Burón Masó E, Jódar Ortega I, Corominas Díaz A
Centro Mèdico Ca N'Oriac, Instituto de Psiquiatria Aplicadas, Sabadell, Barcelona.
Actas Esp Psiquiatr. 2004 Mar-Apr;32(2):107-17.
In contrast with the growing interest in dissociative disorders over the last few years, depersonalization continues to be very scarcely approached. There is no agreement among clinicians regarding the concept of depersonalization, and little is known about its etiology, epidemiology and treatment. This paper has two main aims: first, review the literature on this pathology focusing on nosological, historical, psychophysiological and treatment aspects, and second, explore the incidence of the depersonalization symptom in other psychiatric conditions, in particular in panic disorder. The Medline database over the last 5 years has been used for these purposes, and lack of studies on this subject has been found, especially regarding therapeutic issues. Some of the most relevant findings suggest that depersonalization, when associated to panic disorder, could correspond to the most severe forms of this disorder.
与过去几年对分离性障碍日益增长的兴趣形成对比的是,人格解体仍然很少受到关注。临床医生对于人格解体的概念尚未达成共识,对其病因、流行病学和治疗知之甚少。本文有两个主要目的:第一,回顾关于这种病理状况的文献,重点关注疾病分类学、历史、心理生理学和治疗方面;第二,探讨人格解体症状在其他精神疾病中的发生率,特别是在惊恐障碍中的发生率。为实现这些目的,使用了过去5年的Medline数据库,发现关于该主题的研究匮乏,尤其是在治疗问题方面。一些最相关的研究结果表明,人格解体与惊恐障碍相关时,可能对应于该障碍最严重的形式。