Nejad Alireza G, Farahati Hamid
Department of Psychiatry, Kerman Medical University, Beheshti Hospital, Boulvar Ave, Kerman, Iran. Tel/Fax. +98 (341) 2110856. E-mail:
Neurosciences (Riyadh). 2007 Oct;12(4):318-21.
To evaluate any dissociative disorders in patients with post traumatic stress disorder (PTSD), and find any relationship between dissociation and related variables in these patients.
A case controlled study carried out among 130 male patients with PTSD, and 130 matched individuals from the normal population. The study was carried out between January and September 2005, at Beheshti Psychiatric Hospital, Kerman, Iran, Demographic data and history of childhood physical abuse and self-harm in both groups were recorded. The severity of PTSD was measured by Davidson PTSD scale in the study group. Dissociative symptoms were evaluated with the dissociative experience scale (DES). For evaluating dissociative disorders, the dissociative disorder interview schedule (DDIS) was used. Data were analyzed by SPSS software.
The mean age (+/- SD) of veterans was 41.46 (+/-5.09) years, and the mean age of going to the combat area was 29.4 (+/-5.015). The mean duration of involvement in combat was 27.8 (+/-23.44) months. The mean DES score in the study group was 26.01 (+/-12.31) and was 9.58 (+/-7.23) in the control group (F=1.171, p<0.0001). The mean score (+/-SD) of Davidson PTSD scale was 54+/-96 in the study group. The most prevalent dissociative disorder in the study group was psychogenic amnesia.
Many veterans with the impression of chronic PTSD may have an additional diagnosis of dissociative disorders.
评估创伤后应激障碍（PTSD）患者中的分离性障碍，并找出这些患者中分离症状与相关变量之间的关系。
对130名男性PTSD患者和130名来自正常人群的匹配个体进行病例对照研究。该研究于2005年1月至9月在伊朗克尔曼的贝赫什提精神病医院进行，记录了两组的人口统计学数据以及童年期身体虐待和自我伤害史。研究组采用戴维森PTSD量表测量PTSD的严重程度。使用分离体验量表（DES）评估分离症状。采用分离障碍访谈量表（DDIS）评估分离性障碍。数据用SPSS软件进行分析。
退伍军人的平均年龄（±标准差）为41.46（±5.09）岁，前往战区的平均年龄为29.4（±5.015）岁。参与战斗的平均时长为27.8（±23.44）个月。研究组的DES平均得分为26.01（±12.31），对照组为9.58（±7.23）（F = 1.171，p < 0.0001）。研究组戴维森PTSD量表的平均得分（±标准差）为54 ± 96。研究组中最常见的分离性障碍是心因性遗忘。
许多有慢性PTSD印象的退伍军人可能还伴有分离性障碍的诊断。
