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

Research paper by Stephan S Doering, Markus M Burgmer, Gereon G Heuft, Dina D Menke, Brigitta B Bäumer, Margit M Lübking, Marcus M Feldmann, Gudrun G Schneider

Indexed on: 07 Nov '13Published on: 07 Nov '13Published in: Psychopathology


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.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.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.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.