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[12项版门诊人格动力学诊断结构问卷(OPD-SQS)的编制]

[Development of a 12-item version of the OPD-Structure Questionnaire (OPD-SQS)].

作者信息

Ehrenthal Johannes C, Dinger Ulrike, Schauenburg Henning, Horsch Lena, Dahlbender Reiner W, Gierk Benjamin

机构信息

Klinik für Allgemeine Innere Medizin und Psychosomatik, Universitätsklinikum Heidelberg, Thibautstr. 2, 69115 Heidelberg.

出版信息

Z Psychosom Med Psychother. 2015;61(3):262-74. doi: 10.13109/zptm.2015.61.3.262.

Abstract

OBJECTIVES

Screening for personality dysfunction is relevant to treatment planning in psychotherapy, psychosomatic medicine and psychiatry. This makes short versions of field-tested approaches such as the OPD Structure Questionnaire (OPD-SQ) necessary.

METHODS

With the aim of developing a screening version, the original sample of the OPD-SQ was divided into two subsamples. After developing a preliminary 12-item version in one subsample, we used confirmatory factor-analysis in the second subsample as well as an independent sample to test the factor structure.

RESULTS

The analyses confirmed a structure of three correlating factors with adequate fit indices. Other findings relating to the validity of the long version were replicated as well. In addition, data from an independent sample of psychotherapy inpatients confirmed the factor structure and provided further evidence for its validity.

CONCLUSIONS

The OPD-SQS is a viable screening instrument for supporting clinical decision making in stepped-care approaches in psychotherapy, psychosomatic medicine and psychiatry.

摘要

目的

人格功能障碍筛查与心理治疗、身心医学及精神病学的治疗规划相关。这使得诸如OPD结构问卷(OPD-SQ)等经过实地测试的方法的简短版本成为必要。

方法

为了开发一个筛查版本,OPD-SQ的原始样本被分成两个子样本。在一个子样本中开发出一个初步的12项版本后,我们在第二个子样本以及一个独立样本中使用验证性因素分析来测试因素结构。

结果

分析证实了具有适当拟合指数的三个相关因素的结构。与长版本有效性相关的其他发现也得到了重复。此外,来自心理治疗住院患者独立样本的数据证实了因素结构,并为其有效性提供了进一步的证据。

结论

OPD-SQS是一种可行的筛查工具,可支持心理治疗、身心医学及精神病学的分级护理方法中的临床决策。

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