Measuring personality functioning with the 12-item version of the OPD-Structure Questionnaire (OPD-SQS): reliability, factor structure, validity, and measurement invariance in the general population

The assessment of personality functioning is at the core of current dimensional models of personality disorders. A variety of measures from different clinical and research traditions aim to assess basic psychological capacities regarding the self and others. While some instruments have shown reliability and validity in clinical or other selected samples, much less is known about their performance in the general population.In three samples representative of the German adult population with a total of 7,256 participants, levels of personality functioning were measured with the short 12-item version of the Operationalized Psychodynamic Diagnosis – Structure Questionnaire (OPD-SQS). We addressed questions of factor structure, reliability, validity, factorial invariance, and provide norm values.Confirmatory factor analysis indicated a satisfactory to good model fit. OPD-SQS models were mostly unaffected by variables such as gender, age, or measurement time. As expected, personality functioning was associated with general psychopathology as well as indices of occupational functioning.The OPD-SQS is a viable measure to assess personality functioning in the general population.

[1]  M. Beutel,et al.  Does loneliness lie within? Personality functioning shapes loneliness and mental distress in a representative population sample , 2023, Journal of Affective Disorders Reports.

[2]  C. Graetz,et al.  Periodontal maintenance: individual patient responses and discontinuations , 2022, BMC oral health.

[3]  A. Pincus,et al.  It's time to replace the personality disorders with the interpersonal disorders. , 2022, The American psychologist.

[4]  J. Fegert,et al.  Associations of different types of child maltreatment and diabetes in adulthood - the mediating effect of personality functioning: Findings from a population-based representative German sample. , 2022, Annals of epidemiology.

[5]  M. Beutel,et al.  Is the end in the beginning? Child maltreatment increases the risk of non-suicidal self-injury and suicide attempts through impaired personality functioning. , 2022, Child abuse & neglect.

[6]  Cord Benecke,et al.  Exploring the associations between psychodynamic constructs and psychopathology: A network approach. , 2022, Personality and mental health.

[7]  C. Montag,et al.  Exploring the Latent Structure and Convergent and Incremental Validity of the Metacognition Assessment Scale – Abbreviated in a Sample of Patients with Non-Affective Psychosis , 2022, Journal of personality assessment.

[8]  Christina Hunger-Schoppe,et al.  Associations between Patient Personality, Symptomatic Change and Therapy Dropout. , 2021, Clinical psychology & psychotherapy.

[9]  P. Briken,et al.  Assessing Psychodynamic Conflicts and Level of Personality Functioning in Women Diagnosed With Vaginismus and Dyspareunia , 2021, Frontiers in Psychology.

[10]  M. Beutel,et al.  Personality functioning as a mediator of adult mental health following child maltreatment. , 2021, Journal of affective disorders.

[11]  J. Pidlich,et al.  [Effectiveness of in-patient internal-psychosomatic hospital treatment: Evaluation of a treatment-concept in Lower Austria]. , 2021, Zeitschrift fur Psychosomatische Medizin und Psychotherapie.

[12]  R. Schaefert,et al.  Different Dimensions of Affective Processing in Patients With Irritable Bowel Syndrome: A Multi-Center Cross-Sectional Study , 2021, Frontiers in Psychology.

[13]  R. Schaefert,et al.  The Validity of Somatic Symptom Disorder in Patients With Gastrointestinal Complaints , 2021, Journal of clinical gastroenterology.

[14]  J. Ehrenthal,et al.  Risk Factors for Adult Depression: Adverse Childhood Experiences and Personality Functioning , 2020, Frontiers in Psychology.

[15]  M. Rose,et al.  Applying Item Response Theory to the OPD Structure Questionnaire: Identification of a Unidimensional Core Construct and Feasibility of Computer Adaptive Testing , 2020, Journal of personality assessment.

[16]  Changwon Son,et al.  Effects of COVID-19 on College Students’ Mental Health in the United States: Interview Survey Study , 2020, Journal of medical Internet research.

[17]  M. Crawford,et al.  A psychometric evaluation of the Standardized Assessment of Severity of Personality Disorder (SASPD) in nonclinical and clinical German samples. , 2020, Psychological assessment.

[18]  R. Krueger,et al.  An Overview of the DSM-5 Alternative Model of Personality Disorders , 2020, Psychopathology.

[19]  E. Jauk,et al.  Self-Reported Levels of Personality Functioning from the Operationalized Psychodynamic Diagnosis (OPD) System and Emotional Intelligence Likely Assess the Same Latent Construct , 2020, Journal of personality assessment.

