Steinberg M, Cicchetti D, Buchanan J, Rakfeldt J, Rounsaville B
Yale University School of Medicine, New Haven, Connecticut 06510.
J Nerv Ment Dis. 1994 Sep;182(9):495-502. doi: 10.1097/00005053-199409000-00004.
The authors describe the systematic assessment of dissociative symptoms using the Structured Clinical Interview for DSM-IV Dissociative Disorders (SCID-D) in 50 psychiatric outpatients with a referring DSM-III-R diagnosis of either schizophrenia or schizoaffective disorder (N = 31) and subjects with multiple personality disorder (MPD [DSM-IV name change: dissociative identity disorder]; N = 19). Results indicate that patients with MPD experience significantly higher scores for five specific dissociative symptoms than patients with schizophrenia or schizoaffective disorder. The range, severity, and nature of the five dissociative symptom areas evaluated by the SCID-D distinguish MPD from the occasional occurrence of dissociative symptoms which may be seen in schizophrenia. Systematic assessment of dissociative symptoms using the SCID-D can assist in accurate differential diagnosis of MPD and schizophrenia.
作者描述了使用《精神疾病诊断与统计手册第四版解离性障碍结构化临床访谈》（SCID-D）对50名精神科门诊患者进行的解离症状系统评估。这些患者中，31名被转诊诊断为精神分裂症或分裂情感性障碍（依据《精神疾病诊断与统计手册第三版修订版》），19名被诊断为多重人格障碍（MPD，《精神疾病诊断与统计手册第四版》中名称变更为解离性身份障碍）。结果表明，与精神分裂症或分裂情感性障碍患者相比，多重人格障碍患者在五种特定解离症状上的得分显著更高。SCID-D评估的五个解离症状领域的范围、严重程度和性质，将多重人格障碍与精神分裂症中偶尔出现的解离症状区分开来。使用SCID-D对解离症状进行系统评估有助于准确鉴别多重人格障碍和精神分裂症。
