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分离性精神病和分离性精神分裂症是真实存在的吗?

Are dissociative psychosis and dissociative schizophrenia reality?

作者信息

Belli Hasan

机构信息

Department of Psychiatry, Health Science University, Bagcilar Education and Research Hospital, Istanbul 34400, Türkiye.

出版信息

World J Psychiatry. 2025 Apr 19;15(4):102008. doi: 10.5498/wjp.v15.i4.102008.

Abstract

Even if dissociation has various facets, it is clear that knowledge of dissociative psychosis and a dissociative schizophrenia-based viewpoint may provide new perspectives on mental disorders. Many researchers screening for comorbid symptoms of "childhood traumatic experiences" and "dissociation", where specific characteristics are significant to the presence of psychosis and schizophrenia, may lead to an acceptable definition. In recent years, researchers have also reported crucial advances in the understanding of dissociative psychosis and dissociative schizophrenia. Although clinical studies in this area have been ongoing for a long time, research has not demonstrated that a clear and valid relationship exists between dissociation, childhood traumatic experiences, and schizophrenia or psychotic spectrum disorders. However, some results of statistical comparisons have supported the existence of the clinical manifestation known as dissociative psychosis and dissociative schizophrenia. Dissociation, childhood traumatic experiences, and positive psychotic symptoms may be a prominent part of dissociative psychosis and schizophrenia. The intense presence of negative symptoms may indicate classical schizophrenia. In research and clinical practice, researchers and clinicians may use psychometric tests to detect symptoms of dissociative psychosis. Psychotic persons with traumatic experiences likely benefit from treatment focused on trauma symptomatolgy.

摘要

即使分离有多个方面,但很明显,对分离性精神病和基于分离性精神分裂症的观点的了解可能会为精神障碍提供新的视角。许多研究人员筛查“童年创伤经历”和“分离”的共病症状,其中特定特征对精神病和精神分裂症的存在具有重要意义,这可能会得出一个可接受的定义。近年来,研究人员在对分离性精神病和分离性精神分裂症的理解方面也报告了关键进展。尽管该领域的临床研究已经进行了很长时间,但研究尚未证明分离、童年创伤经历与精神分裂症或精神病性谱系障碍之间存在明确有效的关系。然而,一些统计比较结果支持了被称为分离性精神病和分离性精神分裂症的临床表现的存在。分离、童年创伤经历和阳性精神病性症状可能是分离性精神病和精神分裂症的突出组成部分。阴性症状的强烈存在可能表明是典型的精神分裂症。在研究和临床实践中,研究人员和临床医生可能会使用心理测量测试来检测分离性精神病的症状。有创伤经历的精神病患者可能会从针对创伤症状的治疗中受益。

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本文引用的文献

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Dissociation and disasters: A systematic review.分离与灾难:一项系统综述。
World J Psychiatry. 2019 Oct 19;9(6):83-98. doi: 10.5498/wjp.v9.i6.83.

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