Construction and first evaluations of the axis illness experience and treatment requirements of the Operationalized Psychodynamic Diagnostic (OPD)

In the Operationalized Psychodynamic Diagnostic (OPD) relevant psychodynami c constructs can be assessed on 5 axes. Axis I is related to the illness ex perience and treatment requirements of the patient. It recordes severity of symptoms, coping with the illness, treatment motivation, and resources of the patient. For additional analysis of this axis, the data of 449 patients from psychosomatic outpatient interviews were assessed. The results show t hat the given categories were well used. There was no correlation with age, a gender difference was mainly related to the different gender distributio ns in the diagnostic groups. Between the diagnostic groups there were signi ficant differences, which showed that the OPD-items are a good supplement t o the diagnostic with ICD-10. The OPD-items correlated moderately with the scales of the questionnaire on psychotherapy motivation. In conlusion, the reported results can be interpreted as an indicator for context validity an d practicability.