Ginzburg Karni, Somer Eli, Tamarkin Gali, Kramer Lilach
School of Social Work, Tel Aviv University, Tel Aviv, Israel.
J Nerv Ment Dis. 2010 May;198(5):378-81. doi: 10.1097/NMD.0b013e3181da4d65.
Surveys among Israeli mental health professionals found that almost half of them doubt the validity of dissociative disorders (DD) and have no experience in either diagnosing or treating DD patients. These findings, in line with arguments that DDs are socially construed North American phenomena, call for the need to investigate it in Israel. Eighty-one psychiatric inpatients were screened for dissociative pathology. Participants categorized as having low levels of dissociation (n = 26) and those demonstrating high levels of dissociation (n = 22) were asked to participate in a Structured Clinical Interview for the DSM-Dissociative Disorders-Revised. One-quarter of all participants were identified as having probable dissociative psychopathology. Based on the Structured Clinical Interview for the DSM-Dissociative Disorders-Revised, estimates of DD range between 12 and 21%. None of the participants had any indication of a DD diagnosis in their medical records. Diagnosis of personality disorder and psychiatric comorbidity were related to the likelihood of a DD diagnosis and its severity.
对以色列心理健康专业人员的调查发现，其中近一半人怀疑分离性障碍（DD）的有效性，并且在诊断或治疗DD患者方面没有经验。这些发现与认为DD是北美社会建构现象的观点一致，这就需要在以色列对其进行调查。对81名精神科住院患者进行了分离性病理筛查。将被归类为解离水平低的参与者（n = 26）和表现出高解离水平的参与者（n = 22）要求参加《精神疾病诊断与统计手册-分离性障碍修订版》的结构化临床访谈。所有参与者中有四分之一被确定可能患有分离性精神病理学。根据《精神疾病诊断与统计手册-分离性障碍修订版》的结构化临床访谈，DD的估计比例在12%至21%之间。所有参与者的病历中均无DD诊断的迹象。人格障碍诊断和精神科合并症与DD诊断的可能性及其严重程度相关。
