Valentin Lackmann, Miriam Henkel, Cord Benecke, Claudia Kozik, Knut Schnell, Christian Fricke-Neef, Bettina Mardus, Martin Ohlmeier, Dorothea von Haebler, Christian Sell
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Originalbeiträge (Originals). Operationalized Psychodynamic Diagnosis (OPD-3) for Patients with Psychosis: Feasibility and Differential Reliability / Operationalisierte Psychodynamischen Diagnostik 3 (OPD-3) bei Patient:innen mit Psychose: Anwendbarkeit und differenzielle Reliabilität.
Objective: This study examines the feasibility and differential inter-rater reliability of Operationalized Psychodynamic Diagnosis 3 (OPD-3) for patients experiencing psychosis.
Method: We conducted OPD interviews with n₁ = 40 patients with SCID-diagnosed nonpsychotic disorders and n₂ = 40 patients with non-affective or affective psychoses. Each patient's video-recorded interview was independently rated by two trained OPD-3 raters, selected from a rater pool of five. We assessed feasibility based on extensive rater discussions and consultations with expert practitioners.
Results: OPD-based diagnostic assessment of individual psychodynamic patient characteristics with OPD-3 has proven feasible for patients with psychosis. Due to particularities of this patient group, some aspects of the rating necessitate specific attention during rater training. OPD-3 shows moderate to excellent inter-rater reliabilities for patients with psychosis with only minor differences to patients without psychosis.
Conclusion: OPD-3 is a clinically applicable and reliable instrument for psychodynamic diagnosis in patients with psychosis.
期刊介绍：
This journal provides a systematic overview of the entire field of psychosomatic medicine. It is also the official organ of the German Society for Psychosomatic Medicine and Medical Psychotherapy (DGPM). It serves as a forum for discussions of the interdisciplinary experiences in the field of psychosomatics, the goal being the furtherance of scientific insights into the interactions between mental and physical factors in the development of disease. It also provides a way to deepen one´s knowledge of psychoanalysis and to explore new therapeutic directions.
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