Op Den Velde W, Aarts P G H, Schalken H F A, Sno H N
Sint Lucas Andreas Ziekenhuis, Amsterdam.
Tijdschr Psychiatr. 2006;48(1):7-15.
Intuitively we are convinced that there must be a causal relationship between traumatic experiences and dissociation. However, although the theory is both elegant and attractive, the existence of a direct causal link between trauma and dissociation is open to question. Available studies on this theme have methodological shortcomings.
To obtain more insight into the frequency with which psychiatric patients have undergone traumatic experiences and to find out more about the relationship between theses experiences and dissociative phenomena.
Over a period of two years new outpatients attending psychiatric clinics completed questionnaires about their past life and mental health; in these questionnaires they gave information about traumatic experiences, dissociative phenomena, psychological symptoms and psychological functioning.
Only 38 of the 351 patients who completed the questionnaire stated that they had never had any traumatic experiences. A relatively large number of patients mentioned that they had experienced emotional deprivation in their family of origin. The correlation coefficient between traumatic experiences and the scores for dissociative phenomena was 0.30.
In view of the weak positive correlation between traumatic experiences and dissociative phenomena the hypothesis of a linear causal relationship seems unlikely. It is possible that the relationship is based partly on the poorer general psychological functioning that follows exposure to traumatic experiences.
直观上我们确信创伤经历和解离之间一定存在因果关系。然而，尽管该理论既精妙又有吸引力，但创伤与解离之间直接因果联系的存在仍值得质疑。关于这一主题的现有研究存在方法学上的缺陷。
更深入了解精神病患者经历创伤性事件的频率，并进一步探究这些经历与解离现象之间的关系。
在两年时间里，前往精神科门诊就诊的新患者填写了关于其过去生活和心理健康的问卷；在这些问卷中，他们提供了有关创伤经历、解离现象、心理症状和心理功能的信息。
在完成问卷的351名患者中，只有38人表示他们从未有过任何创伤经历。相当多的患者提到他们在原生家庭中经历过情感剥夺。创伤经历与解离现象得分之间的相关系数为0.30。
鉴于创伤经历与解离现象之间的正相关较弱，线性因果关系的假设似乎不太可能成立。这种关系可能部分基于经历创伤事件后较差的总体心理功能。
Zotero 插件