Die Dialectical Behavior Therapy Ways of Coping Checklist (DBT-WCCL)
Deutsche Übersetzung und Erstvalidierung
Abstract
Zusammenfassung. Ziel dieser Arbeit war die Erprobung und Validierung einer deutschen Version der Dialectical Behavior Therapy Ways of Coping Checklist (DBT-WCCL, Neacsiu, Rizui, Vitaliano, Lynch & Linehan, 2010), einem Fragebogen zur Erhebung der Häufigkeit der Nutzung von Skills, wie sie im Rahmen der Dialektisch-Behavioralen Therapie (DBT) vermittelt werden. Hierzu bearbeiteten 150 Patientinnen mit Borderline Persönlichkeitsstörung eine deutschsprachige Übersetzung, sowie Fragebögen zur Symptomschwere. Weitere 40 Patientinnen füllten die DBT-WCCL im Rahmen einer stationären DBT zu 5 Messzeitpunkten aus. Die drei Faktoren der Originalversion ließen sich replizieren. Weiterführende Analysen zeigten gute interne Konsistenzen und Retest-Reliabilitäten. Erwartungsgemäße Zunahmen auf der Subskala zur Erfassung von Skillsanwendung während der stationären DBT sowie erwartungsgemäße Zusammenhänge der DBT-WCCL mit der Skills- und DBT-Erfahrung geben erste Hinweise auf die Validität des Verfahrens.
Abstract. The aim of this study was to develop and validate a German adaptation of the Dialectical Behavior Therapy Ways of Coping Checklist (DBT-WCCL), a self-report questionnaire that measures the frequency of adaptive and maladaptive skills used to manage difficult situations over the past month. The adaptive skills are derived from dialectical behavior therapy (DBT) but do not include DBT-specific language and can be assessed independent of this treatment. In all, 150 patients with borderline personality disorder completed the German DBT-WCCL adaptation and questionnaires assessing symptom severity. A different sample of 40 patients completed the questionnaire at five different time points while undergoing inpatient DBT. The three-factor structure of the English version was replicated and confirmed. Psychometric analyses indicated good internal consistency and test–retest reliability for all three subscales. Supporting the construct validity of the measure, skills use, as measured with the DBT-WCCL, increased significantly during inpatient DBT. In addition, using skills was significantly positively correlated with prior experience with DBT and perceived use of DBT skills. In conclusion, these results offer preliminary support for the validity and reliability of the German adaptation of the DBT-WCCL.
Literatur
2007). Psychometric properties of the Borderline Symptom List (BSL). Psychopathology, 40, 126 – 132.
(2009). Interaktives Fertigkeitentraining für Borderline-Störungen. Stuttgart: Schattauer.
(1993).
(Alternative ways of assessing model fit . In K. A. BollenJ. Scott LongEds., Testing structural equation models (pp. 136 – 162). Newbury Park, CA: Sage.2005). Personality and eating disorders: A decade in review. Clinical Psychology Review, 25, 895 – 916.
(2006). Solving the puzzle of deliberate self-harm: The experiential avoidance model. Behaviour Research and Therapy, 44, 371 – 394.
(2009). Emotion recognition in Borderline Personality Disorder – A review of the literature. Journal of Personality Disorders, 23, 6 – 19.
(2007). State affective Instability in borderline personality disorder assessed by ambulatory monitoring. Psychological Medicine, 37, 961 – 970.
(2004). An empirical evaluation of alternative methods of estimation for confirmatory factor analysis with ordinal data. Psychological methods, 9, 466.
(2009). Emotion dysregulation as a core feature of borderline personality disorder. Journal of Personality Disorders, 23, 20 – 28.
(2003). The best of both worlds: Factor analysis of dichotomous data using item response theory and structural equation modeling. Structural Equation Modeling, 10, 544 – 565.
(2004). Screening psychischer Störungen mit dem Gesundheitsfragebogen für Patienten (PHQ-D). Ergebnisse der deutschen Validierungsstudie. Diagnostica, 50, 171 – 181.
(2008). Prevalence, correlates, disability, and comorbidity of DSM-IV Borderline Personality Disorder: Results from the Wave 2 National Epidemiologic Survey on Alcohol and Related Conditions. Journal of Clinical Psychiatry, 69, 533 – 545.
(2011). Ten-year course of borderline personality disorder: Psychopathology and function from the Collaborative Longitudinal Personality Disorders Study. Archives of General Psychiatry, 68, 827 – 837.
(1995). HADS-D Hospital Anxiety and Depression Scale – Deutsche Version. Ein Fragebogen zur Erfassung von Angst und Depressivität in der somatischen Medizin. Testdokumentation und Handanweisung. Bern: Huber.
