Karel Dobroslav Riegel

• Doctor of Psychology
• Medical Professional at Charles University in Prague

Objective Little is known about the association between subjectively experienced levels of diabetes distress (DD) and personality traits (PTs), even when levels of DD appear stable over time. This study aimed to use the Alternative Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5) Model for Personality Disorders (AMPD) to...

Background: With the development of multidisciplinary addictology teams, the ability of an addictologist to reliably assess personality psychopathology can be considered an important prerequisite that significantly enters the process of treatment planning. Aims: Verification of the reliability and validity of the assessment of personality psycho...

This article provides reflection on the potential application of Bion's model of basic assumption groups in patients undergoing midterm inpatient addiction treatment. The clinical implications are discussed in terms of the usability of Bion's model and its possible benefits for patients in regimen addiction treatment, as well as the pitfalls associ...

Background There is a presumption that pathological narcissism, or narcissistic personality disorder per se, can be considered a precursor to addiction. Although the ICD-11 model does not distinguish specific personality disorders, narcissistic psychopathology should be captured through personality trait qualifiers. Objectives To verify the capaci...

Nicotine and tobacco withdrawal in the process of substance use disorder (SUD) treatment is considered to have beneficial effects for the patient's abstinence from substance use. The purpose of this study was to implement smoke-free men in-patients unit at the Department of Addictology where the changes in symptoms of smoking withdrawal were measur...

The eleventh revision of the International Classification of Diseases (ICD-11) brings a different way of thinking about personality disorders (PDs) compared to the current ICD-10 model. The focus of the ICD-11 model conceptually returns to the psychodynamic tradition of understanding PDs, historically connected with the definitions of borderline st...

Background: Personality pathology does not have to be a contraindication to a bariatric surgery if a proper pre-surgical assessment is done. Indicating subgroups of patients with their specific needs could help tailor interventions and improve surgical treatment outcomes. Objectives: Using the Alternative DSM-5 model for personality disorders (AMPD...

Background: Empirical soundness and international robustness of the PID5BF+M, a shortened version of the PID-5 developed for simultaneous evaluation of maladaptive personality traits in the DSM-5 AMPD and ICD-11 models for personality disorders, was recently confirmed in 16 samples from different countries. Because the modified PID5BF+ scale (36 it...

Obesity is a metabolic disorder conditioned by several factors with the individual genetic proneness to accumulation of body fat with a positive energetic balance. If such definition describes the essential nature of obesity aptly, the treatment thereof ought to be the realm of somatic medicine and somatically oriented physicians, which is, unfortu...

Introduction: The DSM-5 Alternative Model of Personality Disorders (AMPD) and the ICD-11 classification of personality disorders (PD) are largely commensurate and, when combined, they delineate 6 trait domains: negative affectivity, detachment, antagonism/dissociality, disinhibition, anankastia, and psychoticism. Objective: The present study eva...

Introduction: The DSM-5 Alternative Model of Personality Disorders (AMPD) and the ICD-11 Classification of Personality Disorders (PD) are largely commensurate, and when combined, they delineate six trait domains: Negative Affectivity, Detachment, Antagonism/Dissociality, Disinhibition, Anankastia, and Psychoticism. Objective: The present study eval...

Most experts in the field of personality disorders (PDs) agree that prognosis of these patients is predominantly influenced by the early and sensitive diagnostics. With an increasing number of PD patients in both clinical and general populations, there is an increasing need for a unified language to enable clinicians: 1. Recognize diagnosis early;...

To date, numerous studies have confirmed empirical relevance of the personality trait model defined in the Alternative DSM‐5 Model for Personality Disorders. The supposed single‐factor structure of its facets and general domains across various samples, however, has not been researched thoroughly. This study focused on evaluating the hypothesized un...

Movement is the basic attribute of life. It is not surprising that the return to regular physical activity is a very effective and cheap means of preventing and treating most non-cummunicable diseases. Therefore, every physician should be able to prescribe a suitable physical activity. The minimum amount of physical activity with proven effects in...

Objectives. In the Alternative DSM-5 Model for Personality Disorders, the diagnosis of specific personality disorders is obtained through Personality Inventory for DSM-5 (PID-5) assessment of dimensional personality traits associated in 25 “lower order” facets and 5 “higher order” domains. The aim of the study was to test PID-5 psychometric propert...

Despite its difficulty, psychotherapy is considered to be the first choice in the treatment of personality disorders (PDs). There is development and clinical application of growing body of psychotherapies for PDs present in last decades. Nevertheless, the major problems are: 1) inconsistencies in quality of care provided to the patients with PDs be...

Introduction Section III of 5th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5) includes a hybrid model of personality pathology, in which dimensional personality traits (PTs) are used to derive one of six categorical Personality Disorder (PD) diagnoses. The Personality Inventory for DSM-5 (PID-5) has been developed to...

In Section III, Emerging Measures and Models, the fifth edition of the Diagnostic and Statistic Manual of Mental Disorders (DSM-5) introduces the Alternative Model for Personality Disorders (AMPD). It's an empirically based model of personality psychopathology, using two diagnostic tools: the Level of Personality Functioning Scale (LPFS) and the Pe...

The Alternative Model for Personality Disorders (AMPD) is the key contribution to the classification of Personality Disorders (PD) in the current DSM-5 proposal. The shift from the assessment of PD symptomatic criteria to the assessment of the dimensional basis of personality psychopathology reflects considerably in planning of the therapeutic proc...