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Countertransference feelings and personality disorders: a psychometric evaluation of a brief version of the Feeling Word Checklist (FWC-BV).
BMC Psychiatry ( IF 4.4 ) Pub Date : 2020-03-30 , DOI: 10.1186/s12888-020-02556-6
R Breivik 1, 2 , T Wilberg 1, 2 , J Evensen 3 , J I Røssberg 1, 2 , H S J Dahl 4 , G Pedersen 5, 6
Affiliation  

The Feeling Word Checklist (FWC) is a self-report questionnaire designed to assess therapists’ countertransference (CT) feelings. The primary aim of the study was to evaluate the psychometric properties of a brief, 12-item version of the Feeling Word Checklist (FWC-BV). The second aim was to validate the factor structure by examining the associations between the FWC-BV factors, patients’ personality pathology and therapeutic alliance (TA). Therapists at 13 different outpatient units within the Norwegian Network of Personality Disorders participated, and the study includes therapies for a large sample of patients (N = 2425) with personality pathology. Over a period of 2.5 years, therapists completed the FWC-BV for each patient in therapy every 6 months. Statistical methods included exploratory (EFA) and confirmatory (CFA) factor analysis. Internal consistency was estimated using Mc Donald’s coefficient Omega (ωt). The Structured Clinical Interview for DSM-IV – Axis II (SCID II) and Mini International Neuropsychiatric Interview (MINI) were used as diagnostic instruments, and patient-rated TA was assessed using the Working Alliance Inventory (WAI-SR). Factor analyses revealed three clinically meaningful factors: Inadequate, Idealised and Confident. These factors had acceptable psychometric properties. Most notably, a number of borderline PD criteria correlated positively with the factors Inadequate and Idealised, and negatively with the factor Confident. All the factors correlated significantly with at least one of the WAI-SR subscales. The FWC-BV measures three clinically meaningful aspects of therapists’ CT feelings. This brief version of the FWC seems satisfactory for use in further research and in clinical contexts.

中文翻译:

反移情和人格障碍:对感觉词清单 (FWC-BV) 简短版本的心理测量评估。

感觉词检查表 (FWC) 是一种自我报告问卷,旨在评估治疗师的反移情 (CT) 感觉。该研究的主要目的是评估简短的 12 项版本的感觉词检查表 (FWC-BV) 的心理测量特性。第二个目的是通过检查 FWC-BV 因素、患者人格病理和治疗联盟 (TA) 之间的关联来验证因素结构。挪威人格障碍网络内 13 个不同门诊单位的治疗师参与了该研究,该研究包括针对具有人格病理学的大量患者样本 (N = 2425) 的治疗。在 2.5 年的时间里,治疗师每 6 个月为每位接受治疗的患者完成 FWC-BV。统计方法包括探索性 (EFA) 和验证性 (CFA) 因素分析。使用麦克唐纳德系数 Omega (ωt) 估计内部一致性。DSM-IV 的结构化临床访谈 – Axis II (SCID II) 和迷你国际神经精神病学访谈 (MINI) 被用作诊断工具,并使用工作联盟清单 (WAI-SR) 评估患者评级 TA。因素分析揭示了三个具有临床意义的因素:不足、理想化和自信。这些因素具有可接受的心理测量特性。最值得注意的是,许多临界 PD 标准与因素不足和理想化呈正相关,与因素有信心呈负相关。所有因素都与至少一个 WAI-SR 分量表显着相关。FWC-BV 测量治疗师 CT 感觉的三个具有临床意义的方面。
更新日期:2020-04-22
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