Background: The present study was conducted to determine the differential profile of
social anxiety disorder (SAD) and avoidant personality disorder (APD) based on dimensional
diagnosis in criterion B of the DSM-5 Alternative Model for Personality Disorders (DSM-5-AMPD)
in a college sample.
Methods: Samples of this cross-sectional study included 320 (23.08 ± 2.66 years; 57%
female) college students in western Iran during February 2015 to December 2017. Liebowitz-social
anxiety scale, PID-5, SCID-II, SCID-II-SQ and diagnostic interview for SAD were the tools. The data
were analysed using Pearson correlation and multiple linear regression analysis.
Results: Forty-three and 38 participants met criteria for SAD alone and APD, respectively.
Five main domains of PID-5 could explain 29% and 54% of the variance of SAD and APD,
respectively. Facets of negative affect, detachment, antagonism, disinhibition, and psychoticism
could explain 25% versus 43%, 26% versus 54%, 7% versus 27%, 21% versus 41%, 13% versus 30% of
the variance of SAD and APD, respectively.
Conclusion: SAD and APD probably refer to two distinct mental states having prominent
anxiety, emotional instability, and interpersonal pattern of avoidance and detachment of
challenge. SAD is a simple form of mental disturbances with anxiety in its core features; although,
APD is possibly referring to more complicated psychopathology.