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澳大利亚青少年临床样本中的心因性和躯体形式解离。

Psychoform and somatoform dissociation in a clinical sample of Australian adolescents.

机构信息

a School of Psychology , University of Newcastle , Callaghan , New South Wales , Australia.

出版信息

J Trauma Dissociation. 2014;15(1):66-78. doi: 10.1080/15299732.2013.828149.

Abstract

Psychoform dissociation has been researched more than somatoform dissociation. The Somatoform Dissociation Questionnaire (SDQ-20), a commonly used adult measure of somatoform dissociation, is increasingly being used with adolescents internationally. We compared psychoform and somatoform dissociation in a mixed clinical adolescent sample. A total of 71 adolescents (12-18 years old) attending Australian community mental health and counseling services completed the SDQ-20 and the Adolescent Dissociative Experiences Scale, a commonly used measure of adolescent psychoform dissociation. The participants' treating clinicians provided participants' demographic details and mental health diagnoses. We found that 41% of participants reported high levels of psychoform dissociation and 21% reported high levels of somatoform dissociation. Both dissociation types were positively correlated. Neither was significantly related to participants' age, gender, or mental health diagnoses. Participants with more than 1 Axis I mental health diagnosis had higher levels of somatoform dissociation than participants with only 1 or no Axis I mental health diagnosis. This study is the first to examine somatoform dissociation in Australian adolescents and enables initial international comparisons.

摘要

心理躯体解离比躯体形式解离受到了更多的研究。躯体形式解离问卷(SDQ-20)是一种常用的成人躯体形式解离测量工具,在国际上越来越多地被用于青少年。我们在一个混合的临床青少年样本中比较了心理躯体和躯体形式解离。共有 71 名(12-18 岁)参加澳大利亚社区心理健康和咨询服务的青少年完成了 SDQ-20 和青少年解离体验量表,这是一种常用的青少年心理躯体解离测量工具。参与者的治疗临床医生提供了参与者的人口统计学细节和精神健康诊断。我们发现,41%的参与者报告了高水平的心理躯体解离,21%的参与者报告了高水平的躯体形式解离。这两种解离类型呈正相关。两者均与参与者的年龄、性别或精神健康诊断无显著关联。有一个以上的轴 I 精神健康诊断的参与者比只有一个或没有轴 I 精神健康诊断的参与者的躯体形式解离程度更高。这项研究是首次在澳大利亚青少年中检查躯体形式解离,并允许进行初步的国际比较。

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