{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,14]],"date-time":"2026-09-14T20:17:56Z","timestamp":1789417076315,"version":"build-2803163510"},"reference-count":94,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2022,7,25]],"date-time":"2022-07-25T00:00:00Z","timestamp":1658707200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Personality &amp;amp; Mental Health"],"published-print":{"date-parts":[[2023,2]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:label\/><jats:p>Psychodynamic therapy effectively reduces symptomatology by focusing on underlying (unconscious) processes instead of symptoms. Nevertheless, the exact interrelationship between psychodynamic constructs and psychopathology remains unclear. This study uses network analysis to explore these associations.<\/jats:p><\/jats:sec><jats:sec><jats:label\/><jats:p>We computed a cross\u2010sectional partial correlation network between psychodynamic constructs (i.e., personality functioning, interpersonal relations, and active and passive modes of intrapsychic conflicts according to the Operationalized Psychodynamic Diagnostics [OPD] system) and psychopathology (i.e., depression and somatization) in a naturalistic sample of 341 adults registering for psychodynamic outpatient therapy. We estimated node centrality, node predictability, and bridge symptoms and used community detection analysis. Bootstrap methods were applied to assess network stability.<\/jats:p><\/jats:sec><jats:sec><jats:label\/><jats:p>Psychodynamic constructs and psychopathology resulted in separate but connected clusters. Personality functioning emerged as the most influential node in the network and was bridging the clusters. The network was found to be highly stable, allowing reliable interpretations.<\/jats:p><\/jats:sec><jats:sec><jats:label\/><jats:p>The results offer important insights on how psychodynamic constructs relate to psychopathology, which can be used to inform treatment approaches. The findings suggest that personality functioning may be an important intervention target. However, future research is needed to include a broader range of diagnoses. In addition, longitudinal studies may clarify the direction of causality.<\/jats:p><\/jats:sec>","DOI":"10.1002\/pmh.1559","type":"journal-article","created":{"date-parts":[[2022,7,26]],"date-time":"2022-07-26T01:19:20Z","timestamp":1658798360000},"page":"40-54","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":23,"title":["Exploring the associations between psychodynamic constructs and psychopathology: A network approach"],"prefix":"10.1002","volume":"17","author":[{"given":"Larissa","family":"Vierl","sequence":"first","affiliation":[{"name":"Akademie f\u00fcr Psychoanalyse und Psychotherapie M\u00fcnchen e.V.  Munich Germany"},{"name":"Department of Psychology University of Kassel  Kassel Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Florian","family":"Juen","sequence":"additional","affiliation":[{"name":"Akademie f\u00fcr Psychoanalyse und Psychotherapie M\u00fcnchen e.V.  Munich Germany"},{"name":"Department of Psychology University of Innsbruck  Innsbruck Austria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cord","family":"Benecke","sequence":"additional","affiliation":[{"name":"Department of Psychology University of Kassel  Kassel Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Susanne","family":"H\u00f6rz\u2010Sagstetter","sequence":"additional","affiliation":[{"name":"Akademie f\u00fcr Psychoanalyse und Psychotherapie M\u00fcnchen e.V.  