Distinguishing Between Multiple Personality Disorder (Dissociative Identity Disorder) and Schizophrenia Using the Structured Clinical Interview for DSM‐IV Dissociative Disorders
作者:
MARLENE STEINBERG,
DOMENIC CICCHETTI,
JOSEPHINE BUCHANAN,
JAAK RAKFELDT,
BRUCE ROUNSAVILLE,
期刊:
The Journal of Nervous and Mental Disease
(OVID Available online 1994)
卷期:
Volume 182,
issue 9
页码: 495-502
ISSN:0022-3018
年代: 1994
出版商: OVID
数据来源: OVID
摘要:
The authors describe the systematic assessment of dissociative symptoms using the Structured Clinical Interview for DSM-IV Dissociative Disorders (SCID-D) in 50 psychiatric outpatients with a referring DSM-III-R diagnosis of either schizophrenia or schizoaffective disorder (N= 31) and subjects with multiple personality disorder (MPD [DSM-IV name change: dissociative identity disorder];N= 19). Results indicate that patients with MPD experience significantly higher scores for five specific dissociative symptoms than patients with schizophrenia or schizoaffective disorder. The range, severity, and nature of the five dissociative symptom areas evaluated by the SCID-D distinguish MPD from the occasional occurrence of dissociative symptoms which may be seen in schizophrenia. Systematic assessment of dissociative symptoms using the SCID-D can assist in accurate differential diagnosis of MPD and schizophrenia.
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