(1997). Affective instability and impulsivity in personality disorder – Results of an experimental study. Journal of Affective Disorders, 44, 31 – 37.
(1995). Self-injurious behavior. Psychopathological and nosological characteristics in subtypes of self-injurers. Acta Psychiatrica Scandinavica, 91, 57 – 68.
(2001). Angst und Depression in der Allgemeinbevölkerung. Eine Normierungsstudie zur Hospital Anxiety and Depression Scale. Psychotherapie, Psychosomatik und Medizinische Psychologie, 51, 193 – 200.
(1999). Cutoff criteria for fit indexes in covariance structure analysis: conventional criteria versus new alternatives. Structural Equation Modeling, 6, 1 – 55.
(2008). Motives for nonsuicidal self-injury among women with Borderline Personality Disorder. Journal of Nervous & Mental Disease, 196, 230 – 236.
(2010). Dialectical behavior therapy for borderline personality disorder: A meta-analysis using mixed-effects modeling. Journal of Consulting and Clinical Psychology, 78, 936 – 951.
(2001). The PHQ-9: validity of a brief depression severity measure. Journal of General Internal Medicine, 16, 606 – 613.
(1997). Emotion processing in borderline personality disorders. Journal of nervous and mental disease, 185, 240 – 246.
(2007). Skills practice in dialectical behavior therapy for suicidal women meeting criteria for borderline personality disorder. Cognitive and Behavioral Practice, 14, 147 – 156.
(1993a). Cognitive-behavioral treatment of borderline personality disorder. New York, NY: Guildford Press.
(1993b). Skills training manual for treating borderline personality disorder. New York, NY: Guilford Press.
(2004). Measuring depression outcome with a brief self-report instrument: Sensitivity to change of the Patient Health Questionnaire (PHQ-9). Journal of Affective Disorders, 81, 61 – 66.
(2002). Gesundheitsfragebogen für Patienten (PHQ D). Komplettversion und Kurzform. Testmappe mit Manual, Fragebögen, Schablonen. (2. Aufl.). Karlsruhe: Pfizer.
. (2001). Das State-Trait-Ärgerausdrucks-Inventar (STAXI) in der klinischen Anwendung: Reliabilität und faktorielle Validität. Zeitschrift für Klinische Psychologie und Psychotherapie, 30, 172 – 181.
(2010). Mplus User‘s Guide. 6th ed. Los Angeles, CA: Muthén & Muthén.
(2010). Dialectical behaviour therapy skills use as a mediator and outcome of treatment for borderline personality disorder. Behaviour Research and Therapy, 48, 832 – 839.
(2010). The dialectical behaviour therapy ways of coping checklist (DBT-WCCL): development and psychometric properties. Journal of Clinical Psychology, 66, 563 – 582.
(2014). Fragebogen. Ein Arbeitsbuch. Wiesbaden: Springer.
(1978). Empirische Studien zur Entwicklung von Antwortskalen für die sozialwissenschaftliche Forschung. Zeitschrift für Sozialpsychologie, 9, 222 – 245.
(1996). Lehrbuch Testtheorie, Testkonstruktion. Bern: Huber.
(2014). Specificity of affective instability in patients with Borderline Personality Disorder compared to Posttraumatic Stress Disorder, Bulimia Nervosa, and Healthy Controls. Journal of Abnormal Psychology, 123, 258 – 272.
((Hrsg.) (1996). Diagnostisches und Statistische Manual psychischer Störungen DSM-IV. Göttingen: Hogrefe.
2014). Shame-Related Functions of and Motivations for Self-Injurious Behavior. Personality Disorders: Theory, Research and Treatment, 5, 204 – 211.
(1992). Das State-Trait-Ärger-Ausdrucksinventar STAXI. Handbuch. Bern: Huber.
(2011). Rejection Sensitivity and Borderline Personality Disorder. Clinical Psychology and Psychotherapy, 18, 275 – 283.
(2008). The effect of dialectical behavior therapy skills use on Borderline Personality Disorder features. Journal of personality disorders, 22, 549 – 563.
(2005). Aversive tension in patients with Borderline Personality Disorder: A computer-based controlled field study. Acta Psychiatrica Scandinavica, 111, 372 – 379.
(1985). The ways of coping checklist – revision and psychometric properties. Multivariate Behavioral Research, 20, 3 – 26.
(2000). Identity disturbance in Borderline Personality Disorder: An empirical investigation. American Journal of Psychiatry, 157, 528 – 541.
(1997). SKID. Strukturiertes Klinisches Interview für DSM-IV. Achse I und II. Handanweisung. Göttingen: Hogrefe.
(2006). Scale Development Research: A content analysis and recommendations for best practice. The counseling psychologist, 34, 806 – 838.
(