Munich Germany"},{"name":"Psychologische Hochschule Berlin  Berlin Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2022,7,25]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpsychores.2021.110473"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0005-7894(05)80211-4"},{"key":"e_1_2_11_4_1","doi-asserted-by":"crossref","unstructured":"American Psychiatric Association. (2013).Diagnostic and statistical manual of mental disorders: DSM\u20105. Available from:https:\/\/doi.org\/10.1176\/appi.books.9780890425596","DOI":"10.1176\/appi.books.9780890425596"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.13109\/zptm.2020.66.1.5"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00451-014-0167-2"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.13109\/zptm.2018.64.4.380"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.13109\/zptm.2009.55.1.84"},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.1037\/h0037024"},{"key":"e_1_2_11_10_1","volume-title":"Praxis der psychodynamischen Psychotherapie","author":"Boll\u2010Klatt A.","year":"2018"},{"key":"e_1_2_11_11_1","doi-asserted-by":"publisher","DOI":"10.1146\/annurev-clinpsy-050212-185608"},{"key":"e_1_2_11_12_1","doi-asserted-by":"publisher","DOI":"10.1002\/wps.20515"},{"key":"e_1_2_11_13_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0137621"},{"key":"e_1_2_11_14_1","doi-asserted-by":"publisher","DOI":"10.1037\/abn0000446"},{"key":"e_1_2_11_15_1","doi-asserted-by":"publisher","DOI":"10.1159\/000101363"},{"key":"e_1_2_11_16_1","doi-asserted-by":"publisher","DOI":"10.1159\/000497425"},{"key":"e_1_2_11_17_1","doi-asserted-by":"publisher","DOI":"10.1097\/NMD.0000000000000676"},{"key":"e_1_2_11_18_1","first-page":"1","article-title":"The Igraph software package for complex network research","volume":"1695","author":"Csardi G.","year":"2006","journal-title":"InterJournal. Complex Systems"},{"key":"e_1_2_11_19_1","doi-asserted-by":"publisher","DOI":"10.3389\/fpsyg.2020.594698"},{"key":"e_1_2_11_20_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.brat.2019.103419"},{"key":"e_1_2_11_21_1","unstructured":"DerogatisLR SpencerPM. (1982).The Brief Symptom Inventory (BSI): Administration and Procedures Manual\u2013I."},{"key":"e_1_2_11_22_1","doi-asserted-by":"publisher","DOI":"10.1159\/000355062"},{"key":"e_1_2_11_23_1","doi-asserted-by":"publisher","DOI":"10.1055\/s-0031-1295481"},{"key":"e_1_2_11_24_1","doi-asserted-by":"publisher","DOI":"10.13109\/zptm.2015.61.3.262"},{"key":"e_1_2_11_25_1","unstructured":"EpskampS. (2020).Summer School registration opened and bootnet version 1.4 on CRAN. Available from:http:\/\/psychonetrics.org\/2020\/05\/13\/bootnet-version-1-4\/"},{"key":"e_1_2_11_26_1","doi-asserted-by":"publisher","DOI":"10.3758\/s13428-017-0862-1"},{"key":"e_1_2_11_27_1","doi-asserted-by":"publisher","DOI":"10.18637\/jss.v048.i04"},{"key":"e_1_2_11_28_1","doi-asserted-by":"publisher","DOI":"10.1037\/met0000167"},{"key":"e_1_2_11_29_1","unstructured":"EpskampS FriedEI. (2020).bootnet: Bootstrap methods for various network estimation routines. R package version 143."},{"key":"e_1_2_11_30_1","doi-asserted-by":"crossref","DOI":"10.17433\/978-3-17-036801-9","volume-title":"Psychotherapie und Psychosomatik: Ein Lehrbuch auf psychoanalytischer Grundlage","author":"Ermann M.","year":"2020"},{"key":"e_1_2_11_31_1","doi-asserted-by":"publisher","DOI":"10.1002\/wps.20235"},{"key":"e_1_2_11_32_1","first-page":"2020","article-title":"Extended Bayesian information criteria for Gaussian graphical models","volume":"23","author":"Foygel R.","year":"2010","journal-title":"Advances in Neural Information Processing Systems"},{"key":"e_1_2_11_33_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00451-021-00431-y"},{"key":"e_1_2_11_34_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jad.2021.12.020"},{"key":"e_1_2_11_35_1","volume-title":"The ego and the mechanisms of defence","author":"Freud