Persönlichkeitsstruktur und Bindungsstil als Prädiktoren 					für die erfolgreiche Aufnahme einer ambulanten psychotherapeutischen 					Behandlung

Nikendei, Christoph; Mölle, Christian; Fischer, Kai; Granov, Medzina; Huber, Julia; Dinger, Ulrike; Herzog, Wolfgang; Schauenburg, Henning; Ehrenthal, Johannes C.

doi:10.13109/zptm.2020.66.2.178

Cited by 6 publications

(2 citation statements)

References 23 publications

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“…Higher scores of the OPD-SQ but not a categorical diagnosis of BPD were associated with active negative emotions in psychotherapy inpatients ( Dinger et al, 2021 ). OPD-SQ scores but not depression predicted less success in blood glucose normalization in the treatment of patients with type 2 diabetes mellitus ( Ehrenthal et al, 2019 ), and could be related to gastrointestinal complaints ( Berens et al, 2021 ) and irritable bowel syndrome ( Berens et al, 2021 ), profiles of eating disorders ( Rohde et al, 2019 ), bipolar disorder ( Wagner-Skacel et al, 2020 ), vaginismus and dyspareunia ( Koops et al, 2021 ), and has been applied in different areas of psychotherapy research ( Ehrenthal et al, 2020 ; Nikendei et al, 2020 ; Zeeck et al, 2020 ; Knefel et al, 2021 ; Kraus et al, 2021 ; Immel et al, 2022 ). In addition, the OPD-SQ is highly correlated with state and trait measures of emotional intelligence as well as self-reported levels of personality functioning according to the DSM-5 ( Jauk and Ehrenthal, 2021 ), and it mediates the association between childhood trauma and adult depression ( Dagnino et al, 2020 ).…”

Section: Introductionmentioning

confidence: 99%

Measuring personality functioning with the 12-item version of the OPD-Structure Questionnaire (OPD-SQS): reliability, factor structure, validity, and measurement invariance in the general population

Ehrenthal,

Kruse,

Schmalbach

et al. 2023

Front. Psychol.

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BackgroundThe assessment of personality functioning is at the core of current dimensional models of personality disorders. A variety of measures from different clinical and research traditions aim to assess basic psychological capacities regarding the self and others. While some instruments have shown reliability and validity in clinical or other selected samples, much less is known about their performance in the general population.MethodsIn three samples representative of the German adult population with a total of 7,256 participants, levels of personality functioning were measured with the short 12-item version of the Operationalized Psychodynamic Diagnosis – Structure Questionnaire (OPD-SQS). We addressed questions of factor structure, reliability, validity, factorial invariance, and provide norm values.ResultsConfirmatory factor analysis indicated a satisfactory to good model fit. OPD-SQS models were mostly unaffected by variables such as gender, age, or measurement time. As expected, personality functioning was associated with general psychopathology as well as indices of occupational functioning.ConclusionThe OPD-SQS is a viable measure to assess personality functioning in the general population.

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Section: Introductionmentioning

confidence: 99%

Measuring personality functioning with the 12-item version of the OPD-Structure Questionnaire (OPD-SQS): reliability, factor structure, validity, and measurement invariance in the general population

Ehrenthal,

Kruse,

Schmalbach

et al. 2023

Front. Psychol.

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“…Previous research has shown that the level of structural integration and level of personality functioning correlate with symptom severity and psychosocial impairments [ 10 , 11 , 12 , 13 , 14 , 15 , 16 , 17 , 18 ]. Studies have provided evidence that a low level of personality functioning is a significant predictor for successful referral to outpatient therapy [ 19 ] and higher drop-out rates [ 20 , 21 ]. Spitzer et al [ 22 ] described that patients with a high level of structural integration and patients with a moderate level of structural integration had approximately the same symptom improvement with medium to high effect sizes (d = 0.70–0.83).…”

Section: Introductionmentioning

confidence: 99%

Level of Structural Integration and Its Association with Intersession Experiences and Outcomes: A Pilot Study

Gablonski

Senft²,

Andreas

2022

IJERPH

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The level of structural integration (LSI), a psychodynamic/psychoanalytic concept originally developed by the Operationalized Psychodynamic Diagnosis (OPD), provides a promising empirical approach that is recognized beyond the boundaries of psychoanalysis and is highly relevant for therapy and research. The aim of our study was to investigate the intersession experiences of patients in psychotherapy with different levels of structural integration. The sample consisted of 69 inpatients who were undergoing psychotherapeutic treatment. The patients were asked to complete the German version of the Intersession Experience Questionnaire (IEQ), the short version of the OPD Structure Questionnaire (OPD-SQS) and the Brief-Symptom Inventory (BSI). LSI is associated with the situations, contents and negative emotions in the intersession experiences of patients, as well as their symptom distress over the course of therapy. Furthermore, the level of structural integration is a significant predictor of outcomes. Patients with different LSI had different intersession experiences.

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Effects of a statutory reform on waiting times for outpatient psychotherapy: A multicentre cohort study

Schnittger

Engesser

Wirp³

et al. 2022

Couns and Psychother Res

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Aims: Social inequality in access to mental health care is a current concern across the world. The authors determined whether differences in waiting times for outpatient psychotherapy changed after a statutory reform of the German psychotherapy law. Methods:The dates of first contact, first visit and treatment start, along with sociodemographic and clinical data, were extracted from patient records in communitybased psychotherapy practices. Predictors of waiting times for first visit and treatment start were investigated using multilevel Cox regression models to estimate adjusted hazard ratios (HR adj ).Results: Data from 1548 patient records from nine practices were extracted. Before the reform, the time span between first contact and first visit was longer for patients with compulsory education than for patients with a college degree (HR adj 0.8, 95% CI 0.6-1.0), whereas this was no longer the case after the law changed (HR adj 1.0, 95% CI 0.8-1.3). Patients whose treatment was covered by the state were at higher risk of a long waiting time from last visit to treatment start compared with patients with statutory health insurance after the law changed (HR adj 0.4, 95% CI 0.3-0.7), which had not been the case before the law changed (HR adj 1.3, 95% CI 0.8-2.2).Conclusions: Social inequality in access to psychotherapy was reduced in part by the updated psychotherapy law in terms of educational groups; however, it increased in other aspects. This shows how political decisions can powerfully impact clinical practice, ultimately helping one group of patients while disadvantaging another.

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Persönlichkeitsstruktur und Bindungsstil als Prädiktoren für die erfolgreiche Aufnahme einer ambulanten psychotherapeutischen Behandlung

Cited by 6 publications

References 23 publications

Measuring personality functioning with the 12-item version of the OPD-Structure Questionnaire (OPD-SQS): reliability, factor structure, validity, and measurement invariance in the general population

Measuring personality functioning with the 12-item version of the OPD-Structure Questionnaire (OPD-SQS): reliability, factor structure, validity, and measurement invariance in the general population

Level of Structural Integration and Its Association with Intersession Experiences and Outcomes: A Pilot Study

Effects of a statutory reform on waiting times for outpatient psychotherapy: A multicentre cohort study

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