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医学环境中的分离性障碍。

Dissociative disorders in medical settings.

机构信息

White River Junction VA Medical Center, White River Junction, VT 05009-0001, USA.

出版信息

Curr Psychiatry Rep. 2013 Oct;15(10):398. doi: 10.1007/s11920-013-0398-8.

DOI:10.1007/s11920-013-0398-8
PMID:24014229
Abstract

Despite the challenges of conducting research on dissociation and the dissociative disorders, our understanding has grown greatly over the past three decades, including our knowledge of the often overlooked sensorimotor manifestations of dissociation, more commonly referred to as somatoform dissociation. This article will first review the definitions and presentations of dissociation in general along with recent research on the concept of somatoform dissociation. Then, each of the dissociative disorders and conversion disorder will be discussed in further detail as well as how they might present in a medical setting. Current recommendations for diagnosis and treatment will also be provided.

摘要

尽管在研究解离和分离性障碍方面存在挑战,但在过去的三十年中,我们对解离的理解有了很大的提高,包括我们对常常被忽视的解离的感觉运动表现的认识,更通常被称为躯体形式解离。本文首先回顾了一般解离的定义和表现,以及最近对躯体形式解离概念的研究。然后,将进一步详细讨论每种分离性障碍和转换障碍,以及它们在医疗环境中的表现方式。还将提供当前的诊断和治疗建议。

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1
Dissociative disorders in medical settings.医学环境中的分离性障碍。
Curr Psychiatry Rep. 2013 Oct;15(10):398. doi: 10.1007/s11920-013-0398-8.
2
Dissociative disorders and other psychopathological groups: exploring the differences through the Somatoform Dissociation Questionnaire (SDQ-20).分离性障碍及其他精神病理学群体:通过躯体形式解离问卷(SDQ-20)探索差异。
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Psychoform and somatoform dissociation in a clinical sample of Australian adolescents.澳大利亚青少年临床样本中的心因性和躯体形式解离。
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Somatoform dissociation discriminates among diagnostic categories over and above general psychopathology.躯体形式解离在一般精神病理学之外的诊断类别中具有鉴别作用。
Aust N Z J Psychiatry. 1999 Aug;33(4):511-20. doi: 10.1080/j.1440-1614.1999.00601.x.
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[Somatization -- conversion -- dissociation: strategies for behavior therapy].[躯体化——转换——分离:行为疗法策略]
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The validity and reliability of the German version of the Somatoform Dissociation Questionnaire (SDQ-20).德文版躯体化分离问卷(SDQ-20)的有效性和可靠性。
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引用本文的文献

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Prosopagnosia as a Type of Conversion Disorder.面容失认症作为一种转换障碍类型。
Case Rep Psychiatry. 2018 Feb 13;2018:5972954. doi: 10.1155/2018/5972954. eCollection 2018.

本文引用的文献

1
Dissociative symptoms and dissociative disorder comorbidity in patients with obsessive-compulsive disorder.强迫症患者的分离症状和分离障碍共病。
Compr Psychiatry. 2012 Oct;53(7):975-80. doi: 10.1016/j.comppsych.2012.02.004. Epub 2012 Mar 17.
2
Where are we going? An update on assessment, treatment, and neurobiological research in dissociative disorders as we move toward the DSM-5.我们要去哪里?在向 DSM-5 迈进的过程中,对分离性障碍的评估、治疗和神经生物学研究的最新进展。
J Trauma Dissociation. 2012;13(1):9-31. doi: 10.1080/15299732.2011.620687.
3
Dissociative disorders in DSM-5.
DSM-5 中的分离性障碍。
Depress Anxiety. 2011 Dec 21;28(12):E17-45. doi: 10.1002/da.20923.
4
Somatoform and psychoform dissociation among women with orgasmic and sexual pain disorders.躯体形式和心因性分离在女性性功能障碍和性疼痛障碍中的表现。
J Trauma Dissociation. 2011;12(5):526-34. doi: 10.1080/15299732.2011.598124.
5
Guidelines for treating dissociative identity disorder in adults, third revision.《成人分离性身份障碍治疗指南》第三版
J Trauma Dissociation. 2011;12(2):115-87. doi: 10.1080/15299732.2011.537247.
6
The validity and reliability of the German version of the Somatoform Dissociation Questionnaire (SDQ-20).德文版躯体化分离问卷(SDQ-20)的有效性和可靠性。
J Trauma Dissociation. 2010;11(3):337-57. doi: 10.1080/15299731003793450.
7
Cognitive behavioral therapy for somatoform disorders.躯体形式障碍的认知行为疗法。
Psychiatr Clin North Am. 2010 Sep;33(3):579-93. doi: 10.1016/j.psc.2010.04.014.
8
A review of dissociative disorders treatment studies.分离性障碍治疗研究综述。
J Nerv Ment Dis. 2009 Sep;197(9):646-54. doi: 10.1097/NMD.0b013e3181b3afaa.
9
Symptoms 'unexplained by organic disease' in 1144 new neurology out-patients: how often does the diagnosis change at follow-up?1144 例新神经科门诊患者的“无法用器质性疾病解释的症状”:随访时诊断变化的频率是多少?
Brain. 2009 Oct;132(Pt 10):2878-88. doi: 10.1093/brain/awp220. Epub 2009 Sep 8.
10
Psychiatric symptoms and dissociation in conversion, somatization and dissociative disorders.转换障碍、躯体化障碍和解离障碍中的精神症状与解离
Aust N Z J Psychiatry. 2009 Mar;43(3):270-6. doi: 10.1080/00048670802653307.