Department of Psychiatry, University of Oxford, Oxford, United Kingdom.
Oxford Institute of Clinical Psychology Training, University of Oxford, Oxford, United Kingdom.
Psychiatry Res. 2018 Nov;269:229-236. doi: 10.1016/j.psychres.2018.08.060. Epub 2018 Aug 18.
The field of dissociation is receiving increasing attention, despite a lack of coherent conceptualisation of the construct. Advances in the field would be aided by a measure that reflects service user experiences of dissociative experiences and can be easily scored. The current study describes the development of a new measure of dissociation (Dissociative Experiences Measure, Oxford; DEMO) that aims to fulfil these criteria. The study follows an exploratory, data-driven, measure development design. Resource searching and feedback from clinicians (n = 3) and service users (n = 6) were used to develop an extensive item pool. An online sample (n = 691) provided data for a factor analysis of the item pool. Factor analysis produced a measure with five subscales: 'unreality', 'numb and disconnected', 'memory blanks', 'zoned out', and 'vivid internal world'. Further analysis indicated that the new measure has high internal consistency, and high convergent, divergent, and discriminant validity. The DEMO shows promise as an up-to-date clinical and research tool for the assessment of dissociative experiences. These results are preliminary, and further validation of the measure with a clinical sample is required.
尽管对该结构缺乏连贯的概念化,但分离领域正受到越来越多的关注。如果有一种衡量标准能够反映服务使用者的分离体验,并易于评分,那么该领域的进展将得到促进。本研究描述了一种新的分离衡量标准(牛津分离体验量表;DEMO)的开发,旨在满足这些标准。该研究采用了探索性、数据驱动的衡量标准开发设计。资源搜索和临床医生(n=3)和服务使用者(n=6)的反馈被用来开发一个广泛的项目库。在线样本(n=691)为项目库的因子分析提供了数据。因子分析产生了一个包含五个子量表的衡量标准:“不真实”、“麻木和脱节”、“记忆空白”、“恍惚”和“生动的内心世界”。进一步的分析表明,新的衡量标准具有较高的内部一致性,以及较高的聚合、发散和区分效度。DEMO 有望成为评估分离体验的最新临床和研究工具。这些结果是初步的,需要进一步用临床样本验证该衡量标准。