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基于评定量表的自我功能与客体关系诊断

[Diagnosis of ego functions and object relations based on rating scales].

作者信息

Davies-Osterkamp S, Hartkamp N, Heigl-Evers A, Standke G

机构信息

Klinisches Institut, Heinrich-Heine-Universität Düsseldorf.

出版信息

Z Psychosom Med Psychoanal. 1992;38(1):17-30.

PMID:1561844
Abstract

This study investigated rater-agreement and the factorial structure of the Rating-Scales for the assessment of object-relations and ego-functions developed by Bellak and coworkers. A subset of the original scales with the modifications and translations performed by Streeck was used, altogether 19 scales consisting of sub-components of seven functions. These were applied in assessing patients with neurotic disorders, alcohol addiction and Crohn's disease (n = 25 each). Rater-agreement was not satisfactory: In almost all scales there were significant differences in central tendency; only in seven scales rater-agreement was adequate, it's height varying for diagnostic groups and functions. Results of factor-analysis showed a two-dimensional structure. Implications for further research with these scales are discussed.

摘要

本研究调查了由贝拉科及其同事开发的用于评估客体关系和自我功能的评定量表的评分者一致性和因子结构。使用了经施特雷克修改和翻译的原始量表的一个子集,共19个量表,由七种功能的子成分组成。这些量表被应用于评估神经症、酒精成瘾和克罗恩病患者(每组n = 25)。评分者一致性并不令人满意:几乎在所有量表中,集中趋势都存在显著差异;只有七个量表的评分者一致性足够,其高度因诊断组和功能而异。因子分析结果显示为二维结构。文中讨论了对这些量表进行进一步研究的意义。

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