findings in the context of previous studies that have examined the structure underlying the personality disorder criteria as well as the current proposals for DSM-5 personality disorders.
authors.affiliation: Department of Psychological Sciences, Midwestern Alcoholism Research Center, University of Missouri-Columbia, MO 65211, USA. TrullT@Missouri.edu
authors.forename: Timothy J
authors.initials: TJ
authors.lastname: Trull
authors.forename: Alvaro
authors.initials: A
authors.lastname: Vergés
authors.forename: Phillip K
authors.initials: PK
authors.lastname: Wood
authors.forename: Seungmin
authors.initials: S
authors.lastname: Jahng
authors.forename: Kenneth J
authors.initials: KJ
authors.lastname: Sher
mesh_terms: D000328:Adult; D039721:Diagnostic and Statistical Manual of Mental Disorders; D005260:Female; D006306:Health Surveys; D006801:Humans; D007406:Interview, Psychological; D008297:Male; D010554:Personality Disorders / Q000175:diagnosis* / Q000523:psychology; D011594:Psychometrics / Q000379:methods*; D012044:Regression Analysis; D015203:Reproducibility of Results; D014481:United States