title: [What are the advantages of a comprehensive diagnostic based on OPD-KJ in child and adolescent psychiatric patients?].
abstract: OBJECTIVE
  This paper presents the advantages of making comprehensive diagnoses with OPD-KJ in a child and adolescent psychiatric sample.
  
  
  METHODS
  In addition to the MAS and the ICD-10 diagnoses, three axes of the OPD-KJ, the conflict and structural axis as well the axis of treatment conditions, were assessed, in 61 inpatient child and adolescent psychiatric patients in Austria.
  
  
  RESULTS
  There are significant gender differences in the importance of internalized, developmentally inhibitive conflicts. However, the structural level was low to moderate in all patients. Structural capacities such as dealing with negative emotions, self and object differentiation, and contact could be maintained only with substantial help from outside. Older patients were more motivated to obtain treatment and show more insight. Of importance were also links between the conflict axis and the treatment conditions. Patients who have been classified as control vs. submissive showed less treatment motivation, reduced motivation to change, and more gains than did patients with other conflicts.
  
  
  CONCLUSIONS
  The study shows that, beyond the axis of treatment conditions, a comprehensive OPD-KJ diagnosis that gathered information from the assessment of the conflict and structural axis as well can provide useful information for treatment planning.
authors: Psychologisches Institut der Universität Mainz. seiffge-krenke@uni-mainz.de
authors: Inge
authors: I
authors: Seiffge-Krenke
authors: Rainer
authors: R
authors: Fliedl
authors: Petra
authors: P
authors: Katzenschläger
mesh_terms: D000293:Adolescent; D002648:Child; D002653:Child Behavior Disorders / Q000145:classification / Q000175:diagnosis* / Q000628:therapy; D003220:Conflict, Psychological; D003299:Cooperative Behavior; D003674:Defense Mechanisms; D005260:Female; D006801:Humans; D033183:Interdisciplinary Communication; D038801:International Classification of Diseases; D007406:Interview, Psychological; D008297:Male; D008370:Manuals as Topic; D001523:Mental Disorders / Q000145:classification* / Q000175:diagnosis* / Q000628:therapy; D010287:Parent-Child Relations; D010343:Patient Admission; D010347:Patient Care Planning; D011574:Psychoanalytic Theory; D011594:Psychometrics / Q000706:statistics & numerical data; D015203:Reproducibility of Results