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Despite extensive validation, evidence on its diagnostic accuracy and empirically derived cutoff scores remains limited. This study aims to compare PID\u20105\u2010BF trait levels and profiles across individuals with personality disorders (PDs), clinical participants without PDs, and nonclinical participants and to evaluate its diagnostic accuracy and screening cutoffs. This cross\u2010sectional study included 1168 Hungarian participants: 867 nonclinical, 237 clinical without PD, and 64 with PD. Group differences were examined using one\u2010way ANOVAs, whereas domain profiles were evaluated with mixed\u2010design repeated\u2010measures ANOVA. Diagnostic accuracy was assessed using ROC analyses adjusted for age, sex, and education, and optimal cutoffs were determined using Youden's index. Participants with PD showed the highest pathological trait scores, followed by clinical participants without PD and nonclinical participants. The largest group effects emerged for disinhibition, total score, and detachment. For distinguishing PD from nonclinical participants, the adjusted AUC for the PID\u20105\u2010BF total score was 0.849, with an optimal cutoff of \u2265\u20091.32. Domain\u2010specific cutoffs ranged from 0.60 to 1.60 (median\u2009=\u20091.20). Negative predictive values were high (mean NPV\u2009=\u20090.934), whereas positive predictive values were modest (mean PPV\u2009=\u20090.327). The PID\u20105\u2010BF may be useful as a brief screening measure for identifying individuals requiring further personality assessment. However, its limited positive predictive value and weaker discrimination between PD and other clinical conditions preclude its use as a stand\u2010alone diagnostic instrument.<\/jats:p>","DOI":"10.1002\/pmh.70108","type":"journal-article","created":{"date-parts":[[2026,10,16]],"date-time":"2026-10-16T03:27:37Z","timestamp":1792121257000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Diagnostic Accuracy of PID\u20105\u2010BF for Screening Personality Disorders: A Cross\u2010Sectional Study in Clinical and Nonclinical Samples"],"prefix":"10.1002","volume":"20","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6380-7093","authenticated-orcid":false,"given":"B\u00e9la","family":"Birk\u00e1s","sequence":"first","affiliation":[{"name":"Institute of Behavioral Sciences, Medical School University of P\u00e9cs  P\u00e9cs Hungary"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0506-6861","authenticated-orcid":false,"given":"Andr\u00e1s Norbert","family":"Zsid\u00f3","sequence":"additional","affiliation":[{"name":"Institute of Psychology, Faculty of Humanities and Social Sciences University of P\u00e9cs  P\u00e9cs Hungary"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S\u00e1ra","family":"Gergely","sequence":"additional","affiliation":[{"name":"VIKOTE Center for Cognitive and Schema Therapy  Budapest Hungary"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Regina","family":"T\u00f3th","sequence":"additional","affiliation":[{"name":"VIKOTE Center for Cognitive and Schema Therapy  Budapest Hungary"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J\u00falia","family":"Andr\u00f3czi","sequence":"additional","affiliation":[{"name":"VIKOTE Center for Cognitive and Schema Therapy  Budapest 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