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复杂性创伤后应激障碍中的分离症状:一项系统综述。

Dissociative Symptoms in Complex Posttraumatic Stress Disorder: A Systematic Review.

作者信息

Hamer Ruby, Bestel Niclés, Mackelprang Jessica L

机构信息

Department of Psychological Sciences, Swinburne University of Technology, Melbourne, Australia.

Department of Medicine, School of Clinical Sciences, Monash University, Melbourne, Australia.

出版信息

J Trauma Dissociation. 2024 Mar-Apr;25(2):232-247. doi: 10.1080/15299732.2023.2293785. Epub 2023 Dec 19.

Abstract

The 11 revision of the International Classification of Diseases (ICD-11) introduced Complex Posttraumatic Stress Disorder (CPTSD) as a sibling disorder to PTSD. Dissociative symptoms have been implicated in the severity of ICD-11 CPTSD; however, no reviews have investigated how dissociation has been measured in studies investigating CPTSD, nor the relationship between CPTSD and dissociation. This systematic review aimed to identify measures used to assess dissociative symptoms in studies that have assessed CPTSD according to ICD-11 criteria and to synthesize the relationship between these constructs. PsycINFO, PubMed, Scopus and Web of Science were searched on March 31, 2021. Seventeen articles met inclusion criteria. CPTSD was most frequently measured by a version of the International Trauma Questionnaire. Twelve measures were used to assess for dissociative symptoms, the most common being the Dissociative Symptoms Scale and the Dissociative Experiences Scale. The relationship between CPTSD and dissociative symptoms was moderate-to-strong, but inconsistently reported. Further research is needed to determine the most appropriate measure(s) of dissociation in CPTSD.

摘要

《国际疾病分类》(ICD - 11)的第11次修订将复杂性创伤后应激障碍(CPTSD)作为创伤后应激障碍(PTSD)的同类疾病引入。解离症状与ICD - 11中CPTSD的严重程度有关;然而,尚无综述研究在调查CPTSD的研究中是如何测量解离的,也没有研究CPTSD与解离之间的关系。本系统综述旨在确定在根据ICD - 11标准评估CPTSD的研究中用于评估解离症状的测量方法,并综合这些概念之间的关系。于2021年3月31日检索了PsycINFO、PubMed、Scopus和科学网。17篇文章符合纳入标准。CPTSD最常通过国际创伤问卷的一个版本进行测量。使用了12种测量方法来评估解离症状,最常用的是解离症状量表和解离体验量表。CPTSD与解离症状之间的关系为中度至强,但报告不一致。需要进一步研究以确定CPTSD中最适合的解离测量方法。

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