Baie Lara, Hucklenbroich Katharina, Hampel Nicola, Ehrenthal Johannes C, Heuft Gereon, Burgmer Markus
Klinik für Kinder- und Jugendpsychiatrie, -psychosomatik und -psychotherapie Münster Domagkstraße 22 48149 Münster Deutschland Klinik für Psychosomatik und Psychotherapie, Universitätsklinikum Münster.
Institut für Medizinische Psychologie Universität Heidelberg Bergheimer Str. 20 69115 Heidelberg Deutschland Institut für Medizinische Psychologie, Universität Heidelberg.
Z Psychosom Med Psychother. 2020 Feb;66(1):5-19. doi: 10.13109/zptm.2020.66.1.5.
To investigate the affirmed correlation between the level of personality functioning (OPD-2, Axis IV "Structure") and the symptom severity of posttraumatic stress disorder based on clinical routine data was the main goal of this study. Cross-sectional data was acquired between 2013 and 2016 using random samples of standardized questionnaires in the trauma outpatient clinic of the Department of Psychosomatics and Psychotherapy, University Hospital in Münster, Germany. The German version of the PDS (Ehlers et al. 1996) measured the symptoms and the severity of PTSD, level of personality functioning was assessed by the OPD-SFK (Ehrenthal et al. 2015) Level of personality functioning in OPD-SFK and the severity of posttraumatic symptoms are significantly correlated to each other. The less the functioning of the psychic structure the more the symptom severity shows up. The results were confirmed with different sets of predictors in our statistical models. The level of the personality functioning (OPD-2) is related to the severity of posttraumatic symptoms. Whether a low-level personality functioning is a disposal for PTSD or more likely a result of a traumatic life event, should be discussed.
本研究的主要目的是基于临床常规数据，调查人格功能水平（OPD-2，第四轴“结构”）与创伤后应激障碍症状严重程度之间已确认的相关性。2013年至2016年期间，在德国明斯特大学医院身心医学与心理治疗科创伤门诊，使用标准化问卷随机抽样获取横断面数据。PDS德文版（Ehlers等人，1996年）测量创伤后应激障碍的症状和严重程度，人格功能水平由OPD-SFK（Ehrenthal等人，2015年）评估。OPD-SFK中的人格功能水平与创伤后症状的严重程度显著相关。心理结构功能越差，症状严重程度越高。我们统计模型中的不同预测变量集证实了这些结果。人格功能水平（OPD-2）与创伤后症状的严重程度相关。低水平的人格功能是创伤后应激障碍的一个倾向因素还是更可能是创伤性生活事件的结果，这一点值得探讨。
