Assessment of personality functioning: validity of the operationalized psychodynamic diagnosis axis IV (structure).

Abstract:

BACKGROUND:The assessment of personality functioning has recently become a focus of psychiatric diagnostics. The interview-based Operationalized Psychodynamic Diagnosis (OPD-2) provides a 'structure axis' for the assessment of personality functioning. METHODS:One hundred twenty-four psychiatric patients were diagnosed by means of the Structured Clinical Interviews for DSM-IV (SCID-I and SCID-II), underwent OPD-2 interviews, and completed 9 questionnaires. RESULTS:The OPD-2 structure axis shows good interrater reliability (intraclass correlation = 0.793). Correlations between the OPD-2 structure axis domains and a priori selected questionnaire scales were of medium size and significant. Patients with a personality disorder (PD) showed significantly worse personality functioning than those without. In cluster B PD, personality functioning was more severely impaired than in cluster C PD. DISCUSSION:The OPD-2 structure axis shows good reliability as well as concurrent and discriminant validity and can be recommended for clinical use and research purposes.

journal_name

Psychopathology

journal_title

Psychopathology

authors

Doering S,Burgmer M,Heuft G,Menke D,Bäumer B,Lübking M,Feldmann M,Schneider G

doi

10.1159/000355062

subject

Has Abstract

pub_date

2014-01-01 00:00:00

pages

185-93

issue

3

eissn

0254-4962

issn

1423-033X

pii

000355062

journal_volume

47

pub_type

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