使用《精神疾病诊断与统计手册第四版》分离性障碍的结构化临床访谈对创伤后应激障碍中的分离症状进行系统评估。
Use of the Structured Clinical Interview for DSM-IV Dissociative Disorders for systematic assessment of dissociative symptoms in posttraumatic stress disorder.
作者信息
Bremner J D, Steinberg M, Southwick S M, Johnson D R, Charney D S
机构信息
National Center for PostTraumatic Stress Disorder, Division of Clinical Neurosciences, West Haven VA Medical Center, CT 06516.
出版信息
Am J Psychiatry. 1993 Jul;150(7):1011-4. doi: 10.1176/ajp.150.7.1011.
OBJECTIVE
This study compared dissociative symptom areas in Vietnam combat veterans with posttraumatic stress disorder (PTSD) and in Vietnam combat veterans without PTSD.
METHOD
The Structured Clinical Interview for DSM-IV Dissociative Disorders (SCID-D) was used to compare dissociative symptoms in 40 Vietnam combat veterans with PTSD and 15 Vietnam combat veterans without PTSD. The SCID-D yields a total score and scores in five symptom areas: amnesia, depersonalization, derealization, identity confusion, and identity alteration.
RESULTS
The PTSD patients had more severe dissociative symptoms in each of the five symptom areas of the SCID-D and higher total symptom scores. Amnesia was the symptom area with the greatest difference in scores between the PTSD patients (mean = 3.68, SD = 0.73) and the non-PTSD veterans (mean = 1.06, SD = 0.26).
CONCLUSIONS
The finding of higher levels of dissociative symptoms in Vietnam combat veterans with PTSD than in Vietnam veterans without PTSD is consistent with a level of dissociative symptoms in PTSD similar to that in dissociative disorders.
目的
本研究比较了患有创伤后应激障碍（PTSD）的越南退伍军人与未患PTSD的越南退伍军人的分离症状领域。
方法
采用《精神疾病诊断与统计手册》第四版分离障碍结构化临床访谈（SCID-D），比较40名患有PTSD的越南退伍军人和15名未患PTSD的越南退伍军人的分离症状。SCID-D得出总分以及五个症状领域的得分：失忆、人格解体、现实解体、身份混淆和身份改变。
结果
PTSD患者在SCID-D的五个症状领域中的每一个都有更严重的分离症状，且总症状得分更高。失忆是PTSD患者（均值=3.68，标准差=0.73）和未患PTSD的退伍军人（均值=1.06，标准差=0.26）得分差异最大的症状领域。
结论
患有PTSD的越南退伍军人比未患PTSD的越南退伍军人有更高水平的分离症状这一发现，与PTSD中分离症状的水平与分离障碍中的水平相似是一致的。
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