摘要:

Prior research on the MMPI has cautioned against misdiagnosing schizophrenia in patients with dissociative identity disorder. The present study examined the full spectrum of the dissociative experience in relation to MMPI-2 profiles. Ninety-eight women in treatment for trauma-related disorders completed the Dissociative Experiences Scale and the MMPI-2 in routine inpatient diagnostic evaluations. Consistent with prior research, severe dissociation was associated with high elevations on MMPI-2 scales typically associated with psychotic symptoms. Contrary to hypotheses, the ostensibly most benign form of dissociation, absorption and imaginative involvement, was somewhat more strongly related to MMPI-2 scores than the more pathognomonic forms of dissociation, depersonalization and amnesia. Although it should not be misdiagnosed, severe impairment on the MMPI in conjunction with dissociation should be taken seriously as suggesting vulnerability to psychotic experience. The dissociative retreat from the stressors of outer reality opens the door to the inner world of traumatic images and affects, along with compromised reality testing and disorganized thinking.

ISSN:0022-3018    

出版商:OVID    

年代:1995

数据来源: OVID

摘要:

A cross-sectional study was performed to retrospectively assess self-rated sleep complaints in three groups of subjects: controls without nightmares (N= 77), acute nightmare sufferers (< 6 months duration,N= 36), and chronic nightmare sufferers (> 6 months duration,N= 128). Four specific complaints of sleep disturbance were categorically measured to ascertain the presence or absence of the symptom: fear of going to sleep; awakenings from sleep; difficulty returning to sleep; and fitful, restless sleep. Each of the four separate sleep complaints were significantly more common in the acute (p< .0001) and chronic (p< .0001) nightmare groups compared with controls. A summed aggregate score of the four sleep complaints was also higher in both the acute (p< .0001) and chronic groups (p< .0001) compared with controls. Ninety-one percent of all subjects with nightmares reported at least one sleep complaint. Between-group assessments, comparing acute and chronic nightmare sufferers for any of the four variables and the aggregate, demonstrated no statistically significant findings, although a few trends were noted. A dose-response relationship was not observed for nightmare frequency or chronicity for any of the four sleep variables or their aggregate. The relationship between nightmares and disturbed sleep is discussed.

ISSN:0022-3018    

出版商:OVID    

年代:1995

数据来源: OVID

摘要:

Disorders of extreme stress (DES), previously referred to as disorders of extreme stress not otherwise specified and/or complex posttraumatic stress disorder, is a proposed diagnosis designed to describe the symptom presentation of those repeatedly exposed to traumatic stressors. Little is known, however, about the applicability of DES to combat veterans. We clinically assessed combat veterans for the presence or absence of DES in order to provide descriptive clinical information about the severity and patterns of endorsement of DES symptoms among combat veterans. Results indicate that DES is relevant to veterans and the implications of these results for both diagnoses and treatment are discussed.

ISSN:0022-3018    

出版商:OVID    

年代:1995

数据来源: OVID

摘要:

Posttraumatic stress disorder (PTSD) patients, psychiatric controls, and hospital employee controls rated their father, mother, and oldest sibling of each sex on 14 PTSD Interview (PTSD-I) symptom ratings. The stress disorder patients assigned their relatives significantly higher PTSD-I ratings than the control group members did in 35 of 120 comparisons. The number of significant differences was nearly identical in the fathers, mothers, sisters, and brothers. Differences were particularly frequent on items pertaining to intrusive thoughts, impoverished relationships, and guilt The results suggest that a trauma survivor's risk for PTSD may be related to his family's history for PTSD-like behaviors.

ISSN:0022-3018    

出版商:OVID    

年代:1995

数据来源: OVID

摘要:

Symptom expression or the manifestation of distress is greatly influenced by one's cultural background. This exploratory study investigated symptom presentation of distress among a community sample of Vietnamese, Chinese-Vietnamese, Cambodian, and Lao refugees. The study examined whether or not the Western-designed distress measure used in the study was culturally sensitive enough to accurately capture culturally framed expressions of distress. The results of the factor analyses showed that the four Southeast Asian refugee groups did not express distress in three separate factors as devised in the original measure. Instead, a single robust factor emerged. The single factor comprised items from the depression, anxiety, somatic, and psychosocial dysfunction subscales. The items that made up the single factor strongly resemble the construct for the diagnosis of neurasthenia. Researchers have found neurasthenia to be a culturally sanctioned Asian cultural idiom of distress. The findings strongly suggested that this Southeast Asian refugee population expressed distress in a pattern of symptoms more consistent with Asian nosology. The clinical and research implications of the results of this exploratory study axe also discussed.

ISSN:0022-3018    

出版商:OVID    

年代:1995

数据来源: OVID

摘要:

The present study is a preliminary evaluation of the effectiveness of a new cognitive-behavioral group treatment protocol for social phobia in adolescents. Five adolescents with social phobia were treated in a 16-session group treatment program, with parental involvement in selected sessions. Treatment involved skills training (social skills, problem solving, assertiveness), cognitive restructuring, behavioral exposure, and homework. Self-report measures of anxiety and depression, taken throughout treatment, indicated significant improvements over a 1-year follow-up period. Behavior test measures also indicated a decrease in subjective anxiety ratings after treatment which was maintained at follow-up. Structured diagnostic interviews 1 year after treatment confirmed full remission of social phobia for four subjects, with one subject's phobia in partial remission. Overall, the present findings support the continued evaluation of this protocol for social phobic adolescents.

ISSN:0022-3018    

出版商:OVID    

年代:1995

数据来源: OVID

摘要:

Research with self-report measures of schizotypic or psychosis-prone features in nonclinical populations suggests that, similarly to schizophrenic populations, males score higher on more “negative” schizotypic features and females score higher on more “positive” schizotypic features. We administered the Schizotypal Personality Questionnaire and the Chapman Scales of Psychosis Proneness—impulsivity/nonconformity, magical ideation, perceptual aberration, physical anhedonia, and social anhedonia—to a large, nonclinical, young adult sample (N= 1179: 453 males and 726 females). Results indicated increased negative symptomatology in males compared with females, but not increased positive symptomatology in females compared with males. Findings on Schizotypal Personality Questionnaire factors suggested that interpersonal deficits differed by gender as well. Finally, a measure of impulsive behavior and nonconformity not typically associated with negative symptomatology indicated gender differences not predicted by a negative/positive dichotomy.

ISSN:0022-3018    

出版商:OVID    

年代:1995

数据来源: OVID

ISSN:0022-3018    

出版商:OVID    

年代:1995

数据来源: OVID

ISSN:0022-3018    

出版商:OVID    

年代:1995

数据来源: OVID

ISSN:0022-3018    

出版商:OVID    

年代:1995

数据来源: OVID