Dunn G E, Paolo A M, Ryan J J, Van Fleet J
Dwight D. Eisenhower Department of Veterans Affairs Medical Center, Leavenworth, KS 66048.
Am J Psychiatry. 1993 Jul;150(7):1043-7. doi: 10.1176/ajp.150.7.1043.
This study was intended to examine the extent of dissociative experiences that exist within a substance abuse population and to determine how demographic and clinical variables affect these experiences.
A total of 265 male veterans being treated on an inpatient substance abuse unit completed a standard test battery that included the MMPI-2, the Shipley-Hartford Institute of Living Scale, and the Dissociative Experiences Scale. Additional demographic and clinical information was obtained from the patients' medical records.
Over 41% of the cohort had scores on the Dissociative Experiences Scale that suggested the need for further evaluation of a dissociative disorder. A stepwise multiple regression analysis revealed that level of psychological discomfort, IQ, and race accounted for more than 24% of the variance in Dissociative Experiences Scale scores.
Substance abuse populations may need to be routinely screened for dissociative symptoms just as they are for depression and anxiety.
本研究旨在调查药物滥用人群中分离体验的程度，并确定人口统计学和临床变量如何影响这些体验。
共有265名在住院药物滥用治疗单元接受治疗的男性退伍军人完成了一套标准测试，包括明尼苏达多相人格调查表第二版（MMPI-2）、希普利-哈特福德生活量表以及分离体验量表。从患者病历中获取了额外的人口统计学和临床信息。
超过41%的队列在分离体验量表上的得分表明需要对分离障碍进行进一步评估。逐步多元回归分析显示，心理不适程度、智商和种族占分离体验量表得分变异的24%以上。
药物滥用人群可能需要像对抑郁和焦虑那样，定期筛查分离症状。
