International Centre for the Study of Occupational and Mental Health, Düsseldorf, Germany.
Asian J Psychiatr. 2012 Dec;5(4):319-26. doi: 10.1016/j.ajp.2012.07.002. Epub 2012 Aug 24.
This exploratory study is an extension of previous studies which have applied personal construct theory (PCP) methodology toward a better understanding of the structure and dynamics of multidisciplinary mental (and physical) health care (Kirkcaldy and Pope, 1992; Kirkcaldy et al., 1993, 2000, 2005; Kirkcaldy and Siefen, 1999). In this study we wanted to use similar cluster statistical analyses, not unlike PCP analysis, to identify the diverse subjective models of psychological ailments such as anxiety, depression, psychosis, mania, obsessive compulsive disorder (OCD), post stress traumatic disorder (PTSD), etc., using not the idiosyncratic constructs generated by individual triadic element comparisons, but by selecting those constructs which have been clearly identified in various psychiatric and psychological rating scales (e.g. somatic preoccupation, social withdrawal, conceptual disorganization, hostility, disinhibition and controlling). Clinical experts (psychological psychotherapists, and medical psychotherapist and psychiatrist) each with over 25 years of clinical and research experience were required to complete the ratings of each disorder listed in terms of the pre-formulated behavioral, emotional and cognitive concepts. What emerged are several multivariate (grid) analyses based on mental health professionals' perception of diverse elements (disorders) and their interrelationship derived from the similarity of composite profiles of ill-related constructs. Overall, the analyses revealed clear associations between the subjective evaluations of psychological ailments suggesting some uniformity in mental health assessment of such disorders. The implications of these findings are discussed within the theoretical framework of improved mental health care.
本探索性研究是对先前研究的扩展，这些研究应用了个人建构理论（PCP）方法，以更好地理解多学科精神（和身体）保健的结构和动态（Kirkcaldy 和 Pope，1992；Kirkcaldy 等人，1993 年，1999 年；Kirkcaldy 和 Siefen，1999 年）。在这项研究中，我们希望使用类似的聚类统计分析，而不是 PCP 分析，来识别焦虑、抑郁、精神病、躁狂、强迫症（OCD）、创伤后应激障碍（PTSD）等心理疾病的不同主观模型，使用的不是个体三元元素比较产生的特质建构，而是选择那些在各种精神病学和心理学评分量表中明确识别的建构（例如，躯体关注、社会退缩、概念混乱、敌意、抑制和控制）。临床专家（心理心理治疗师、医学心理治疗师和精神科医生），每位都有超过 25 年的临床和研究经验，需要根据预先制定的行为、情感和认知概念对列出的每种疾病进行评分。出现的是几种基于心理健康专业人员对不同元素（疾病）及其相互关系的感知的多变量（网格）分析，这些元素和关系源自与疾病相关的综合特质的相似性。总的来说，这些分析揭示了心理疾病主观评估之间的明确关联，表明对这些疾病的心理健康评估存在一定的一致性。这些发现的意义在改善精神保健的理论框架内进行了讨论。
