[关于OPD-2轴结构的信效度的初步结果]
[First results on the reliability and validity of the OPD-2 axis structure].
作者信息
Benecke Cord, Koschier Andrea, Peham Doris, Bock Astrid, Dahlbender Reiner W, Biebl Wilfried, Doering Stephan
机构信息
Universität Innsbruck, Institut für Psychologie, Innrain 52, A-6020 Innsbruck. Cord.
出版信息
Z Psychosom Med Psychother. 2009;55(1):84-96. doi: 10.13109/zptm.2009.55.1.84.
OBJECTIVES
In 2006, the manual of the Operationalized Psychodynamic Diagnostics (OPD) was revised and published in its second edition (OPD-2; Arbeitskreis OPD2006). In particular the axis structure was markedly changed. This study assessed the interrater reliability and validity.
METHODS
Two independent raters judged 139 persons with OPD-2 on the axis structure (a third rater judged a partial sample of 20 persons). In addition, patients were investigated with SCID-Interviews for DSM-IV diagnosis and with the following questionnaires: Brief-Symptom-Checklist (BSI), Inventory of Personality Organisation (IPO), and Borderline Personality Inventory (BPI).
RESULTS
Interrater agreement for the axis structure showed sufficient to good results for weighted kappas. The axis structure showed high correlations with the number of DSM-IV diagnoses and the main scales of the BSI, IPO, and BPI.
CONCLUSION
The OPD-2 axis structure is a reliable and valid instrument for the assessment of the crucial clinical dimension of "psychic structure".
目的
2006年，《操作性心理动力诊断手册》（OPD）修订并出版了第二版（OPD - 2；OPD2006工作小组）。特别是其轴结构有显著变化。本研究评估了评分者间信度和效度。
方法
两名独立评分者依据OPD - 2对139人进行轴结构评定（第三名评分者对20人的部分样本进行评定）。此外，通过SCID访谈对患者进行DSM - IV诊断，并使用以下问卷：简明症状清单（BSI）、人格组织量表（IPO）以及边缘型人格量表（BPI）。
结果
轴结构的评分者间一致性在加权卡帕值方面显示出充分至良好的结果。轴结构与DSM - IV诊断数量以及BSI、IPO和BPI的主要量表高度相关。
结论
OPD - 2轴结构是评估“心理结构”这一关键临床维度的可靠且有效的工具。
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