The Colin A. Ross Institute for Psychological Trauma, Richardson, Texas 75080, USA.
J Trauma Dissociation. 2010;11(4):458-68. doi: 10.1080/15299732.2010.495939.
The authors used the Dissociative Disorders Interview Schedule to compare structured interview symptom patterns in a general population sample (N= 502) and a sample of patients with clinical diagnoses of dissociative identity disorder (N= 303). Based on the Trauma Model, the authors predicted that the patterns would be similar in the 2 samples and that symptom scores would be higher in participants reporting childhood sexual abuse in both samples. They predicted that symptom scores would be higher among women with dissociative identity disorder reporting sexual abuse than among women in the general population reporting sexual abuse, with the clinical sample reporting more severe abuse. These predictions were supported by the data. The authors conclude that symptom patterns in dissociative identity disorder are typical of the normal human response to severe, chronic childhood trauma and have ecological validity for the human race in general.
作者使用分离性障碍访谈表（Dissociative Disorders Interview Schedule）比较了一般人群样本（N=502）和临床诊断为分离性身份障碍患者样本（N=303）的结构化访谈症状模式。基于创伤模型，作者预测这两个样本的模式将相似，且在两个样本中报告儿童期性虐待的参与者的症状评分会更高。他们预测在报告性虐待的分离性身份障碍女性中，与报告性虐待的一般人群中的女性相比，症状评分会更高，而临床样本报告的性虐待更为严重。这些预测得到了数据的支持。作者的结论是，分离性身份障碍的症状模式是人类对严重、慢性儿童期创伤的典型反应，对整个人类具有生态有效性。
