美国执业认证精神科医生对《精神疾病诊断与统计手册第四版》（DSM-IV）分离性障碍诊断的态度。
Attitudes toward DSM-IV dissociative disorders diagnoses among board-certified American psychiatrists.
作者信息
Pope H G, Oliva P S, Hudson J I, Bodkin J A, Gruber A J
机构信息
Biological Psychiatry Laboratory, McLean Hospital, Belmont, MA 02178, USA.
出版信息
Am J Psychiatry. 1999 Feb;156(2):321-3. doi: 10.1176/ajp.156.2.321.
OBJECTIVE
The authors assessed the opinions of American psychiatrists regarding the diagnostic status and scientific validity of the DSM-IV categories of dissociative amnesia and dissociative identity disorder.
METHOD
A one-page questionnaire was mailed to a random national sample of 367 board-certified American psychiatrists.
RESULTS
Three hundred one responses were received-a rate of 82%. Only about one-third of respondents replied that dissociative amnesia and dissociative identity disorder should be included without reservations in DSM-IV; a larger proportion replied that these categories should be included only as proposed diagnoses. Only about one-quarter of respondents felt that diagnoses of dissociative amnesia and dissociative identity disorder were supported by strong evidence of scientific validity.
CONCLUSIONS
Among board-certified American psychiatrists, there currently appears to be little consensus regarding the diagnostic status or scientific validity of dissociative amnesia and dissociative identity disorder.
目的
作者评估了美国精神科医生对《精神疾病诊断与统计手册》第四版（DSM-IV）中分离性遗忘症和分离性身份障碍类别诊断地位及科学有效性的看法。
方法
向367名获得美国委员会认证的精神科医生的全国随机样本邮寄了一份单页问卷。
结果
共收到301份回复，回复率为82%。只有约三分之一的受访者表示，分离性遗忘症和分离性身份障碍应毫无保留地纳入DSM-IV；更大比例的受访者表示，这些类别应仅作为拟诊纳入。只有约四分之一的受访者认为，分离性遗忘症和分离性身份障碍的诊断有强有力的科学有效性证据支持。
结论
在获得美国委员会认证的精神科医生中，目前对于分离性遗忘症和分离性身份障碍的诊断地位或科学有效性似乎几乎没有共识。
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