The organization of personality pathology into trait domains (vs. specific disorders) in ICD-11 represents an important shift in personality disorder (PD) nosology. However, to facilitate clinical implementation, a bridge is needed between this system and the DSM-5 Section II system familiar to many researchers and clinicians. In this study, individual DSM-5 PD criteria were assigned to ICD-11 trait domains based on the published Clinical Descriptions and Diagnostic Requirements. This scoring scheme was examined empirically alongside DSM-5 PD dimensions (using SIDP ratings from the MIDAS project; N = 2,147 outpatients) in terms of descriptive properties and relations with psychosocial morbidity and functioning. Most PD criteria could be matched to at least one ICD-11 trait domain, indicating considerable cross-system continuity. However, points of incongruity are noteworthy for research and clinical applications. Results provide key information for bridging categorical and dimensional frameworks, indicating that the shift toward trait-based PD models need not be as disruptive as feared.

中文翻译：

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DSM-5 第二节人格障碍标准和 ICD-11 人格障碍特征域之间的桥梁。

ICD-11 将人格病理学组织成特质领域（相对于特定疾病）代表了人格障碍 (PD) 分类学的重要转变。然而，为了促进临床实施，该系统和许多研究人员和临床医生熟悉的 DSM-5 第 II 部分系统之间需要一座桥梁。在本研究中，根据已发布的临床描述和诊断要求，将各个 DSM-5 PD 标准分配给 ICD-11 特征域。该评分方案与 DSM-5 PD 维度（使用 MIDAS 项目的 SIDP 评级；N = 2,147 名门诊患者）一起在描述性属性以及与心理社会发病率和功能的关系方面进行了实证检验。大多数 PD 标准可以与至少一个 ICD-11 特征域相匹配，表明相当大的跨系统连续性。然而，对于研究和临床应用来说，不一致的地方值得注意。结果为连接分类和维度框架提供了关键信息，表明向基于特质的 PD 模型的转变不必像担心的那样具有破坏性。