[20]  H. Schauenburg,et al.  Gruppentherapie zu Stabilisierung und Selbstregulation bei posttraumatischer Belastungsstörung (STABILI-T) , 2020, Psychotherapeut.

[21]  W. Herzog,et al.  [Level of personality functioning and attachment style as predictors of the successful referral to outpatient psychotherapy]. , 2020, Zeitschrift fur Psychosomatische Medizin und Psychotherapie.

[22]  G. Dammann,et al.  Changes in the level of personality functioning in inpatient psychotherapy , 2020, Psychotherapy research : journal of the Society for Psychotherapy Research.

[23]  Johannes Zimmermann,et al.  A Common Metric for Self-Reported Severity of Personality Disorder , 2020, Psychopathology.

[24]  E. Jauk,et al.  Personality Structure and Attachment in Bipolar Disorder , 2020, Frontiers in Psychiatry.

[25]  C. Vögele,et al.  Mentalization and criterion a of the alternative model for personality disorders: Results from a clinical and nonclinical sample. , 2020, Personality disorders.

[26]  Jaime L. Anderson,et al.  Patient-Reported ICD-11 Personality Disorder Severity and DSM-5 Level of Personality Functioning. , 2020, Journal of personality disorders.

[27]  A. Hartmann,et al.  Self-Criticism and Personality Functioning Predict Patterns of Symptom Change in Major Depressive Disorder , 2020, Frontiers in Psychiatry.

[28]  A. Skodol,et al.  Level of personality functioning as a predictor of psychosocial functioning-Concurrent validity of criterion A. , 2020, Personality disorders.

[29]  G. Heuft,et al.  [Level of personality functioning (OPD-2) and the symptom severity of posttraumatic stress disorder - a cohort study]. , 2020, Zeitschrift fur Psychosomatische Medizin und Psychotherapie.

[30]  M. Rose,et al.  Measurement of Personality Structure by the OPD Structure Questionnaire Can Help to Discriminate Between Subtypes of Eating-Disorders , 2019, Front. Psychol..

[31]  T. Oltmanns,et al.  Unemployment and the Relationship between Borderline Personality Pathology and Health. , 2019, Journal of research in personality.

[32]  Max Zettl,et al.  Psychometrische Evaluation der deutschen Version des Semistrukturierten Interviews zur Erfassung der DSM-5 Persönlichkeitsfunktionen (STiP-5.1) , 2019, PPmP - Psychotherapie · Psychosomatik · Medizinische Psychologie.

[33]  R. Krueger,et al.  A Brief but Comprehensive Review of Research on the Alternative DSM-5 Model for Personality Disorders , 2019, Current Psychiatry Reports.

[34]  M. Crawford,et al.  The Development of the ICD-11 Classification of Personality Disorders: An Amalgam of Science, Pragmatism, and Politics. , 2019, Annual review of clinical psychology.

[35]  J. Ehrenthal,et al.  Levels of personality functioning and not depression predict decline of plasma glucose concentration in patients with type 2 diabetes mellitus. , 2019, Diabetes research and clinical practice.

[36]  E. Hougaard,et al.  Symptomatic distress and effectiveness of psychological treatments delivered at a nationwide student counseling service , 2019 .

[37]  J. Ehrenthal,et al.  Change of Emotional Experience in Major Depression and Borderline Personality Disorder During Psychotherapy: Associations With Depression Severity and Personality Functioning. , 2019, Journal of personality disorders.

[38]  L. Morey,et al.  Expert Preferences for Categorical, Dimensional, and Mixed/Hybrid Approaches to Personality Disorder Diagnosis. , 2019, Journal of personality disorders.

[39]  A. Skodol.  Impact of personality pathology on psychosocial functioning. , 2018, Current opinion in psychology.

[40]  S. Bauer,et al.  Affective Instability and Reactivity in Depressed Patients With and Without Borderline Pathology. , 2016, Journal of personality disorders.

[41]  Cheng-Hsien Li.  Confirmatory factor analysis with ordinal data: Comparing robust maximum likelihood and diagonally weighted least squares , 2016, Behavior research methods.

[42]  E. Brähler,et al.  Patterns of Childhood Abuse and Neglect in a Representative German Population Sample , 2016, PloS one.

