di Marco Sonia, Gaumard Marie, El Hage Wissam, Tarrada Alexis, Fugain Laure, Ertan Deniz, Hingray Coraline
Pôle hospitalo-universitaire de psychiatrie d'adultes du Grand-Nancy, centre psychothérapique de Nancy, Laxou, France; Faculté de médecine, université de Lorraine, Vandœuvre-Lès-Nancy, France.
Pôle de psychiatrie et d'addictologie, CHRU de Tours, Tours, France.
Encephale. 2025 Apr;51(2):133-140. doi: 10.1016/j.encep.2024.02.003. Epub 2024 May 31.
The aim of this study was to determine French psychiatrists' level of general knowledge about dissociative identity disorder and to evaluate their perceptions of this condition.
In this study, French psychiatrists were invited by e-mail to answer an online survey. The questionnaire asked about their general knowledge and perceptions of dissociative identity disorder.
We received 924 answers including 582 complete questionnaires. The survey revealed that almost two-thirds (60.8%) of psychiatrists working in France had never received any training on dissociative disorders and 62% had never managed patients suffering from dissociative identity disorder. Only 19.5% of them claimed to believe unreservedly in the existence of the diagnosis of dissociative identity disorder. The psychiatrists' confidence in diagnosing or treating dissociative identity disorder was low (mean confidence in diagnosis: 3.32 out of 10 (SD 1.89), mean confidence in treatment: 3.1 out of 10 (SD 1.68)). Fifty percent believed that dissociative identity disorder is an entity created by cinema, medias or social networks. Seventy-seven point seven percent thought that confusion with borderline personality disorder is possible, and 41.3% with schizophrenia.
In France, there is a lack of training and knowledge about dissociative identity disorder, as well as persistent skepticism about the validity of the diagnosis. Specific training seems essential for a better understanding of dissociative identity disorder.
本研究旨在确定法国精神科医生对分离性身份障碍的一般知识水平，并评估他们对这种病症的看法。
在本研究中，通过电子邮件邀请法国精神科医生回答一项在线调查。问卷询问了他们对分离性身份障碍的一般知识和看法。
我们收到了924份回复，其中包括582份完整问卷。调查显示，在法国工作的精神科医生中，近三分之二（60.8%）从未接受过关于分离性障碍的任何培训，62%从未治疗过分离性身份障碍患者。只有19.5%的人声称完全相信分离性身份障碍诊断的存在。精神科医生对诊断或治疗分离性身份障碍的信心较低（诊断的平均信心：10分中的3.32分（标准差1.89），治疗的平均信心：10分中的3.1分（标准差1.68））。50%的人认为分离性身份障碍是由电影、媒体或社交网络创造出来的概念。77.7%的人认为可能会与边缘型人格障碍混淆，41.3%的人认为可能会与精神分裂症混淆。
在法国，对分离性身份障碍缺乏培训和了解，并且对该诊断的有效性一直存在怀疑。专门培训对于更好地理解分离性身份障碍似乎至关重要。
