Department of Psychiatry, Kuopio University Hospital, P.O. Box 1777, FIN-70211 Kuopio, Finland.
Psychiatry Res. 2010 Mar 30;176(1):40-4. doi: 10.1016/j.psychres.2008.10.029. Epub 2010 Jan 12.
Findings on the association between dissociation and alexithymia in adult populations are inconsistent. Dissociation has also been related to other types of psychopathology. Few studies have been published on these connections among adolescents. We examined the association between Adolescent Dissociative Experiences Scale (A-DES) scores and those for the Toronto Alexithymia Scale (TAS), the 21-item Beck Depression Inventory (BDI-21) and the Youth Self-Report (YSR), as well as subscales of the TAS and the YSR, in a sample of Finnish adolescents aged 13 to 18 years (n=4019). Factor analysis suggested that dissociation can be considered distinctive from other psychopathology. A-DES scores, however, associated strongly with several other scales and subscales measuring psychiatric symptoms. In logistic regression models the strongest associations were observable between the A-DES and TAS subscale 'difficulty identifying feelings' (DIF) and the YSR subscale 'thought problems'. Thus, dissociation and alexithymia can be considered distinctive but overlapping phenomena.
在成年人群体中，关于解离和述情障碍之间的关联的研究结果并不一致。解离也与其他类型的精神病理学有关。关于青少年之间这些联系的研究很少。我们研究了青少年解离体验量表（A-DES）评分与多伦多述情障碍量表（TAS）、贝克抑郁量表 21 项（BDI-21）和青少年自我报告（YSR）之间的关联，以及 TAS 和 YSR 的子量表，样本为芬兰 13 至 18 岁的青少年（n=4019）。因子分析表明，解离可以被认为与其他精神病理学不同。然而，A-DES 评分与测量精神症状的其他几个量表和子量表密切相关。在逻辑回归模型中，A-DES 与 TAS 子量表“难以识别情感”（DIF）和 YSR 子量表“思维问题”之间存在最强的关联。因此，解离和述情障碍可以被认为是独特但重叠的现象。
