Multiple personality disorder among female inpatients in a state hospital
| Autor: | Doreen L. Hughes, Stephen I. Kramer, Tracy T. Latz |
|---|---|
| Rok vydání: | 1995 |
| Předmět: |
Adult
medicine.medical_specialty Referral Adolescent Dissociative Experiences Scale MEDLINE Hospitals State Multiple Personality Disorder Sex Factors Forensic psychiatry medicine North Carolina Psychiatric hospital Humans Dissociative disorders Medical diagnosis Psychiatry Referral and Consultation Aged Psychiatric Status Rating Scales Dissociative Identity Disorder Age Factors Reproducibility of Results Forensic Psychiatry Length of Stay Middle Aged medicine.disease Hospitalization Psychiatry and Mental health Female Psychology Clinical psychology |
| Zdroj: | The American journal of psychiatry. 152(9) |
| ISSN: | 0002-953X |
| Popis: | Objective Professional skepticism and concerns regarding diagnostic reliability hinder research in dissociative disorders and multiple personality disorder. The reported frequency of multiple personality disorder in different psychiatric settings ranges from 2.4% to 35%. The authors conducted a replication study of multiple personality disorder ascertainment in women admitted to a state hospital over a 5.5-month period. Method Responses to the Dissociative Experiences Scale and to the Dissociative Disorders Interview Schedule were obtained, along with data on length of stay, county of admission referral, admission commitment status, and discharge diagnoses, for 176 female inpatients in a state hospital. Of 421 women representing 483 consecutive admissions, 121 were discharged before they could be assessed for study, 64 were excluded, 60 declined to participate, 176 enrolled in the study, and 175 completed the research procedures. Results Twenty-one women (12%) met criteria for multiple personality disorder based on the Dissociative Disorders Interview Schedule; these women were significantly younger than the women without multiple personality disorder. Scores on the Dissociative Experiences Scale of the women with multiple personality disorder (mean = 59.5, SD = 19.6) were significantly higher than the scores of women without multiple personality disorder (mean = 22.5, SD = 20.1), but considerable overlap occurred. There was no significant difference between groups in length of stay or admission status. Conclusions The authors conclude that 1) the wide variability in multiple personality disorder detection is partially due to site-specific ascertainment biases and 2) despite its apparent usefulness for screening purposes, the Dissociative Experiences Scale requires more comprehensive evaluation before it can be applied broadly. |
| Databáze: | OpenAIRE |
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