如何研究各种精神障碍的分离症状:方法论入门》。

IF 2.3 3区 医学 Q2 PSYCHIATRY
Journal of Trauma & Dissociation Pub Date : 2025-05-01 Epub Date: 2025-04-07 DOI:10.1080/15299732.2025.2481474
Sarah K Danböck, Yoki L Mertens, Patricia Kulla, Katja I Seitz, Inga Schalinski
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引用次数: 0

摘要

解离症状是一种跨诊断现象,不仅是解离性障碍的特征,而且还出现在其他精神障碍的广泛范围内,如创伤后应激障碍或边缘性人格障碍。在后一种疾病中,人格解体、现实感丧失或意识缺失等解离症状会严重影响患者的健康和功能。为了更好地了解这些使人衰弱的症状,人们作出了许多努力。然而,在许多领域(例如,考虑神经生物学相关性或分离性精神病理学对治疗结果的影响),实证研究结果尚未融合,这可能部分归因于所采用方法的异质性和局限性。在这里,我们批判性地回顾了当前最先进的解离研究方法,比较了评估解离症状的方法,在实验室中引发解离症状的方法,选择参与者样本,并考虑关键样本特征。讨论各种标准和新方法的信息价值和局限性,我们的目标是为未来的研究提供信息和细致入微的指导。通过这些手段,我们的目标是提高和协调解离研究的标准,使所有职业阶段的研究人员能够进入、引导并对广泛的精神障碍中的解离症状的研究做出重大而持久的贡献,最终有助于更好地理解解离精神病理学。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
How-To Study Dissociative Symptoms in a Broad Range of Mental Disorders: A Methodological Primer.

Dissociative symptoms constitute a transdiagnostic phenomenon not only characterizing dissociative disorders but also occurring across a broad range of other mental disorders such as posttraumatic stress disorder or borderline personality disorder. In the latter disorders, dissociative symptoms such as depersonalization, derealization, or gaps in awareness significantly burden patients' wellbeing and functioning. Many efforts have been undertaken to better understand these debilitating symptoms. However, empirical findings have not yet converged in many areas (e.g., considering neurobiological correlates or effects of dissociative psychopathology on treatment outcome), which might partially be due to the heterogeneity and limitations of employed methodology. Here, we critically review the current state-of-the-art methodology in dissociation research, comparing methods to assess dissociative symptoms, provoke dissociative symptoms in the laboratory, select the participant sample, and consider critical sample characteristics. Discussing the informative value and limits of various standard and novel methodological approaches, we aim to provide information and nuanced guidance for future research. By these means, we aim to raise and harmonize standards in dissociation research and enable researchers of all career stages to enter, navigate, and make a significant and lasting contribution to research on dissociative symptoms in a broad range of mental disorders, ultimately contributing to a better understanding of dissociative psychopathology.

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来源期刊
CiteScore
6.00
自引率
6.10%
发文量
39
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