On the prevalence of depersonalization and derealization in inpatient psychotherapy

被引：15

作者：

Michal M. ^{[1
,4
]}

Sann U. ^{[1
,2
]}

Grabhorn R. ^{[1
]}

Overbeck G. ^{[1
]}

Röder C.H. ^{[1
,3
]}

机构：

[1] Klinik für Psychosomatische Medizin und Psychotherapie, Klinikum der J.W. Goethe Universität Frankfurt Am Main

[2] Institut für Pädagogische Psychologie, J.W. Goethe Universität Frankfurt Am Main

[3] Dept. of Psychiatry, Erasmus University Medical School, Rotterdam

[4] Klinik für Psychosomatische Medizin und Psychotherapie, 60528 Frankfurt

来源：

Psychotherapeut | 2005年 / 50卷 / 5期

关键词：

Anxiety disorder; Depersonalization; Derealization; Dissociative disorder; Prevalence;

D O I：

10.1007/s00278-005-0436-z

中图分类号：

学科分类号：

摘要：

Depersonalization (DP) and derealization (DR) remain poorly recognized in clinical routine. Active exploration through structured interviews is strongly recommended, because patients rarely describe spontaneously their experiences with DP/DR. 143 psychosomatic, first-admission inpatients were interviewed about the 1-month prevalence of DP/DR using the Structured Clinical Interview for DSM-IV dissociative disorders. Additionally, the German questionnaires of the Cambridge Depersonalization Scale, the Dissociative Experiences Scale, the SCL-90-R and the Inventory of Interpersonal Problems were used. In the sample we found a prevalence of 23.1% (N=33) for depersonalization-derealization syndrom (ICD-10 F48.1) and 7% (N=10) for secondary pathological DP/DR. A total percentage of 62.9% reported DP/DR to some degree or other. There was a noticeably high co-occurrence of anxiety disorders in patients with pathological DP/DR. Patients with pathological DP/DR were generally more impaired, suffered many more interpersonal problems and were particularly characterized by introversion. Considering the high prevalence of this phenomenon, more attention should be paid to DP/DR in routine diagnostic procedures, treatment and research. © Springer Medizin Verlag 2005.

引用

页码：328 / 339

页数：11

共 40 条

[1]

Baker D., Hunter E., Lawrence E., Medford N., Patel M., Senior C., Sierra M., Lambert M.V., Phillips M.L., David A.S., Depersonalisation disorder: Clinical features of 204 cases, Br J Psychiatry, 182, pp. 428-433, (2003)

[2]

Bernstein E.M., Putnam F.W., Development, reliability, and validity of a dissociation scale, J Nerv Ment Dis, 174, pp. 727-735, (1986)

[3]

Bohus M., Borderline-Störungen, (2002)

[4]

Brauer R., Harrow M., Tucker G., Depersonalization phenomena in psychiatric patients, Br J Psychiat, 117, pp. 509-515, (1970)

[5]

Cassano G.B., Petracca A., Perugi G., Toni C., Tundo A., Roth M., Derealization and panic attacks: A clinical evaluation on 150 patients with panic disorder/agoraphobia, Compr Psychiatry, 30, pp. 5-12, (1989)

[6]

Cattell J.P., Cattell J.S., Depersonalization: Psychological and social perspectives, American Handbook of Psychiatry. Vol 3. Adult Clinical Psychiatry. 2nd Edn., 3, pp. 766-799, (1974)

[7]

Chefetz R.A., Healing haunted hearts - Toward a model for integrating subjectivity. Commentary on papers by Philip Bromberg and Gerald Stechler, Psychoanalytic Dialogues, 13, pp. 727-742, (2002)

[8]

Dammann G., Benecke C., Angstzustände bei Patienten mit schweren Persö nlichkeitsstörungen, Psychotherapeut, 49, pp. 193-202, (2004)

[9]

Eckhardt A., Hoffmann S.O., Depersonalisation und Selbstbeschädigung, Z Psychsom Med, 39, pp. 284-306, (1993)

[10]

Eckhardt-Henn A., Hoffmann S.O., Angst und Dissoziation - Zum Stand der wechselseitigen Beziehung der beiden psychischen Bedingungen, Persönlichkeitsstörungen, 5, pp. 28-39, (2001)

← 1 2 3 4 →