Countertransference feelings and personality disorders: a psychometric evaluation of a brief version of the Feeling Word Checklist (FWC-BV).

Autor: Breivik R; Division of Mental Health and Addiction, Oslo University Hospital, P.O. Box 4959, Nydalen, 0424, Oslo, Norway. randi.breivik@medisin.uio.no.; University of Oslo, Institute of Clinical Medicine, P.O. Box 1171, Blindern, 0318, Oslo, Norway. randi.breivik@medisin.uio.no., Wilberg T; Division of Mental Health and Addiction, Oslo University Hospital, P.O. Box 4959, Nydalen, 0424, Oslo, Norway.; University of Oslo, Institute of Clinical Medicine, P.O. Box 1171, Blindern, 0318, Oslo, Norway., Evensen J; Division of Mental Health and Addiction, Oslo University Hospital, Nydalen Outpatient Clinic, P.O. Box 4925, 0424, Oslo, Norway., Røssberg JI; Division of Mental Health and Addiction, Oslo University Hospital, P.O. Box 4959, Nydalen, 0424, Oslo, Norway.; University of Oslo, Institute of Clinical Medicine, P.O. Box 1171, Blindern, 0318, Oslo, Norway., Dahl HSJ; Division of Mental Health and Addiction, Vestfold Hospital Trust, P.O. Box 2168, 3103, Tønsberg, Norway., Pedersen G; Division of Mental Health and Addiction, Department of Personality Psychiatry, Oslo University Hospital, Oslo, Norway.; NORMENT, KG Jebsen Center for Psychosis Research, Institute of Clinical Medicine, University of Oslo, Oslo, Norway.
Jazyk: angličtina
Zdroj: BMC psychiatry [BMC Psychiatry] 2020 Mar 30; Vol. 20 (1), pp. 141. Date of Electronic Publication: 2020 Mar 30.
DOI: 10.1186/s12888-020-02556-6
Abstrakt: Background: 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).
Methods: 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 (ω t ). 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).
Results: 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.
Conclusions: 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.
Databáze: MEDLINE
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