应用防御机制评分尺度Q-sort来评估患者在采访数据中的整体防御功能水平:有效性和可靠性
Mariagrazia Di Giuseppe1, John Porcerelli2, Alissa Huth-Bocks3
1Department of History, Humanities and Society, University of Rome Tor Vergata.
Research in psychotherapy (Milano)
|January 21, 2026
概括
防御机制评分尺度问卷 (DMRS-Q) 在简短的临床访谈中显示出对评估防御功能的良好可靠性和有效性,并将其应用范围扩展到心理治疗研究之外.
科学领域:
- 心理学 心理学 心理学
- 临床心理学 临床心理学
- 心理测量 心理测量 心理测量
背景情况:
- 防御机制评级尺度 (DMRS) 是评估防御机制的黄金标准.
- 观察者评级的Q类版本 (DMRS-Q) 允许从单个会话中分析防御机制.
- 以前的研究主要集中在心理治疗时的DMRS-Q.
研究的目的:
- 评估DMRS-Q在传统治疗之外的三个不同的临床面试环境中的可靠性和有效性.
- 在这些新的背景下评估DMRS-Q的inter-rater可靠性和并发性,收性和区分性有效性.
主要方法:
- 专家评级人员对三次临床采访的成绩单进行了DMRS-Q编码:癌症患者的早期记忆采访 (EMI),非临床成年人的生活故事采访 (LSI) 和孕妇的儿童采访工作模型 (WMCI).
- 评估者之间的可靠性和各种有效度指标被评估为整体防御功能 (ODF) 尺度.
主要成果:
- 在DMRS-Q ODF尺度中发现了良好的评价者间可靠性 (ICC=.70),尽管低于心理治疗背景.
- 在所有三个样本中,DMRS-Q和DMRS ODF尺度之间观察到很大的相关性 (r=.43到.59).
- 在DMRS-Q和社会人口统计/心理测量之间发现了小到中等的相关性.
结论:
- DMRS-Q ODF 尺度显示了其作为一个有效和可靠的测量工具的潜力,用于在简短的采访中评估成熟的防御功能.
- DMRS-Q的易用性和开源软件使DMRS理论在各种研究环境中的应用更加容易.
- 这项研究支持DMRS-Q在超越心理治疗研究的环境中的实用性,扩大了其适用性.
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