Uncovering the Internal Structure of the German Version of the CORE‐OM: A Network Analysis

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Main Authors: Jürgen Fuchshuber, Marina Zeldovich, Gabor Aranyi, Lisa Winter, Martin Kuska, Dominique Dumont, Elke Humer, Human‐Friedrich Unterrainer
Format: Artículo Open Access
Published: Wiley 2025
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author Jürgen Fuchshuber
Marina Zeldovich
Gabor Aranyi
Lisa Winter
Martin Kuska
Dominique Dumont
Elke Humer
Human‐Friedrich Unterrainer
author_facet Jürgen Fuchshuber
Marina Zeldovich
Gabor Aranyi
Lisa Winter
Martin Kuska
Dominique Dumont
Elke Humer
Human‐Friedrich Unterrainer
Jürgen Fuchshuber
Marina Zeldovich
Gabor Aranyi
Lisa Winter
Martin Kuska
Dominique Dumont
Elke Humer
Human‐Friedrich Unterrainer
collection Wiley Open Access
contents Uncovering the Internal Structure of the German Version of the CORE‐OM: A Network Analysis Jürgen Fuchshuber Marina Zeldovich Gabor Aranyi Lisa Winter Martin Kuska Dominique Dumont Elke Humer Human‐Friedrich Unterrainer Clinical Psychology & Psychotherapy ABSTRACTBackgroundThe Clinical Outcomes in Routine Evaluation – Outcome Measures (CORE‐OM) is a pantheoretical diagnostic instrument that has been widely used in mental health research. Nevertheless, the exploration of the factor structure of the CORE‐OM yields diverse results.AimsThis study aimed to explore the internal structure of the German CORE‐OM using network analysis and compare several competing factorial structures of the CORE‐OM with traditional confirmatory factor analysis (CFA) to gain a more comprehensive understanding of its structural validity.MethodA total sample comprised 4496 (63% female) participants from an outpatient population. In a first step, we used network analysis (n1 = 2248) to assess relationships between the items, followed by explorative graph analysis (EGA) to analyse community structure. Finally, we specified five competing models, including the one derived from the EGA, and used CFA in a second sample (n2 = 2248) to identify the best‐fitting structure of the instrument.ResultsThe estimated cross‐sectional network demonstrated high correlation stability. The average item predictability was R2 = 0.42. The EGA identified four distinct communities in the German CORE‐OM (General Problems; Interpersonal Problems; Positive Resources; Self Harm Risk). Confirmatory factor analysis showed that the EGA‐derived models had the most parsimonious fit.ConclusionsThese findings suggest a refined structure for the CORE‐OM, highlighting key item relationships and offering potential improvements for scoring and clinical use. 10.1002/cpp.70063 http://creativecommons.org/licenses/by/4.0/
doi_str_mv 10.1002/cpp.70063
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institution Wiley Open Access
license_str_mv http://creativecommons.org/licenses/by/4.0/
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publisher Wiley
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spellingShingle Uncovering the Internal Structure of the German Version of the CORE‐OM: A Network Analysis
Jürgen Fuchshuber
Marina Zeldovich
Gabor Aranyi
Lisa Winter
Martin Kuska
Dominique Dumont
Elke Humer
Human‐Friedrich Unterrainer
Clinical Psychology & Psychotherapy
Uncovering the Internal Structure of the German Version of the CORE‐OM: A Network Analysis Jürgen Fuchshuber Marina Zeldovich Gabor Aranyi Lisa Winter Martin Kuska Dominique Dumont Elke Humer Human‐Friedrich Unterrainer Clinical Psychology & Psychotherapy ABSTRACTBackgroundThe Clinical Outcomes in Routine Evaluation – Outcome Measures (CORE‐OM) is a pantheoretical diagnostic instrument that has been widely used in mental health research. Nevertheless, the exploration of the factor structure of the CORE‐OM yields diverse results.AimsThis study aimed to explore the internal structure of the German CORE‐OM using network analysis and compare several competing factorial structures of the CORE‐OM with traditional confirmatory factor analysis (CFA) to gain a more comprehensive understanding of its structural validity.MethodA total sample comprised 4496 (63% female) participants from an outpatient population. In a first step, we used network analysis (n1 = 2248) to assess relationships between the items, followed by explorative graph analysis (EGA) to analyse community structure. Finally, we specified five competing models, including the one derived from the EGA, and used CFA in a second sample (n2 = 2248) to identify the best‐fitting structure of the instrument.ResultsThe estimated cross‐sectional network demonstrated high correlation stability. The average item predictability was R2 = 0.42. The EGA identified four distinct communities in the German CORE‐OM (General Problems; Interpersonal Problems; Positive Resources; Self Harm Risk). Confirmatory factor analysis showed that the EGA‐derived models had the most parsimonious fit.ConclusionsThese findings suggest a refined structure for the CORE‐OM, highlighting key item relationships and offering potential improvements for scoring and clinical use. 10.1002/cpp.70063 http://creativecommons.org/licenses/by/4.0/
title Uncovering the Internal Structure of the German Version of the CORE‐OM: A Network Analysis
topic Clinical Psychology & Psychotherapy
url https://onlinelibrary.wiley.com/doi/10.1002/cpp.70063