dc.contributor.author
Bayer, Samuel
dc.contributor.author
Bröcker, Anna-Lena
dc.contributor.author
Stuke, Frauke
dc.contributor.author
Just, Sandra
dc.contributor.author
Bertram, Gianna
dc.contributor.author
Grimm, Imke
dc.contributor.author
Maaßen, Eva
dc.contributor.author
Büttner, Marielle
dc.contributor.author
Heinz, Andreas
dc.contributor.author
Bermpohl, Felix
dc.contributor.author
Lempa, Günter
dc.contributor.author
von Haebler, Dorothea
dc.contributor.author
Montag, Christiane
dc.date.accessioned
2025-07-30T11:07:35Z
dc.date.available
2025-07-30T11:07:35Z
dc.identifier.uri
https://refubium.fu-berlin.de/handle/fub188/48503
dc.identifier.uri
http://dx.doi.org/10.17169/refubium-48225
dc.description.abstract
Introduction: The psychic structure of people with psychosis has been the subject of theoretical and qualitative considerations. However, it has not been sufficiently studied quantitatively. Therefore, the aim of this study was to explore the structural abilities of people diagnosed with schizophrenia and schizoaffective psychosis using the Levels of Structural Integration Axis of the Operationalized Psychodynamic Diagnosis System (OPD-2-LSIA). The study aimed to determine possible associations between the OPD-2-LSIA and central parameters of illness. Additionally, possible structural differences between people diagnosed with schizophrenia and schizoaffective psychosis were tested.Methods: This cross-sectional study included 129 outpatients with schizophrenia or schizoaffective disorders. Measures of structural integration, symptom load, severity of illness, cognition, and social functioning were obtained. Descriptive statistics were used to analyze the overall structural level and the structural dimensions. Correlation coefficients were computed to measure the associations between OPD-2-LSIA and variables regarding the severity of illness and psychosocial functioning. Regression models were used to measure the influence of illness-related variables on OPD-2-LSIA, and the influence of OPD-2-LSIA on psychosocial functioning. Participants diagnosed with schizophrenia and schizoaffective disorders were examined with regard to possible group differences.Results: The results of the OPD-2-LSIA showed that the overall structural level was between 'moderate to low' and 'low level of structural integration'. Significant correlations were found between OPD-2-LSIA and psychotic symptoms (but not depressive symptoms), as well as between OPD-2-LSIA and psychosocial functioning. It was found that variables related to severity of illness had a significant impact on OPD-2-LSIA, with psychotic, but not depressive symptoms being significant predictors. OPD-2-LSIA was found to predict psychosocial functioning beyond symptoms and cognition. No significant differences were found between participants with schizophrenia and schizoaffective psychosis. There was also no correlation found between OPD-2-LSIA and depressive symptomatology (except for the subdimension Internal communication).Discussion: Contrary to theoretical assumptions, the results of the study show a heterogenous picture of the psychic structure of people with psychosis. The associations between OPD-2-LSIA and severity of illness, particularly psychotic symptomatology, as well as the influence of OPD-2-LSIA on psychosocial functioning, are discussed.
en
dc.rights.uri
https://creativecommons.org/licenses/by/4.0/
dc.subject
psychic structure
en
dc.subject
operationalized psychodynamic diagnosis
en
dc.subject
psychosocial functioning
en
dc.subject
severity of illness
en
dc.subject
psychodynamic research
en
dc.subject
schizophrenia
en
dc.subject
schizoaffective disorder
en
dc.subject.ddc
600 Technik, Medizin, angewandte Wissenschaften::610 Medizin und Gesundheit::610 Medizin und Gesundheit
dc.title
Level of structural integration in people with schizophrenia and schizoaffective disorders - applicability and associations with clinical parameters
dc.type
Wissenschaftlicher Artikel
dcterms.bibliographicCitation.articlenumber
1388478
dcterms.bibliographicCitation.doi
10.3389/fpsyt.2024.1388478
dcterms.bibliographicCitation.journaltitle
Frontiers in Psychiatry
dcterms.bibliographicCitation.originalpublishername
Frontiers Media SA
dcterms.bibliographicCitation.volume
15
refubium.affiliation
Charité - Universitätsmedizin Berlin
refubium.resourceType.isindependentpub
no
dcterms.accessRights.openaire
open access
dcterms.bibliographicCitation.pmid
38911709
dcterms.isPartOf.eissn
1664-0640