Lukman Petrin Redayani, Wiguna Tjhin, Soemantri Diantha, Menaldi Sri Linuwih, Elvira Sylvia Detri, Sutanto Limas, Sapiie Tuti Wahmurti A, Kekalih Aria, Noviasari Reina Rahma, Rizki Hukma Shabiyya, Giyani Kharisma Zatalini
Doctoral Program in Medical Sciences, Faculty of Medicine, Universitas Indonesia, Jakarta, Indonesia.
Department of Psychiatry, Faculty of Medicine, Universitas Indonesia, Dr. Cipto Mangunkusumo General Hospital, Jakarta, Indonesia.
Front Psychiatry. 2024 Dec 6;15:1389992. doi: 10.3389/fpsyt.2024.1389992. eCollection 2024.
Psychodynamic psychotherapy is a type of psychotherapy for individuals with borderline personality disorder (BPD). However, competency in conducting effective psychodynamic psychotherapy for BPD is difficult to evaluate. Therefore, this study aimed to identify the psychometric properties of a comprehensive scale to assess cognitive, affective, and psychomotor competencies (CS-CAPC) in psychodynamic psychotherapy for BPD.
This is a qualitative study. The first step used the Delphi technique to gather experts' opinions on the cognitive, affective, and psychomotor competencies necessary to conduct psychodynamic psychotherapy for BPD. The experts comprised three psychotherapists, seven psychiatrists with experience in psychotherapy, and nine teaching staff. A panel discussion was conducted to obtain qualitative data. Thematic data analysis was adopted, and content validity testing was used to analyze the content validity of the CS-CAPC in psychodynamic psychotherapy for BPD.
The CS-CAPC comprised two scales assessing two specific competencies in psychodynamic psychotherapy for BPD: The first scale, the psychodynamic formulation competency assessment scale (PF-CAS), comprised six items, including the case description, etiology, and potential course of therapy. The second scale, the practical-competency assessment scale (PC-CAS) for psychodynamic psychotherapy for BPD, comprised 12 items, including building a therapeutic alliance, performing psychodynamic interventions while working through the therapeutic process, and closing the session. The scale-level content validity index (S-CVI) for the PF-CAS was 0.981, and that for the PC-CAS in psychodynamic psychotherapy for BPD was 1.00.
The CS-CAPC in psychodynamic psychotherapy for BPD had good validity in assessing individual competency in the cognitive, affective, and psychomotor domains.
心理动力心理治疗是针对边缘型人格障碍（BPD）个体的一种心理治疗方法。然而，对BPD进行有效的心理动力心理治疗的能力很难评估。因此，本研究旨在确定一个综合量表的心理测量特性，该量表用于评估BPD心理动力心理治疗中的认知、情感和心理运动能力（CS-CAPC）。
这是一项定性研究。第一步使用德尔菲技术收集专家对BPD心理动力心理治疗所需的认知、情感和心理运动能力的意见。专家包括三名心理治疗师、七名有心理治疗经验的精神科医生和九名教职员工。进行小组讨论以获取定性数据。采用主题数据分析，并使用内容效度测试来分析CS-CAPC在BPD心理动力心理治疗中的内容效度。
CS-CAPC包括两个量表，用于评估BPD心理动力心理治疗中的两种特定能力：第一个量表是心理动力制定能力评估量表（PF-CAS），包括六个项目，包括病例描述、病因和潜在治疗过程。第二个量表是BPD心理动力心理治疗的实践能力评估量表（PC-CAS），包括12个项目，包括建立治疗联盟、在治疗过程中进行心理动力干预以及结束治疗。PF-CAS的量表级内容效度指数（S-CVI）为0.981，BPD心理动力心理治疗中PC-CAS的量表级内容效度指数为1.00。
BPD心理动力心理治疗中的CS-CAPC在评估认知、情感和心理运动领域的个体能力方面具有良好的效度。
