The German version of the Clinical Outcomes in Routine Evaluation—Outcome Measure (CORE-OM): Factorial validity, internal consistency, and gender differences in a large outpatient sample

Autor(en)

Gabor Aranyi, Elke Humer, Human-Friedrich Unterrainer, Martin Kuska, Lisa Winter, Marina Zeldovich

Abstrakt

Objective: The Clinical Outcomes in Routine Evaluation—Outcome Measure (CORE-OM) is a pantheoretical mental health assessment instrument that has been translated into over 50 languages. Despite its widespread international use in clinical practice and research, the psychometric properties of CORE-OM require further investigation. Method: We explored and tested the factorial validity of the German version of CORE-OM in a large adult clinical outpatient sample (N = 4355) using exploratory and confirmatory factor analysis. Internal consistency and correlations of the four CORE-OM domains (Well-being, Problems, Functioning, and Risk) across gender identities are presented. Results: While no model satisfied all fit criteria in confirmatory analyses, the three-factor structure derived from exploratory factor analysis outperformed the theoretically favored four-domain solution. Internal consistency was overall acceptable with Well-being scoring slightly lower than the other scales. Non-binary respondents had statistically significantly higher average Risk scores then men and women. Conclusion: Our findings support the reliability of CORE-OM and lend limited support to its factorial structure in a large German-speaking sample, and emphasize the importance of considering diverse gender identities in mental health assessment. The analyses further indicate a need for refinement in the scoring of CORE-OM in various cultural contexts.

Organisation(en)

Institut für Religionswissenschaft

Externe Organisation(en)

Sigmund Freud Privatuniversität, Eötvös Loránd University Budapest, Verein Grüner Kreis, Karl-Franzens-Universität Graz, Medizinische Universität Graz, Leopold-Franzens-Universität Innsbruck

Journal

Psychotherapy Research

Anzahl der Seiten

19

ISSN

1050-3307

DOI

https://doi.org/10.1080/10503307.2025.2485154

Publikationsdatum

04-2025

Peer-reviewed

Ja

ÖFOS 2012

303029 Suchtforschung, 501010 Klinische Psychologie, 501019 Psychotherapie, 603910 Religionspsychologie

Schlagwörter

ASJC Scopus Sachgebiete

Clinical Psychology

Link zum Portal

https://ucrisportal.univie.ac.at/de/publications/07893e16-a044-47bb-8ecd-4f88ea41d98c