Institut für Psychologie Universität Kassel Holländische Straße 36-38 34127 Kassel Germany.
International Psychoanalytic University Berlin Germany.
Z Psychosom Med Psychother. 2023 Jun;69(2):108-122. doi: 10.13109/zptm.2023.69.oa2. Epub 2023 May 30.
The study aims to assess interrater reliability of the revised Operationalized Psychodynamic Diagnosis 3 (OPD-3) system. Three OPD axes were included in the reliability analysis: the Levels of Structural Integration Axis (OPD-LSIA), the Conflict Axis (OPD-CA), and the Interpersonal Relations Axis (OPD-IRA). A heterogeneous sample of n = 80 patients was diagnostically assessed with SCID-I and SCID-II as well as with an OPD interview. Two raters of a group of five independently rated each patient's OPD interview according to OPD-3. Interrater reliability was good to excellent for OPD-LSIA [ICC₁,₁ = .874 - .920], and moderate to good forOPD-CA [ICC₁,₁ = .547 - .764] as well as forOPD-IRA at the aggregated level of Agency and Communion [ICC₁,₁ = .575 - .793], except for raters' self-perceived tendencies to act towards the patient. The revised OPD-3 can be used as a reliable instrument for a psychodynamic diagnosis of conflicts, levels of structural integration, and dysfunctional relationship patterns.
本研究旨在评估修订后的操作性心理动力学诊断 3 系统（OPD-3）的评分者间信度。可靠性分析包括三个 OPD 轴：结构整合水平轴（OPD-LSIA）、冲突轴（OPD-CA）和人际关系轴（OPD-IRA）。对一个由 80 名患者组成的异质样本进行了 SCID-I 和 SCID-II 以及 OPD 访谈的诊断评估。五名评分者中的两名根据 OPD-3 对每位患者的 OPD 访谈进行了独立评分。OPD-LSIA 的评分者间信度为良好至优秀[ICC₁,₁=.874 -.920]，OPD-CA 的评分者间信度为中等至良好[ICC₁,₁=.547 -.764]，以及代理和沟通层面的 OPD-IRA 的评分者间信度为中等至良好[ICC₁,₁=.575 -.793]，除了评分者自我感知的对患者的倾向。修订后的 OPD-3 可作为一种可靠的工具，用于对冲突、结构整合水平和功能失调的关系模式进行心理动力学诊断。
