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espanolEl Inventario PID-5 de la American Psychiatric Association, evalua la personalidad y sus trastornos desde el modelo dimensional de rasgos (DSM-5 Seccion III), orientando el diagnostico y las necesidades terapeuticas individuales. Analizamos la utilidad de su aplicacion en pacientes derivados a un Hospital de Dia para Trastornos de Personalidad (Clusters B y C). En la muestra de 85 sujetos, 51 % son Trastorno Limite (TLP) y 47 % Trastorno de Personalidad No Especificado/Mixto (TPNE/TPM), presentando el 65 % trastornos clinicos comorbidos. Del grupo TLP 89 % son mujeres, 53 % menores de 30 anos; en el PID-5 presentan un perfil de mayor gravedad, destacando los Dominios Afecto Negativo y Desinhibicion, y las facetas depresion, impulsividad, anhedonia y distraibilidad. Presentan mayor intensidad de sintomas limite (Cuestionario BEST), utilizan menos estrategias de afrontamiento de sintomas y mas estrategias de evitacion (Cuestionario COPE-28). En el TPNE/TPM, el 58 % son mujeres, 80 % mayores de 30 anos, en su perfil del PID-5 destaca afectividad negativa, especialmente la faceta ansiedad. Ambos grupos muestran rasgos limites y evitativos en el screening IPDE. El PID-5 se ha mostrado util para confirmar diagnosticos especificos (TLP), tambien para describir el perfil de rasgos y plantear las necesidades terapeuticas concretas tanto en TLP como en TPNE/TPM. EnglishThe PID-5 Inventory of the American Psychiatric Association evaluates personality and related disorders based on the dimensional trait model (DSM-5 Section III), which guides individual diagnosis and therapeutic needs. We analysed its usefulness as it was applied to patients that had been referred to a Day Hospital for Personality Disorders. In the sample of 85 subjects, 51 % had Borderline Personality Disorder (BPD), and 47 % had Personality Disorder NOS or Mixed (PD-NOS/MP), 65 % presenting comorbid clinical disorders. Among the BPD group, 89 % were women, 53 % were under 30 years old; they presented a PID-5 profile of greater severity, the Negative Affect and Disinhibition Domains stood out, as well as the facets of depression, impulsivity, anhedonia and distraction. Their borderline symptoms (BEST scale) were of greater intensity, they used fewer symptom coping strategies and more avoidance strategies (COPE-28 inventory). Among the PD-NOS/MP group, 58 % are women, 80 % were aged over 30 years, and negative affectivity, especially anxiety, stood out in their PID-5 profile. Both groups show borderline and avoidant features in the IPDE screening. The PID-5 was useful for confirming specific diagnoses (BPD), for describing the trait profile as well as proposing the specific therapeutic needs of both BPD and PD-NOS/MP patients.

The PID -5 Inventory: the dimensional profile of DSM5 to guide diagnosis and therapeutic needs in personality disorders.