Löffler-Stastka Henriette, Blüml Victor, Jandl-Jager Elisabeth
Universitätsklinik für Psychoanalyse und Psychotherapie, Medizinische Universität Wien, Osterreich.
Psychother Psychosom Med Psychol. 2010 Sep-Oct;60(9-10):342-9. doi: 10.1055/s-0029-1238299. Epub 2009 Sep 29.
The study compares the predictive power of the Shedler-Westen-Assessment Procedure-200 with the Structured Clinical Interview for DSM-IV on engagement in (psychoanalytic) psychotherapy within 297 patients with personality disorders in a 4-year-follow-up. Multinomial logistic regression showed small differences between the prediction rates in the cross-validated data. Both instruments showed clinically useful prediction rates for treatment rejecters: SWAP scales led to correct predictions with dysphoric traits as semi-stable predictors for rejecters, while SCID scales led to correct predictions with Negativistic, Depressive and Schizotypal PD as stable predictors. Results are discussed under the aspect of advantages and disadvantages of the SWAP-200 diagnostic procedure, which includes the assessment of affect-experience, defence-organisation, and object-relation-style.
该研究比较了施德勒-韦斯顿评估程序-200（Shedler-Westen-Assessment Procedure-200，SWAP-200）与《精神疾病诊断与统计手册》第四版（DSM-IV）结构化临床访谈对297名人格障碍患者在4年随访期内接受（精神分析）心理治疗情况的预测能力。多项逻辑回归显示，交叉验证数据中的预测率存在细微差异。两种工具对治疗拒绝者均显示出具有临床意义的预测率：SWAP量表以烦躁特质作为拒绝者的半稳定预测指标可得出正确预测，而SCID量表以消极、抑郁和分裂型人格障碍作为稳定预测指标可得出正确预测。研究从SWAP-200诊断程序的优缺点方面对结果进行了讨论，该程序包括情感体验、防御机制和客体关系模式的评估。
