Agargun Mehmet Yucel, Kara Hayrettin, Ozer Omer Akil, Selvi Yavuz, Kiran Umit, Ozer Betül
Yuzuncu Yil University School of Medicine, Department of Psychiatry, Van, Turkey.
Psychiatry Clin Neurosci. 2003 Dec;57(6):575-9. doi: 10.1046/j.1440-1819.2003.01169.x.
In the present study the prevalence of nightmare disorder (ND) was examined in patients with dissociative disorders (DD), and comparison was made between those with ND and those without nightmares in terms of clinical characteristics. The 30 patients with DD (5 male and 25 female) were recruited over 12 months in the Yüzüncü Yil University Research Hospital Department of Psychiatry. The subjects were diagnosed according to the Diagnostic and Statistical Manual of Mental Disorders (4th edn) criteria for ND. The Dissociative Experiences Scale, Beck Depression Inventory, and a semistructured interview schedule for childhood traumatic events were administered to the subjects. A 57% prevalence of ND was found among patients with DD. Among patients with DD, those with ND had a higher rate of self-mutilative behavior, a history of suicide attempt in the last year, and comorbidity with borderline personality disorder than those without ND. Nightmares or dreams should be considered in the therapy of DD patients.
在本研究中，对分离性障碍（DD）患者的梦魇障碍（ND）患病率进行了检查，并就临床特征对有ND的患者和无梦魇的患者进行了比较。在约兹加特博阿兹奇大学研究医院精神科，在12个月内招募了30例DD患者（5例男性和25例女性）。根据《精神障碍诊断与统计手册》（第4版）中ND的标准对受试者进行诊断。对受试者进行了分离体验量表、贝克抑郁量表以及童年创伤事件半结构化访谈。在DD患者中发现ND的患病率为57%。在DD患者中，有ND的患者比无ND的患者有更高的自残行为发生率、去年自杀未遂史以及边缘型人格障碍共病率。在DD患者的治疗中应考虑梦魇或梦境。
