Seedat Soraya, Stein Murray B, Forde David R
Department of Psychiatry, University of California San Diego, 8950 Villa La Jolla Drive, Suite 2243, La Jolla, California 92037, USA.
J Nerv Ment Dis. 2003 Feb;191(2):115-20. doi: 10.1097/01.NMD.0000050940.16782.6B.
This study examined the relationship between gender, ethnicity, substance use, and dissociation in a community sample of adults. Telephone interviews were conducted using, among others, measures of dissociation (Dissociative Experiences Scale-Taxon [DES-T]) and alcohol use (Alcohol Use Disorders Identification Test [AUDIT]) to screen a representative sample of 1007 adults in Memphis, Tennessee. Six percent of respondents endorsed four or more lifetime dissociative symptoms, whereas approximately one third of respondents endorsed at least one symptom. Only 2% were identified as having pathological dissociation on the DES-T. DES-T scores were significantly associated with gender (male), ethnicity (African-American), and harmful alcohol use. Dissociative symptoms appear to be relatively common in the population, but only a small proportion of individuals suffer from significant levels of dissociation. Further assessment of the link between demographic factors and the severity and expression of dissociative phenomena in nonclinical samples is warranted.
本研究调查了一个社区成年样本中性别、种族、物质使用和解离之间的关系。通过电话访谈，采用了多种测量方法，包括解离测量（解离体验量表分类版[DES-T]）和酒精使用测量（酒精使用障碍识别测试[AUDIT]），对田纳西州孟菲斯市1007名成年人的代表性样本进行筛选。6%的受访者认可有四种或更多终身解离症状，而约三分之一的受访者认可至少一种症状。只有2%的人在DES-T上被认定为患有病理性解离。DES-T得分与性别（男性）、种族（非裔美国人）和有害酒精使用显著相关。解离症状在人群中似乎相对常见，但只有一小部分个体存在显著程度的解离。有必要进一步评估非临床样本中人口统计学因素与解离现象的严重程度和表现之间的联系。
