Winter Sibylle, Jelen Anna, Pressel Christine, Lenz Klaus, Lehmkuhl Ulrike
Charité-Universitätsmedizin Berlin, Klinik für Psychiatrie, Psychisomatik und Psychotherapie des Kindes- und Jugendalters.
Prax Kinderpsychol Kinderpsychiatr. 2011;60(1):41-59. doi: 10.13109/prkk.2011.60.1.41.
60 clinical patients (5-17 years) were diagnosed with an interview-manual of OPD-CA (Winter, 2004). For clinical validity a comparison of patients with internal (N=17) and external disorders (N=19) was shown. References for clinical validity resulted from the comparison of the groups, especially for the axes "conflict" and "prerequisites for treatment". Patients with internal disorders showed the conflict desire for care versus autarchy significantly more often than patients with external disorders. On the other hand patients with external disorders displayed the conflict submission versus control significantly more often. Significant differences were also found for the axis "prerequisites for treatment". Patients with internal disorders had better "prerequisites for treatment" in the domains experience of illness and the prerequisites for therapy. For the axes "interpersonal relation", "structure" and "prerequisites for treatment" satisfactory data for validity and reliability were found. The clinical validity points to the usefulness of OPD-CA-manual for psychodynamic diagnostics in childhood and adolescence.
60名临床患者(5至17岁)通过OPD-CA访谈手册(Winter,2004年)进行诊断。为了验证临床有效性,展示了患有内部疾病(N = 17)和外部疾病(N = 19)的患者之间的比较。临床有效性的参考来自组间比较,特别是在“冲突”和“治疗前提条件”轴上。患有内部疾病的患者比患有外部疾病的患者更频繁地表现出渴望护理与自主的冲突。另一方面,患有外部疾病的患者更频繁地表现出顺从与控制的冲突。在“治疗前提条件”轴上也发现了显著差异。患有内部疾病的患者在疾病体验和治疗前提条件方面有更好的“治疗前提条件”。对于“人际关系”、“结构”和“治疗前提条件”轴,发现了关于有效性和可靠性的满意数据。临床有效性表明OPD-CA手册在儿童和青少年心理动力学诊断中的有用性。