title: [Inter-rater reliability and construct validity of the OPD-CA axis structure: first study results regarding the integration of OPD-CA into clinical practice].
abstract: The axis structure of the Operationalized Psychodynamic Diagnostics in childhood and adolescence (OPD-CA) has proven to be a reliable and valid diagnostic tool under research conditions. However, corresponding data regarding the integration of OPD-CA axis structure into clinical practice is still lacking. Hence, this aspect was examined as part of a randomized controlled clinical trial realized at Asklepios Fachklinikum Tiefenbrunn. Here, the OPD-CA axis structure has been applied to assess the structural level of 42 adolescent patients (15-19 years). In contrast to previous studies, the assessment was not carried out by independent raters using a videotaped OPD-CA interview, but the rating was part of clinical routine procedures. Also under these conditions, inter-rater reliability was high, in particular regarding the four subscales of the OPD-CA axis structure. With respect to construct validity, the results of our study supported a two-factor solution, which is in accordance with the findings of two previous works. One factor corresponded to the dimension "self-regulation" while the other factor included both the dimension "self-perception and object perception" as well as the dimension "communication skills". Implications of the findings for research and practice are discussed.
authors.affiliation: Abteilung für Psychiatrie und Psychotherapie des Kindes -und Jugendalters, Asklepios Fachklinikum Tiefenbrunn. c.cropp@asklepios.com
authors.forename: Carola
authors.initials: C
authors.lastname: Cropp
authors.forename: Simone
authors.initials: S
authors.lastname: Salzer
authors.forename: Leonard F
authors.initials: LF
authors.lastname: Häusser
authors.forename: Annette
authors.initials: A
authors.lastname: Streeck-Fischer
mesh_terms: D000293:Adolescent; D000342:Affective Symptoms / Q000145:classification / Q000175:diagnosis* / Q000523:psychology / Q000628:therapy*; D003142:Communication; D006778:Hospitals, Psychiatric; D006801:Humans; D008370:Manuals as Topic; D009769:Object Attachment; D015588:Observer Variation; D010343:Patient Admission; D011572:Psychoanalysis; D011575:Psychoanalytic Therapy; D011594:Psychometrics / Q000706:statistics & numerical data*; D015203:Reproducibility of Results; D012649:Self Concept; D012920:Social Behavior Disorders / Q000145:classification / Q000175:diagnosis* / Q000523:psychology / Q000628:therapy*; D012927:Social Control, Informal