分离性身份障碍患者中的不适应白日梦:一个流行研究
Nirit Soffer-Dudek1, Rémy Aquarone2, Eli Somer3
1Department of Psychology, Ben-Gurion University of the Negev, P.O.B. 653, Beer-Sheva, 8410501, Israel.
Journal of psychiatric research
|March 28, 2025
概括
适应不良的白日梦 (MD) 在分离性身份障碍 (DID) 中很普遍. 至少25%的DID患者经历了MD,这表明需要在临床环境中进行查.
科学领域:
- 精神病学是一个精神病学.
- 临床心理学 临床心理学
- 神经科学是一个神经科学.
背景情况:
- 适应不良的白日梦 (MD) 涉及到广泛的,强迫性的幻想吸收,损害了现实生活中的功能.
- MD与分离和分离性身份障碍 (DID) 有共同的特征,包括脱离和碎片化的自我认知.
- 之前的研究表明,在患有严重分离性障碍的人群中,MD的发病率很高.
研究的目的:
- 为了确定一个基于英国的分裂性身份障碍 (DID) 患者样本中不适应性白日梦 (MD) 的患病率.
- 在DID队列中探索分离倾向和MD症状之间的关联.
- 为了向临床实践提供有关在DID人群中对MD的查的信息.
主要方法:
- 招募了67名被诊断患有分离性身份障碍 (DID) 的英国患者.
- 参与者完成了分离和不适应的白日梦 (MD) 的自我报告尺度.
- 具有高MD分数的个体接受了MD评估的结构化临床采访.
主要成果:
- 至少25%的DID样本表现出并发性不适应性白日梦 (MD);估计率接近40%.
- 自我报告数据显示,离散吸收/想象参与和MD症状之间存在显著的相关性.
- 这些发现突出了该临床样本中MD和DID之间存在实质性的重叠.
结论:
- 不适应性白日梦 (MD) 在分离性身份障碍 (DID) 患者中非常普遍.
- 共同的病因机制可能是DID和MD的基础.
- 在DID的临床评估中,建议对MD进行查,特别是对于具有高分离吸收的个体.
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