A.","year":"1938"},{"key":"e_1_2_11_36_1","doi-asserted-by":"publisher","DOI":"10.1177\/2167702617745092"},{"key":"e_1_2_11_37_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00127-016-1319-z"},{"key":"e_1_2_11_38_1","doi-asserted-by":"publisher","DOI":"10.1002\/spe.4380211102"},{"key":"e_1_2_11_39_1","doi-asserted-by":"publisher","DOI":"10.1026\/0932-4089\/a000319"},{"key":"e_1_2_11_40_1","doi-asserted-by":"publisher","DOI":"10.1026\/0012-1924.50.4.171"},{"issue":"4","key":"e_1_2_11_41_1","first-page":"173","article-title":"Die Strukturachse der Operationalisierten Psychodynamischen Diagnostik (OPD): Forschungsergebnisse zum Konzept und zur klinischen Anwendung : Die Strukturachse der Operationalisierten Psychodynamischen Diagnostik (OPD): Forschungsergebnisse zum Konzept und zur klinischen","volume":"2","author":"Grande T.","year":"1998","journal-title":"Anwendung"},{"key":"e_1_2_11_42_1","volume-title":"Was leistet die OPD? Empirsiche Befunde und klinische Erfahrungen mit der Operationalisierten Psychodynamischen Diagnostik","author":"Grande T.","year":"2000"},{"key":"e_1_2_11_43_1","doi-asserted-by":"publisher","DOI":"10.1017\/S0033291717001258"},{"key":"e_1_2_11_44_1","doi-asserted-by":"publisher","DOI":"10.3758\/s13428-017-0910-x"},{"key":"e_1_2_11_45_1","doi-asserted-by":"publisher","DOI":"10.13109\/zptm.2022.68.1.39"},{"key":"e_1_2_11_46_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jad.2016.02.001"},{"key":"e_1_2_11_47_1","doi-asserted-by":"publisher","DOI":"10.1207\/s15327752jpa6602_7"},{"key":"e_1_2_11_48_1","volume-title":"Inventory of interpersonal problems (IIP\u201032\/IIP\u201064)","author":"Horowitz L. M.","year":"2000"},{"key":"e_1_2_11_49_1","doi-asserted-by":"publisher","DOI":"10.1037\/0022-006X.61.4.549"},{"key":"e_1_2_11_50_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11920-021-01250-y"},{"key":"e_1_2_11_51_1","doi-asserted-by":"crossref","unstructured":"IsvoranuA EpskampS. (2021).Which estimation method to choose in network psychometrics? Deriving guidelines for applied researchers. Psychological Methods.","DOI":"10.1037\/met0000439"},{"key":"e_1_2_11_52_1","unstructured":"JonesP. (2020).networktools: Tools for identifying important nodes in networks. R package version 123."},{"key":"e_1_2_11_53_1","doi-asserted-by":"publisher","DOI":"10.1080\/00273171.2019.1614898"},{"key":"e_1_2_11_54_1","doi-asserted-by":"publisher","DOI":"10.3389\/fpsyg.2018.01742"},{"key":"e_1_2_11_55_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1745-8315.2008.00046.x"},{"key":"e_1_2_11_56_1","doi-asserted-by":"publisher","DOI":"10.1521\/psyc.2012.75.4.355"},{"key":"e_1_2_11_57_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jad.2021.05.006"},{"key":"e_1_2_11_58_1","doi-asserted-by":"publisher","DOI":"10.1111\/cpsp.12073"},{"issue":"1","key":"e_1_2_11_59_1","first-page":"58","article-title":"Longitudinal group and individual networks of eating disorder symptoms in individuals diagnosed with an eating disorder","volume":"131","author":"Levinson C. A.","year":"2022","journal-title":"Journal of Abnormal Psychology"},{"key":"e_1_2_11_60_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11920-018-0930-y"},{"key":"e_1_2_11_61_1","doi-asserted-by":"publisher","DOI":"10.3389\/fpsyg.2018.00341"},{"key":"e_1_2_11_62_1","volume-title":"Manual. Komplettversion und Kurzform","author":"L\u00f6we B.","year":"2002"},{"key":"e_1_2_11_63_1","volume-title":"Understanding transference: The core conflictual relationship theme method","author":"Luborsky L.","year":"1997"},{"key":"e_1_2_11_64_1","doi-asserted-by":"publisher","DOI":"10.1111\/bjc.12005"},{"key":"e_1_2_11_65_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.brat.2016.06.006"},{"key":"e_1_2_11_66_1","doi-asserted-by":"publisher","DOI":"10.1002\/erv.2834"},{"key":"e_1_2_11_67_1","doi-asserted-by":"publisher","DOI":"10.1103\/PhysRevE.69.026113"},{"key":"e_1_2_11_68_1","doi-asserted-by":"publisher","DOI":"10.1080\/00223891.2020.1828435"},{"key":"e_1_2_11_69_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.psychres.2018.02.027"},{"key":"e_1_2_11_70_1","volume-title":"Foundations