Diagnosing dissociative disorders in The Netherlands: a pilot study with the Structured Clinical Interview for DSM-III-R Dissociative Disorders.
Diagnosing dissociative disorders in The Netherlands: a pilot study with the Structured Clinical Interview for DSM-III-R Dissociative Disorders.
复制标题
荷兰诊断解离性障碍：针对 DSM-III-R 解离性障碍的结构化临床访谈的试点研究。
DOI：
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发表时间：
1991
影响因子：
17.7
通讯作者：
N. Draijer
中科院分区：
文献类型：
--
作者：
S. Boon;N. Draijer
目的
为了提高在荷兰诊断分离性障碍的能力，作者使用荷兰版的DSM-III-R分离性障碍结构化临床访谈（SCID-D）进行了一项研究，并对儿童创伤和边缘性和表演性人格障碍的症状提出了额外的问题。
方法
所有访谈都进行了录音或录像，并由两名调查员分别进行评级。44名患者（42名女性和2名男性）参加了研究。大多数患者被转诊接受分离症状评估; 5人参加了全国范围内的乱伦调查。没有一个病人曾经被诊断为分离性障碍，也没有一个病人有器质性脑综合征或智力迟钝的证据。所有患者都在积极治疗中; 23人在精神病门诊服务中接受治疗，13人在住院精神病服务中接受治疗，8人在私人诊所接受治疗。32名患者至少有一次精神病住院史。
结果
确定了四个诊断组的患者：两个解离性障碍（12例多重人格障碍和11例解离性障碍，未另行说明），一个DSM-III-R人格障碍（11例），一个没有解离性或人格障碍（10例）。
结论
分离性障碍显然不仅仅是美国的现象。如果症状被发现，可以在美国境外进行诊断。SCID-D被证明是一种很有前途的工具。
OBJECTIVE
To improve the ability to diagnose dissociative disorders in The Netherlands, the authors conducted a study using a Dutch version of the Structured Clinical Interview for DSM-III-R Dissociative Disorders (SCID-D) with additional questions on childhood trauma and symptoms of borderline and histrionic personality disorders.
METHOD
All interviews were audiotaped or videotaped and rated by two investigators separately. Forty-four patients (42 women and two men) participated in the study. Most of the patients had been referred for evaluation of dissociative symptoms; five had participated in a nationwide survey on incest. None of the patients had ever received a diagnosis of a dissociative disorder, and none had evidence of organic brain syndrome or mental retardation. All patients were in active treatment; 23 were being treated in an outpatient psychiatric service, 13 in an inpatient psychiatric service, and eight in private practice. Thirty-two patients had been psychiatric inpatients at least once.
RESULTS
Four diagnostic groups of patients were identified: two with dissociative disorders (12 patients with multiple personality disorder and 11 with dissociative disorder not otherwise specified), one with DSM-III-R personality disorders (11 patients), and one without dissociative or personality disorders (10 patients).
CONCLUSIONS
Dissociative disorders are clearly not only an American phenomenon. The diagnosis can be made outside of the United States if the symptoms are sought. The SCID-D proved to be a promising instrument.
DSM-III-R 分离性障碍的结构化临床访谈：关于新诊断仪器的初步报告。
DOI：
10.1176/ajp.147.1.76
发表时间：
1990
期刊：
The American journal of psychiatry
影响因子：
--
作者：
Steinberg,M;Rounsaville,B;Cicchetti,DV
通讯作者：
Cicchetti,DV