Steinberg Marlene, Barry Declan T, Sholomskas Diane, Hall Pamela
Department of Psychiatry, Yale University School of Medicine, New Haven, CT, USA.
Bull Menninger Clin. 2005 Summer;69(3):237-49. doi: 10.1521/bumc.2005.69.3.237.
The purpose of this study was to examine the SCL-90 profiles of adult outpatients with and without dissociative disorders. A total of 194 participants were administered the Structured Clinical Interview for DSM-IV Dissociative Disorders-Revised (SCID-D-R) and the Symptom Checklist-90 (SCL-90). Patients with dissociative identity disorder (DID) reported significantly higher SCL-90 Global Severity Index (GSI) and individual subscale scores than those without dissociative disorders. It is recommended that patients who are polysymptomatic on the SCL-90 be considered for follow-up dissociative symptom assessment to aid differential diagnosis and to inform subsequent treatment.
本研究的目的是检查患有和未患有分离性障碍的成年门诊患者的90项症状自评量表(SCL-90)概况。共有194名参与者接受了《精神疾病诊断与统计手册》第四版分离性障碍修订版结构化临床访谈(SCID-D-R)和症状自评量表90(SCL-90)。与没有分离性障碍的患者相比,患有分离性身份识别障碍(DID)的患者报告的SCL-90总体严重程度指数(GSI)和各个分量表得分显著更高。建议对SCL-90多项症状呈阳性的患者进行后续分离性症状评估,以辅助鉴别诊断并为后续治疗提供依据。