Division of Mental Health and Addiction, Oslo University Hospital, P.O. Box 4959, Nydalen, 0424, Oslo, Norway.
University of Oslo, Institute of Clinical Medicine, P.O. Box 1171, Blindern, 0318, Oslo, Norway.
BMC Psychiatry. 2020 Mar 30;20(1):141. doi: 10.1186/s12888-020-02556-6.
The Feeling Word Checklist (FWC) is a self-report questionnaire designed to assess therapists' countertransference (CT) feelings. The primary aim of the study was to evaluate the psychometric properties of a brief, 12-item version of the Feeling Word Checklist (FWC-BV). The second aim was to validate the factor structure by examining the associations between the FWC-BV factors, patients' personality pathology and therapeutic alliance (TA).
Therapists at 13 different outpatient units within the Norwegian Network of Personality Disorders participated, and the study includes therapies for a large sample of patients (N = 2425) with personality pathology. Over a period of 2.5 years, therapists completed the FWC-BV for each patient in therapy every 6 months. Statistical methods included exploratory (EFA) and confirmatory (CFA) factor analysis. Internal consistency was estimated using Mc Donald's coefficient Omega (ω). The Structured Clinical Interview for DSM-IV - Axis II (SCID II) and Mini International Neuropsychiatric Interview (MINI) were used as diagnostic instruments, and patient-rated TA was assessed using the Working Alliance Inventory (WAI-SR).
Factor analyses revealed three clinically meaningful factors: Inadequate, Idealised and Confident. These factors had acceptable psychometric properties. Most notably, a number of borderline PD criteria correlated positively with the factors Inadequate and Idealised, and negatively with the factor Confident. All the factors correlated significantly with at least one of the WAI-SR subscales.
The FWC-BV measures three clinically meaningful aspects of therapists' CT feelings. This brief version of the FWC seems satisfactory for use in further research and in clinical contexts.
情感词汇检查表（FWC）是一种自我报告问卷，旨在评估治疗师的反移情（CT）感受。该研究的主要目的是评估情感词汇检查表（FWC）的一个简短的 12 项版本（FWC-BV）的心理测量特性。第二个目的是通过检查 FWC-BV 因子与患者的人格病理学和治疗联盟（TA）之间的关联来验证因子结构。
来自挪威人格障碍网络的 13 个不同门诊单位的治疗师参与了该研究，该研究包括对大量人格障碍患者（N=2425）进行治疗。在 2.5 年的时间内，治疗师每 6 个月为接受治疗的每位患者完成一次 FWC-BV。统计方法包括探索性（EFA）和验证性（CFA）因子分析。内部一致性采用 McDonald 系数 Omega（ω）估计。使用 DSM-IV 轴 II 结构临床访谈（SCID II）和迷你国际神经精神访谈（MINI）作为诊断工具，使用工作联盟量表（WAI-SR）评估患者评定的 TA。
因子分析显示出三个具有临床意义的因子：不足、理想化和自信。这些因素具有可接受的心理测量特性。值得注意的是，一些边缘型人格障碍标准与不足和理想化因子呈正相关，与自信因子呈负相关。所有因子均与 WAI-SR 的至少一个分量表显著相关。
FWC-BV 测量了治疗师 CT 感受的三个具有临床意义的方面。FWC 的这个简短版本似乎可以满足进一步研究和临床环境的需要。
