Briere John, Dietrich Anne, Semple Randye J
Department of Psychiatry and Behavioral Sciences, Keck School of Medicine, University of Southern California.
Department of Family Practice, University of British Columbia.
Psychol Trauma. 2016 Sep;8(5):577-84. doi: 10.1037/tra0000126. Epub 2016 Apr 11.
To the extent that dissociation is a multidimensional phenomenon, and given a growing literature on complex posttraumatic outcomes, we hypothesized a new construct: dissociative complexity (DC). DC is defined as the tendency to simultaneously endorse multiple, relatively independent dissociative dimensions into their clinical ranges, and therefore represents the overall breadth or complexity of an individual's dissociative response.
DC was evaluated in general population and prison participants using the Multiscale Dissociation Inventory (MDI; Briere, 2002).
DC was higher among prisoners and women, and, as hypothesized, was associated with cumulative trauma and serious comorbidities (suicidality and substance abuse), even when controlling for generally elevated dissociation.
DC appears to be a meaningful clinical construct that is phenomenologically and empirically different from a unidimensional index of dissociative severity. DC may serve as a clinical marker for multiple trauma exposures, complex dissociative outcomes, and risk of problematic comorbidities. (PsycINFO Database Record
鉴于解离是一种多维现象，并且随着关于复杂创伤后结果的文献不断增加，我们提出了一个新的概念：解离复杂性（DC）。DC被定义为同时认可多个相对独立的解离维度并使其进入临床范围的倾向，因此代表了个体解离反应的总体广度或复杂性。
使用多尺度解离量表（MDI；Briere，2002）对普通人群和监狱参与者的DC进行评估。
囚犯和女性的DC更高，并且正如所假设的，即使在控制了普遍升高的解离水平后，DC仍与累积创伤和严重共病（自杀倾向和药物滥用）相关。
DC似乎是一个有意义的临床概念，在现象学和实证方面与解离严重程度的单维指标不同。DC可能作为多种创伤暴露、复杂解离结果以及有问题共病风险的临床标志物。（PsycINFO数据库记录
