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本文引用的文献

1
Dissociative psychosis or dissociative schizophrenia? Comparison of two phenomena.分离性精神病还是分离性精神分裂症?两种现象的比较。
BMC Psychiatry. 2025 Jan 21;25(1):62. doi: 10.1186/s12888-025-06477-0.
2
Dissociation in patients with non-affective psychosis: Prevalence, symptom associations, and maintenance factors.非情感性精神病患者的解离:患病率、症状关联和维持因素。
Schizophr Res. 2022 Jan;239:11-18. doi: 10.1016/j.schres.2021.11.008. Epub 2021 Nov 17.
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Behind the opaque curtain: A 20-year longitudinal study of dissociative and first-rank symptoms in schizophrenia-spectrum psychoses, other psychoses and non-psychotic disorders.在不透明的帷幕背后:精神分裂症谱系精神病、其他精神病和非精神病障碍中分离和一级症状的 20 年纵向研究。
Schizophr Res. 2020 Sep;223:319-326. doi: 10.1016/j.schres.2020.07.019. Epub 2020 Sep 19.
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Targeting dissociation using cognitive behavioural therapy in voice hearers with psychosis and a history of interpersonal trauma: A case series.针对伴有精神病性症状和人际创伤史的幻听患者使用认知行为疗法来进行解离症状治疗:一项病例系列研究。
Psychol Psychother. 2021 Jun;94(2):247-265. doi: 10.1111/papt.12304. Epub 2020 Sep 10.
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The Relationship Between Dissociation and Symptoms of Psychosis: A Meta-analysis.分离与精神病症状之间的关系:一项荟萃分析。
Schizophr Bull. 2020 Sep 21;46(5):1104-1113. doi: 10.1093/schbul/sbaa037.
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Describing the indescribable: A qualitative study of dissociative experiences in psychosis.描述难以言喻的体验:精神病性体验中分离体验的定性研究。
PLoS One. 2020 Feb 19;15(2):e0229091. doi: 10.1371/journal.pone.0229091. eCollection 2020.
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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.
8
Transdiagnostic dimensions of psychosis in the Bipolar-Schizophrenia Network on Intermediate Phenotypes (B-SNIP).双相情感障碍-精神分裂症中间型网络(B-SNIP)中精神病的跨诊断维度。
World Psychiatry. 2019 Feb;18(1):67-76. doi: 10.1002/wps.20607.
9
Environmental adversities and psychotic symptoms: The impact of timing of trauma, abuse, and neglect.环境逆境与精神病症状:创伤、虐待和忽视的时间影响。
Schizophr Res. 2019 Mar;205:4-9. doi: 10.1016/j.schres.2017.10.034. Epub 2017 Nov 13.
10
Dissociation in Psychiatric Disorders: A Meta-Analysis of Studies Using the Dissociative Experiences Scale.精神障碍中的解离:使用解离体验量表的研究的荟萃分析。
Am J Psychiatry. 2018 Jan 1;175(1):37-46. doi: 10.1176/appi.ajp.2017.17010025. Epub 2017 Sep 26.

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.

DOI:10.5498/wjp.v15.i4.102008
PMID:40309595
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12038675/
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。