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- Title
PW01-131 - Predictive power on therapy engagement in personality disorders: SWAP- 200 versus SCID-II
- Authors
Blueml, V.; Loeffler-Stastka, H.
- Abstract
Introduction: On the road to DSM-V, instruments are demanded which provide clinically meaningful information, e.g. predictions about psychotherapy utilization. One interesting and promising personality assessment method is the Shedler-Westen-Assessment Procedure-200 (SWAP-200) providing dimensional and prototypical assessment possibilities for personalty disorders. Objectives: The study compares the predictive power of the Shedler-Westen-Assessment Procedure-200 with the Structured Clinical Interview for DSM-IV on engagement in (psychoanalytic) psychotherapy. Methods: 297 patients with personality disorders were assessed with both instruments in a 4-year-follow-up study. Multinomial logistic regression showed small differences between the prediction rates in the cross-validated data. Results: Both instruments showed clinically useful prediction rates for treatment rejecters: SWAP scales led to correct predictions with dysphoric traits as semi-stable predictors for rejecters, while SCID scales led to correct predictions with Negativistic, Depressive and Schizotypal PD as stable predictors. Conclusions: Results are discussed under the aspect of advantages and disadvantages of the SWAP-200 diagnostic procedure, which includes the assessment of affect-experience, defence-organisation, and object-relation-style.
- Subjects
PERSONALITY disorders; STRUCTURED Clinical Interview for DSM-IV Dissociative Disorders; PSYCHOANALYSIS; LOGISTIC regression analysis; DIFFERENTIAL psychology; MENTAL depression; AFFECT (Psychology)
- Publication
European Psychiatry, 2010, Vol 25, p1547
- ISSN
0924-9338
- Publication type
Abstract
- DOI
10.1016/S0924-9338(10)71530-3