Updated June 21, 2011
DSM-IV-TR Personality Disorder to DSM-5 Type and Trait Cross-Walk
|
DSM-IV-TR Personality Disorder |
DSM-5 Personality Disorder Type |
Prominent Personality Traits/(Domains)1 |
|
Paranoid |
PD Trait Specified
(PDTS)2 |
Suspiciousness (NA)
Hostility (A)
Unusual beliefs & experiences (P)
Intimacy avoidance (DT) |
|
Schizoid |
PDTS |
Withdrawal (DT)
Intimacy avoidance (DT)
Restricted affectivity (DT)
Anhedonia (DT) |
|
Schizotypal |
Schizotypal |
Eccentricity (P)
Cognitive & perceptual dysregulation (P)
Unusual beliefs & experiences (P)
Restricted affectivity (DT)
Withdrawal (DT)
Suspiciousness (NA) |
|
Antisocial |
Antisocial |
Manipulativeness (A)
Deceitfulness (A)
Callousness (A)
Hostility (A)
Irresponsibility (DS)
Impulsivity (DS)
Risk taking (DS) |
|
Borderline |
Borderline |
Emotional lability (NA)
Anxiousness (NA)
Separation insecurity (NA)
Depressivity (NA)
Impulsivity (DS)
Risk taking (DS)
Hostility (A) |
|
Histrionic |
PDTS |
Emotional lability (NA)
Manipulativeness (A)
Attention seeking (A) |
|
Narcissistic |
Narcissistic |
Grandiosity (A)
Attention seeking (A) |
|
Avoidant |
Avoidant |
Withdrawal (DT)
Intimacy avoidance (DT)
Anhedonia (DT)
Anxiousness (NA) |
|
Dependent |
PDTS |
Submissiveness (NA)
Anxiousness (NA)
Separation insecurity (NA) |
|
Obsessive-Compulsive |
Obsessive-Compulsive |
Rigid perfectionism (C)
Perseveration (NA) |
|
Depressive |
PDTS |
Depressivity (NA)
Anxiousness (NA)
Anhedonia (DT) |
|
Passive-Aggressive |
PDTS |
Hostility (A)
Depressivity (NA) |
|
PD Not Otherwise Specified (PDNOS) |
PDTS |
Individual trait profile |
Note: NA = Negative Affectivity, DT = Detachment, A = Antagonism, DS vs. C = Disinhibition vs. Compulsivity, P = Psychoticism
1 A recent empirical project reduced the number of facet traits from 37 to 25, reduced the number of domains from 6 to 5, and provided provisional mappings of traits onto domains. Please see the rationale for the B criteria for further information.
2 Whenever a patient’s impairments in personality functioning are sufficiently severe to warrant a PD diagnosis, but the combinations of impairments and pathological personality traits do not meet criteria for one or more of the six specific personality disorder types, a diagnosis of PD Trait Specified (PDTS) is made.