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基于人格组织结构化访谈(STIPO)对“成瘾学”硕士研究生人格精神病理学严重程度的评估能力

Ability to assess the severity of personality psychopathology based on the Structured Interview of Personality Organization (STIPO) in master's students of "Addictology".

作者信息

Riegel Karel D, Schlosserová Lucia, Blüml Victor, Waschulin Laura, Rosová Lívia

机构信息

Department of Addictology, First Faculty of Medicine, Charles University and General University Hospital in Prague, Apolinarska 4, 128 00 Prague 2, Czech Republic.

Department of Psychoanalysis and Psychotherapy, Medical University of Vienna, Vienna, Austria.

出版信息

Acta Psychol (Amst). 2023 Apr;234:103867. doi: 10.1016/j.actpsy.2023.103867. Epub 2023 Feb 19.

Abstract

BACKGROUND

With the development of multidisciplinary addictology teams, the ability of an addictologist to reliably assess personality psychopathology can be considered an important prerequisite that significantly enters the process of treatment planning.

AIMS

Verification of the reliability and validity of the assessment of personality psychopathology in master's students of Addictology (addiction science) based on the Structured Interview of Personality Organization (STIPO) scoring course.

METHODS

31 Master's students of Addictology independently evaluated 7 STIPO protocols based on recordings. The presented patients were unknown to the students. The resulting scores of students were compared with 1. expert scores of a clinical psychologist with extensive experience with the STIPO; 2. scores of 4 psychologists without previous experience with the STIPO who have attended the course; 3. information on previous clinical experience and education of the students. The comparison of scores was performed using a coefficient of intraclass correlation, a social relation model analysis and linear mixed-effect models.

RESULTS

Students demonstrated a high degree of inter-rater reliability with a significant degree of agreement in patient assessments, as well as a high to satisfactory degree of validity in the STIPO assessments. An increase in validity after the individual phases of the course was not proven. Their evaluations were generally independent of previous education, as well as diagnostic and therapeutic experience.

CONCLUSIONS

The STIPO seems to be a useful tool to facilitate the communication of personality psychopathology between independent experts within multidisciplinary addictology teams. Training in the STIPO can be a useful addition to the study curriculum.

摘要

背景

随着多学科成瘾学团队的发展,成瘾学专家可靠评估人格精神病理学的能力可被视为治疗计划过程中的一个重要前提条件。

目的

基于人格组织结构化访谈(STIPO)评分课程,验证成瘾学(成瘾科学)硕士研究生人格精神病理学评估的可靠性和有效性。

方法

31名成瘾学硕士研究生根据录音独立评估7份STIPO协议。学生们不认识所呈现的患者。将学生的最终得分与以下三者进行比较:1. 一位对STIPO有丰富经验的临床心理学家的专家评分;2. 4位没有STIPO经验但参加过该课程的心理学家的评分;3. 关于学生以前临床经验和教育背景的信息。使用组内相关系数、社会关系模型分析和线性混合效应模型进行得分比较。

结果

学生们在患者评估中表现出高度的评分者间可靠性,且有显著程度的一致性,在STIPO评估中也有较高至令人满意的有效性。未证明课程各阶段后有效性有所提高。他们的评估通常与以前的教育背景以及诊断和治疗经验无关。

结论

STIPO似乎是促进多学科成瘾学团队中独立专家之间人格精神病理学交流的有用工具。STIPO培训可以成为学习课程中有用的补充。

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