[43]  S. Doering,et al.  [Cross-validation of three questionnaires for structural diagnosis: BPI, IPO, and OPD-SQ]. , 2016, Zeitschrift fur Psychosomatische Medizin und Psychotherapie.

[44]  Hao Wu,et al.  Identification of Confirmatory Factor Analysis Models of Different Levels of Invariance for Ordered Categorical Outcomes , 2016, Psychometrika.

[45]  M. de Zwaan,et al.  Prevalence and Correlates of Self-Harm in the German General Population , 2016, PloS one.

[46]  W. Herzog,et al.  Stresserleben bei Medizinstudierenden: Welche Rolle spielen Bindungserleben und Persönlichkeitsaspekte? , 2016, Psychotherapie - Psychosomatik - Medizinische Psychologie.

[47]  J. Ehrenthal,et al.  [Development of a 12-item version of the OPD-Structure Questionnaire (OPD-SQS)]. , 2015, Zeitschrift fur Psychosomatische Medizin und Psychotherapie.

[48]  J. Ehrenthal,et al.  Self-Report and Observer Ratings of Personality Functioning: A Study of the OPD System , 2014, Journal of personality assessment.

[49]  S. Doering,et al.  Assessing the Level of Structural Integration Using Operationalized Psychodynamic Diagnosis (OPD): Implications for DSM–5 , 2012, Journal of personality assessment.

[50]  Yves Rosseel,et al.  lavaan: An R Package for Structural Equation Modeling , 2012 .

[51]  H. Schauenburg,et al.  Interview Measures of Interpersonal Functioning and Quality of Object Relations , 2012 .

[52]  J. Laurenceau,et al.  Modeling general and specific variance in multifaceted constructs: a comparison of the bifactor model to other approaches. , 2012, Journal of personality.

[53]  L. Clark,et al.  The rationale for the reclassification of personality disorder in the 11th revision of the International Classification of Diseases (ICD‐11) , 2011 .

[54]  F. Frankenburg,et al.  Relationship between cumulative BMI and symptomatic, psychosocial, and medical outcomes in patients with borderline personality disorder. , 2011, Journal of personality disorders.

[55]  R. Krueger,et al.  Toward a Model for Assessing Level of Personality Functioning in DSM–5, Part II: Empirical Articulation of a Core Dimension of Personality Pathology , 2011, Journal of personality assessment.

[56]  C. Spitzer,et al.  A 4-item measure of depression and anxiety: validation and standardization of the Patient Health Questionnaire-4 (PHQ-4) in the general population. , 2010, Journal of affective disorders.

[57]  B. Löwe,et al.  An ultra-brief screening scale for anxiety and depression: the PHQ-4. , 2009, Psychosomatics.

[58]  Samuel B. Green,et al.  Reliability of Summed Item Scores Using Structural Equation Modeling: An Alternative to Coefficient Alpha , 2009 .

[59]  F. Chen.  Sensitivity of Goodness of Fit Indexes to Lack of Measurement Invariance , 2007 .

[60]  Steven P. Reise,et al.  The role of the bifactor model in resolving dimensionality issues in health outcomes measures , 2007, Quality of Life Research.

[61]  Roger E. Millsap,et al.  Assessing Factorial Invariance in Ordered-Categorical Measures , 2004 .

[62]  W. Meredith.  Measurement invariance, factor analysis and factorial invariance , 1993 .

[63]  Cord Benecke,et al.  Tailored Treatment Planning for Individuals With Personality Disorders , 2019, Case Formulation for Personality Disorders.

[64]  M. Rose,et al.  [Evaluation of Factor Structure and Construct Validity of the 12-Item Short Version of the OPD Structure Questionnaire (OPD-SQS) in Psychosomatic Patients]. , 2019, Psychotherapie, Psychosomatik, medizinische Psychologie.

[65]  J. Ehrenthal,et al.  [Operationalized Psychodynamic Diagnosis - Structure Questionnaire (OPD-SQ) in Youth: First Results on Reliability and Validity]. , 2018, Praxis der Kinderpsychologie und Kinderpsychiatrie.

[66]  J. Ehrenthal,et al.  [The OPD Structure Questionnaire (OPD-SQ): first results on reliability and validity]. , 2012, Psychotherapie, Psychosomatik, medizinische Psychologie.

[67]  Beit Jala,et al.  Bevölkerung , 2005, Humanökologie.

[68]  P. Bentler,et al.  Cutoff criteria for fit indexes in covariance structure analysis : Conventional criteria versus new alternatives , 1999 .