Sar Vedat, Koyuncu Ahmet, Ozturk Erdinc, Yargic L Ilhan, Kundakci Turgut, Yazici Ahmet, Kuskonmaz Ekrem, Aksüt Didem
Department of Psychiatry, Clinical Psychotherapy Unit and Dissociative Disorders Program, Medical Faculty of Istanbul, University of Istanbul, Istanbul, Turkey.
Gen Hosp Psychiatry. 2007 Jan-Feb;29(1):45-50. doi: 10.1016/j.genhosppsych.2006.10.009.
The aim of this study was to determine the prevalence of dissociative disorders among emergency psychiatric admissions.
Forty-three of the 97 consecutive outpatients admitted to the psychiatric emergency unit of a university hospital were screened using the Dissociative Experiences Scale (DES). Seventeen (39.5% of the 43 evaluated) patients with a DES score above 25.0 were then interviewed with the Dissociative Disorders Interview Schedule and the Structured Clinical Interview for Dissociative Disorders.
Fifteen emergency unit patients (34.9% of the 43 evaluated participants) were diagnosed as having a dissociative disorder. Six (14.0%) patients had dissociative identity disorder, 6 (14.0%) had dissociative disorder not otherwise specified, and 3 (7.0%) had dissociative amnesia. The average DES score of dissociative patients was 43.7. A majority of them had comorbid major depression, somatization disorder, and borderline personality disorder. Most of the patients with dissociative disorder reported auditory hallucinations, symptoms associated with psychogenic amnesia, flashback experiences, and childhood abuse and/or neglect.
Dissociative disorders constitute one of the diagnostic groups with high relevance in emergency psychiatry.
本研究旨在确定急诊精神科住院患者中分离性障碍的患病率。
使用分离体验量表（DES）对一所大学医院精神科急诊室连续收治的97名门诊患者中的43名进行筛查。然后，对17名（占43名接受评估患者的39.5%）DES评分高于25.0的患者进行分离性障碍访谈量表和分离性障碍结构化临床访谈。
15名急诊室患者（占43名接受评估参与者的34.9%）被诊断患有分离性障碍。6名（14.0%）患者患有分离性身份障碍，6名（14.0%）患有未特定的分离性障碍，3名（7.0%）患有分离性遗忘症。分离性障碍患者的平均DES评分为43.7。他们中的大多数患有共病的重度抑郁症、躯体化障碍和边缘性人格障碍。大多数分离性障碍患者报告有幻听、与心因性遗忘相关的症状、闪回经历以及童年期受虐待和/或被忽视的情况。
分离性障碍是急诊精神病学中具有高度相关性的诊断类别之一。
