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Valentin Lackmann, Miriam Henkel, Cord Benecke

    Zeitschrift Fur Psychosomatische Medizin Und Psychotherapie
    |September 1, 2025
    PubMed
    Summary
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    Operationalized Psychodynamic Diagnosis 3 (OPD-3) is a feasible and reliable tool for diagnosing psychosis patients. This psychodynamic assessment shows moderate to excellent inter-rater reliability, confirming its clinical applicability.

    Area of Science:

    • Psychiatry
    • Psychology
    • Clinical Assessment

    Context:

    • Psychosis presents unique diagnostic challenges.
    • Psychodynamic diagnosis requires reliable assessment tools.
    • Operationalized Psychodynamic Diagnosis 3 (OPD-3) is a structured diagnostic system.

    Purpose:

    • To evaluate the feasibility of using OPD-3 for patients with psychosis.
    • To determine the inter-rater reliability of OPD-3 in a psychosis cohort.
    • To compare OPD-3 reliability between patients with and without psychosis.

    Summary:

    • The study assessed OPD-3 feasibility and inter-rater reliability in 40 psychosis patients and 40 non-psychosis patients.
    • Two trained raters independently evaluated video-recorded OPD interviews.
    Keywords:
    Operationalisierte Psychodynamische Diagnostik - Psychose - Reliabilitat - Anwendbarkeit - SchizophrenieOperationalized Psychodynamic Diagnosis - psychosis - reliability - feasibility - schizophrenia

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  • Feasibility was confirmed, with moderate to excellent inter-rater reliability for psychosis patients.

    • Impact:

    • OPD-3 is a clinically applicable and reliable instrument for psychodynamic diagnosis in psychosis.
    • Findings support the use of OPD-3 in clinical settings for psychosis assessment.
    • Specific rater training considerations for psychosis patients are highlighted.