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分离性障碍。很少被考虑且诊断不足。

The dissociative disorders. Rarely considered and underdiagnosed.

作者信息

Coons P M

机构信息

Department of Psychiatry, Indiana University School of Medicine, Indianapolis, USA.

出版信息

Psychiatr Clin North Am. 1998 Sep;21(3):637-48. doi: 10.1016/s0193-953x(05)70028-9.

Abstract

A wide variety of dissociative disorders, including dissociative amnesia, dissociative fugue, depersonalization disorder, dissociative identity disorder, and various forms of dissociative disorder not otherwise specified. In many instances, these disorders are either underdiagnosed or misdiagnosed secondary to the clinician's mistaken belief that dissociative disorders are rare. Recent research shows that dissociative disorders may comprise 5% to 10% of psychiatric populations. This article reviews the epidemiology and clinical symptomatology of these disorders. In addition, various screening and diagnostic instruments, such as the DES, Structured Clinical Interview for Dissociative Disorders, and MMPI, are discussed.

摘要

各种各样的分离性障碍,包括分离性遗忘症、分离性神游症、人格解体障碍、分离性身份障碍以及各种未另行规定的分离性障碍形式。在许多情况下,由于临床医生错误地认为分离性障碍很罕见,这些障碍要么未得到充分诊断,要么被误诊。最近的研究表明,分离性障碍可能占精神科患者群体的5%至10%。本文回顾了这些障碍的流行病学和临床症状学。此外,还讨论了各种筛查和诊断工具,如分离体验量表(DES)、分离性障碍结构化临床访谈和明尼苏达多相人格调查表(MMPI)。

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