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. Author manuscript; available in PMC: 2023 Mar 2.
Published in final edited form as: Psychol Med. 2019 Sep 23;50(13):2221–2229. doi: 10.1017/S0033291719002320

Table 1.

Personality trait domains in DSM-5 and ICD-11

Personality trait domain Diagnostic system Definition Main personality features Personality traits used as topics
Negative affectivity DSM-5 and ICD-11 Frequent and intense experiences of high levels of a wide range of negative emotions (e.g. anxiety, depression, guilt/shame, worry, anger, etc.), and their behavioral (e.g. self-harm) and interpersonal (e.g. dependency) manifestations Depressed, pessimistic, remorseful, anxious, worried, submissive, dependent Depressive, depressing, depressed, depression, overwhelmed, disheartened, dispirited, discouraging, gloomy, glum, downcast, cheerless, dim, hopeless, hopelessness, melancholic, melancholy, dismal, despaired, despair, discouraged, discouraging, despondent, sadness, sad, sorry, remorse, remorseful, unhappy, disconsolate, miserable, oppressed, sunk, sunken, blue, blues, dejected, misery, sorrowful, unlucky, sorrow, spiritless, desolate, grim, sobbing, ripped, cry, crying, weeping, nostalgic, regretful, longing, yearning, homesick, negative, fatalistic, dissatisfaction, dissatisfied, demoralized, disappointing, disappointed, frustrated, frustration, pessimism, pessimistic, resignation, resigned, resign, guilt, pitiful, guilty, anxious, troubled, worrying, vulnerable, moody, emotional, insecure, frightened, afraid, apprehensive, careful, concerned, distress, distressed, fearful, fidgety, restless, scare, scared, uneasy, jumpy, nervy, nervous, shivery, unquiet, worried, worry, jittery, uptight, clutched, disturbing, disturbed, dreading, tensed, tense, sensitive, anguish, shy, spooked, neurotic, edgy, unrestful, unsettled, inadequate, loose, lost, looser, fruitless, useless, weary, blunt, dull, jealous, instability, unstable, oversensitive, hypersensitive, panic, panicky, indecision, indecisive, sentimental, fragile, touchy, whining, complaining, suggestible, hesitating, victimization, victim, influenceable, irresolute, weakness, weak, doubtful, coward, timorous, timid, bashful, submissiveness, submissive
Antagonism/dissociality DSM-5 and ICD-11 Behaviors that put the individual at odds with other people, including an exaggerated sense of self-importance and a concomitant expectation of special treatment, as well as a callous antipathy toward others, encompassing both unawareness of others’ needs and feelings, and a readiness to use others in the service of self-enhancement Manipulative, deceitful, grandiose, callous, hostile, violent Mean, pretentious, impolite, treacherous, unfairness, unfair, hypocritical, grasping, boastful, corrupt, false, lie, liar, lying, dishonest, smug, greedy, haughty, ostent, ostentatious, snob, snobbish, conceited, antagonistic, selfish, rude, coldness, cold, suspiciousness, suspicious, vengeful, revengeful, retaliatory, manipulative, arrogant, callous, grandiosity, grandiose, hostility, hostile, deceitful, exploitative, egocentric, calculating, devious, conniving, unscrupulous, disingenuous, rebuffing, rejective, noncompliant, hesitant, unwilling, disobedience, disobedient, insubordinate, subversive, rebellious, rebel, rebellious, disruptive, defiant, aggression, aggressive, violence, violent, ruthless agitation, agitated, critic, critical. Antagonistic, selfish, fierce, mutinous, explosion, explosive, bossy, authoritarian, hurtful, brusque, choleric, hard, irritable, irritability, rough, provoking, tyrant, tyrannical, egoistic, egotistical, egotist, pitiless, litigious, bellicose, overbearing, oppressive, intolerance, intolerant, angry, irascibility, testiness, testy, tetchy, irascible, quarrelsome, surly, fundamentalist, polemical, dogmatic, extremist, heartless, harsh, vehement, disputatious, roistering, excitable, pompous, pretending, stingy, deceiving, insincere, miserly, avaricious, disloyal, untruthful, venal, gossip, gossipy, malicious, betraying, boasting, flattering, mercenary, sly, vindictive, envious
