title: Assessment of personality functioning: validity of the operationalized psychodynamic diagnosis axis IV (structure).
abstract: BACKGROUND
  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.
  
  
  METHODS
  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.
  
  
  RESULTS
  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.
  
  
  CONCLUSIONS
  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.
authors.affiliation: Department of Psychoanalysis and Psychotherapy, Medical University of Vienna, Vienna, Austria.
authors.forename: Stephan
authors.initials: S
authors.lastname: Doering
authors.forename: Markus
authors.initials: M
authors.lastname: Burgmer
authors.forename: Gereon
authors.initials: G
authors.lastname: Heuft
authors.forename: Dina
authors.initials: D
authors.lastname: Menke
authors.forename: Brigitta
authors.initials: B
authors.lastname: Bäumer
authors.forename: Margit
authors.initials: M
authors.lastname: Lübking
authors.forename: Marcus
authors.initials: M
authors.lastname: Feldmann
authors.forename: Gudrun
authors.initials: G
authors.lastname: Schneider
mesh_terms: D000328:Adult; D039721:Diagnostic and Statistical Manual of Mental Disorders; D005260:Female; D006801:Humans; D007406:Interview, Psychological; D008297:Male; D001523:Mental Disorders / Q000175:diagnosis / Q000523:psychology; D008875:Middle Aged; D010551:Personality; D010552:Personality Assessment / Q000592:standards*; D010554:Personality Disorders / Q000175:diagnosis* / Q000523:psychology*; D015203:Reproducibility of Results; D011795:Surveys and Questionnaires