and manual","author":"OPD Task Force","year":"2001"},{"key":"e_1_2_11_71_1","volume-title":"Manual of diagnosis and treatment planning","author":"OPD Task Force","year":"2008"},{"key":"e_1_2_11_72_1","doi-asserted-by":"publisher","DOI":"10.1002\/jclp.20050"},{"key":"e_1_2_11_73_1","volume-title":"R: A language and environment for statistical computing","author":"R Core Team","year":"2020"},{"key":"e_1_2_11_74_1","doi-asserted-by":"publisher","DOI":"10.1037\/abn0000181"},{"key":"e_1_2_11_75_1","volume-title":"Psychodynamische Psychotherapie: Die Arbeit an Konflikt, Struktur und Trauma","author":"Rudolf G.","year":"2010"},{"key":"e_1_2_11_76_1","volume-title":"Strukturbezogene Psychotherapie \u2010 Leitfaden zur psychodynamischen Therapie struktureller St\u00f6rungen","author":"Rudolf G.","year":"2013"},{"key":"e_1_2_11_77_1","doi-asserted-by":"publisher","DOI":"10.1207\/s15327752jpa8303_05"},{"key":"e_1_2_11_78_1","doi-asserted-by":"publisher","DOI":"10.1037\/abn0000033"},{"key":"e_1_2_11_79_1","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph181910127"},{"key":"e_1_2_11_80_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0155205"},{"key":"e_1_2_11_81_1","doi-asserted-by":"publisher","DOI":"10.1026\/0012-1924\/a000034"},{"key":"e_1_2_11_82_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.2517-6161.1996.tb02080.x"},{"key":"e_1_2_11_83_1","doi-asserted-by":"publisher","DOI":"10.1103\/PhysRevE.80.036115"},{"key":"e_1_2_11_84_1","doi-asserted-by":"publisher","DOI":"10.1002\/pmh.190"},{"key":"e_1_2_11_85_1","doi-asserted-by":"publisher","DOI":"10.18637\/jss.v045.i03"},{"key":"e_1_2_11_86_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0254496"},{"key":"e_1_2_11_87_1","doi-asserted-by":"publisher","DOI":"10.1027\/1016-9040\/a000385"},{"key":"e_1_2_11_88_1","unstructured":"World Health Organization. (2019).International classification of diseases for mortality and morbidity statistics. Available from:https:\/\/icd.who.int\/en"},{"key":"e_1_2_11_89_1","doi-asserted-by":"publisher","DOI":"10.1037\/abn0000165"},{"key":"e_1_2_11_90_1","doi-asserted-by":"publisher","DOI":"10.1038\/srep30750"},{"key":"e_1_2_11_91_1","doi-asserted-by":"publisher","DOI":"10.3389\/fpsyt.2020.00147"},{"key":"e_1_2_11_92_1","first-page":"1059","article-title":"The huge package for high\u2010dimensional undirected graph estimation in R","volume":"13","author":"Zhao T.","year":"2012","journal-title":"Journal of Machine Learning Research (JMLR)"},{"key":"e_1_2_11_93_1","doi-asserted-by":"publisher","DOI":"10.1037\/abn0000059"},{"key":"e_1_2_11_94_1","doi-asserted-by":"publisher","DOI":"10.1080\/00223891.2012.700664"},{"key":"e_1_2_11_95_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00278-009-0717-z"}],"container-title":["Personality and Mental Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/pmh.1559","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/pmh.1559","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/pmh.1559","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,8,17]],"date-time":"2023-08-17T18:35:21Z","timestamp":1692297321000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/pmh.1559"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,7,25]]},"references-count":94,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2023,2]]}},"alternative-id":["10.1002\/pmh.1559"],"URL":"https:\/\/doi.org\/10.1002\/pmh.1559","archive":["Portico"],"relation":{},"ISSN":["1932-8621","1932-863X"],"issn-type":[{"value":"1932-8621","type":"print"},{"value":"1932-863X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,7,25]]},"assertion":[{"value":"2022-01-19","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2022-07-12","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2022-07-25","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}