Disinhibition DSM-5 and ICD-11 Orientation toward immediate gratification, leading to impulsive behavior driven by current thoughts, feelings, and external stimuli, without regard for past learning or consideration of future consequences Irresponsible, impulsive, distractible, reckless, thoughtless Distractible, impetuous, hasty, impatient, reckless, thoughtless, risky, careless, unconscious, foolhardy, daredevil, dare, daring, brash, overbold, impulsive, capricious, immature, feckless, fickle, flighty, harebrained, incautious, lax, scatterbrained, uncareful, unpredictable, sloppy, inefficient, negligent, neglected, laziness, lazy, irresponsible, aimless, unreliable, indolent, licentious, frivolous, untidy, disorderly, languid, idle, inconstant, imprecise, imprudent, irrational, rambling, undisciplined, unreflecting, dissolute, bungling, inaccurate, unfaithful, inattentive, silly, childish, inconsiderate, unwise, inconsequent, unpersevering
Detachment DSM-5 and ICD-11 Avoidance of socioemotional experience, including both withdrawal from interpersonal interactions (ranging from casual, daily interactions to friendships to intimate relationships) and restricted affective experience and expression, particularly limited hedonic capacity Detached, unmotivated, insensitive, reserved, avoidant, isolated, aloof Aloof, retiring, insensitive, withdrawn, avoidant, anhedonic, detached, isolated, reserved, distant, unsociable, remote, unapproachable, uncommunicative, introverted, restrained, retired, retreated, shrinking, disinterested, incurious, indifferent, non-gregarious, offish, recluse, reclusive, silent, solitary, standoffish, taciturn, uncompanionable, unconcerned, undemonstrative, unforthcoming, uninterested, apathetic, diffident, impervious, nonchalant, uncaring, uninvolved, unresponsive, unsympathetic, dispassionate, heedless, listless, nonpartisan, passionless, phlegmatic, scornful, unaroused, unemotional, unmoved, unprejudiced, unsocial, laconic, reticent, curt, unempathetic, dumb, speechless, unexpressive, apart, secluded, away, sequestered, candid, impersonal, lackadaisical
Psychoticism Only DSM-5 Exhibiting a wide range of culturally incongruent, odd, eccentric, or unusual behaviors and cognitions, including both thought process (e.g. perception, dissociation) and content (e.g. beliefs) Eccentric, abnormal, odd, bizarre, strange, weird Eccentric, unconventional, zany, madcap, peculiar, odd, strange, bizarre, weird, crazy, extravagant, freak, grotesque, unusual, singular, wild, ludicrous, ridiculous, outlandish, flamboyant, awkward, awry, dowdy, erratic, idiosyncratic, kooky, offbeat, quirky, whimsical, aberrant, nutty, bent, oddball, anomalous, cockeyed, freakish, funky, quaint, quizzical, uncommon, unreasonable
Anankastia Only ICD-11 Narrow focus on the control and regulation of one’s own and others’ behavior to ensure that things conform to the individual’s particularistic ideal. Traits in this domain include concern with following rules and meeting obligations Rigid, perfectionist, perseverative, obsessive, stubborn, controlling Dutiful, disciplined, punctual, scrupulous, neat, persevering, organized, ambitious, meticulous, precise, orderly, industrious, thorough, tidy, studious, perfection, perfectionistic, methodical, rigorous, faultless, inartistic, traditional, conventional, businesslike, systematic, demanding, fussy, exacting, rigid, overproductive, inflexible, moralistic, insistent, flawless, perfect, detailed, intransigent, stern, stringent, stubborn, headstrong, obstinate, fixed, unyielding, bullheaded, changeless, obdurate, strict, stiffness, stiff, choosy, finicky, squeamish, exact, painstaking, obsessive, obsessiveness, punctilious, querulous, stickling