Department of Psychology, The Chinese University of Hong Kong, Special Administrative Region; Department of Psychology, National Taiwan University, Taipei, Taiwan.
Department of Psychiatry, National Taiwan University, Taipei, Taiwan; Department of Psychiatry, Far Eastern Memorial Hospital, New Taipei City, Taiwan.
Psychiatry Res. 2017 Apr;250:285-290. doi: 10.1016/j.psychres.2017.01.082. Epub 2017 Feb 2.
Dissociative disorders have been documented to be common psychiatric disorders which can be detected reliably with standardized diagnostic instruments in North American and European psychiatric inpatients and outpatients (20.6% and 18.4%, respectively). However, there are concerns about their cross-cultural manifestations as an apparently low prevalence rate has been reported in East Asian inpatients and outpatients (1.7% and 4.9%, respectively). It is unknown whether the clinical profile of dissociative disorders in terms of their core symptomatic clusters, associated comorbid disorders, and environmental risk factors that has emerged in western clinical populations can also be found in non-western clinical populations. A standardized structured interview for DSM-IV dissociative disorders, post-traumatic stress disorder, and a history of interpersonal victimization was administered in a sample of Taiwanese acute psychiatric inpatients. Our results showed that 19.5% of our participants met criteria for a DSM-IV dissociative disorder, mostly dissociative disorder not otherwise specified. More importantly, the western clinical profile of dissociative disorders also characterized our patients, including a poly-symptomatic presentation and a history of interpersonal trauma in both childhood and adulthood. Our results lend support to the conclusion that cross-cultural manifestations of dissociative pathology in East Asia are similar to those in North America and Europe.
分离性障碍已被证实为常见的精神障碍，可以通过标准化的诊断工具在北美和欧洲的住院和门诊精神病患者中可靠地检测到（分别为 20.6%和 18.4%）。然而，人们对其跨文化表现形式表示关注，因为在东亚住院和门诊患者中，其发病率明显较低（分别为 1.7%和 4.9%）。目前尚不清楚在西方临床人群中出现的分离性障碍的临床特征，即其核心症状群、相关共病障碍和环境风险因素，是否也可以在非西方临床人群中找到。我们对台湾急性住院精神病患者进行了一项 DSM-IV 分离性障碍、创伤后应激障碍和人际受害史的标准化结构化访谈。我们的研究结果显示，19.5%的参与者符合 DSM-IV 分离性障碍的标准，大多数为未特定型分离性障碍。更重要的是，分离性障碍的西方临床特征也表现为我们的患者，包括多症状表现和儿童期及成年期人际创伤史。我们的研究结果支持以下结论，即东亚分离性病理的跨文化表现与北美和欧洲相似。
