title: The DSM-5 alternative model of personality disorders from the perspective of adult attachment: a study in community-dwelling adults.
abstract: To assess how the maladaptive personality domains and facets that were included in the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5) Alternative Model of Personality Disorders relate to adult attachment styles, 480 Italian nonclinical adults were administered the Personality Inventory for DSM-5 (PID-5) and the Attachment Style Questionnaire (ASQ). To evaluate the uniqueness of the associations between the PID-5 scales and the ASQ scales, the participants were also administered the Big Five Inventory (BFI). Multiple regression analyses showed that the ASQ scales significantly predicted both PID-5 domain scales and BFI scales; however, the relationships were different both qualitatively and quantitatively. With the exception of the PID-5 risk taking scale (adjusted R(2) = 0.02), all other PID-5 trait scales were significantly predicted by the ASQ scales, median adjusted R(2) value = 0.25, all ps < 0.001. Our findings suggest that the maladaptive personality domains and traits listed in the DSM-5 Alternative Model of Personality Disorders show meaningful associations with adult attachment styles.
authors.affiliation: *Department of Human Studies, Libera Università Maria Ss. Assunta University, Piazza delle Vaschette, Rome; †Clinical Psychology and Psychotherapy Unit, San Raffaele Hospital, Stamira d'Ancona, Milan, Italy; ‡Department of Psychology, University of Minnesota, Minneapolis, MN; §Department of Psychology, University of Iowa, Iowa City, IA; and ∥Faculty of Psychology, Vita-Salute San Raffaele University, Milan, Italy.
authors.forename: Andrea
authors.initials: A
authors.lastname: Fossati
authors.forename: Robert F
authors.initials: RF
authors.lastname: Krueger
authors.forename: Kristian E
authors.initials: KE
authors.lastname: Markon
authors.forename: Serena
authors.initials: S
authors.lastname: Borroni
authors.forename: Cesare
authors.initials: C
authors.lastname: Maffei
authors.forename: Antonella
authors.initials: A
authors.lastname: Somma
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D039721:Diagnostic and Statistical Manual of Mental Disorders; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009769:Object Attachment; D010554:Personality Disorders / Q000145:classification* / Q000523:psychology; D010555:Personality Inventory; D011795:Surveys and Questionnaires; D055815:Young Adult