Tutkun H, Sar V, Yargiç L I, Ozpulat T, Yanik M, Kiziltan E
Clinical Psychotherapy Unit, Istanbul Medical Faculty, Istanbul University, Turkey.
Am J Psychiatry. 1998 Jun;155(6):800-5. doi: 10.1176/ajp.155.6.800.
The aim of this study was to determine the rate of dissociative disorders among psychiatric inpatients in a university clinic in Turkey.
The Dissociative Experiences Scale was used to screen 166 consecutive inpatients admitted to the psychiatry clinic of a university hospital. The patients who had scores higher than 30 were matched for age and gender with 19 of the patients who scored below 10 on the scale. The patients in both groups were then interviewed with the Dissociative Disorders Interview Schedule by interviewers who were blind to their diagnoses and scores on the Dissociative Experiences Scale. Patients who were diagnosed as having a dissociative disorder according to the Dissociative Disorders Interview Schedule were then interviewed by a clinician.
Twenty-four (14.5%) of the 166 patients had a score higher than 30 on the Dissociative Experiences Scale; 17 patients (10.2%) were diagnosed as having a dissociative disorder according to the Dissociative Disorders Interview Schedule. Nine patients (5.4%) had clinically confirmed dissociative identity disorder.
A considerable proportion of the psychiatric inpatients in a Turkish university psychiatry clinic had dissociative disorder. Clinicians who work in general psychiatric inpatient units should be alert for chronic complex dissociative disorders.
本研究旨在确定土耳其一家大学诊所精神科住院患者中分离性障碍的发生率。
使用分离体验量表对一家大学医院精神科连续收治的166例住院患者进行筛查。分离体验量表得分高于30分的患者，在年龄和性别上与量表得分低于10分的19例患者进行匹配。然后，由对患者在分离体验量表上的诊断和得分不知情的访谈者，使用分离性障碍访谈量表对两组患者进行访谈。根据分离性障碍访谈量表被诊断为患有分离性障碍的患者，随后由一名临床医生进行访谈。
166例患者中有24例（14.5%）在分离体验量表上的得分高于30分；根据分离性障碍访谈量表，17例患者（10.2%）被诊断为患有分离性障碍。9例患者（5.4%）经临床确诊为分离性身份障碍。
土耳其一家大学精神科诊所中相当一部分精神科住院患者患有分离性障碍。在普通精神科住院病房工作的临床医生应警惕慢性复杂性分离性障碍。
