Prevalence of dissociative disorders in psychiatric outpatients

Foote, Brad

doi:10.1037/e609232012-154

Cited by 19 publications

(30 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…However, none of our subjects with DA/DID had been previously treated in psychotherapy programs specifically designed for DA/DID, and only one subject (with DID) of our study had been previously diagnosed clinically [for similar results in psychiatric out‐patient samples see Ref. (18)]. All our study subjects had been admitted to our hospitals’ therapeutic unit [performing trauma‐related psychotherapy; see Ref.…”

Section: Discussionmentioning

confidence: 95%

“…Use of the Structured Clinical Interview for DSM‐IV Dissociative Disorders has shown that dissociative amnesia (DA) is the area most strongly affected in persons who had been exposed to traumatic stress (14). Childhood abuse, particularly chronic abuse beginning at early ages, was shown to be related to the development of high levels of dissociation, including dissociative amnesia (DA) and dissociative identity disorder (DID) (15–18). Accordingly, present neuroimaging findings suggest two subtypes of trauma response, one characterized predominantly by hyperarousal and intrusions, and the other primarily by dissociative symptoms (19).…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Amygdala and hippocampal volumes and cognition in adult survivors of childhood abuse with dissociative disorders

Weniger

Lange

Sachsse

et al. 2008

Acta Psychiatr Scand

115

View full text Add to dashboard Cite

show abstract

Section: Discussionmentioning

confidence: 95%

Section: Introductionmentioning

confidence: 99%

Amygdala and hippocampal volumes and cognition in adult survivors of childhood abuse with dissociative disorders

Weniger

Lange

Sachsse

et al. 2008

Acta Psychiatr Scand

115

View full text Add to dashboard Cite

show abstract

“…Factory workers showed a prevalence of DA of 0.2% compared with 0.2% of inpatients and 1.3% of outpatients (Note: patients were selected in part based on a childhood history of physical or sexual abuse). Foote et al [162] found that 10% of 82 inner city patients at an outpatient clinic met diagnostic criteria for DA; none met diagnostic criteria for DF.…”

Section: Epidemiology Of Dissociative Amnesia and Dissociative Fuguementioning

confidence: 99%

“…[182] Both clinical research and epidemiological studies have routinely reported that DDNOS is either the most common or among the most common dissociative diagnoses. [9,160,162,186] Spiegel and Cardeñ a [164] identified the disproportionate number of DDNOS diagnoses as a major problem to be solved by DSM-5. A review and analysis of DDNOS concluded that the majority of DDNOS cases are actually undiagnosed (or misdiagnosed) DID cases.…”

Section: Dissociative Identity Disorder (30014)mentioning

confidence: 99%

Dissociative Disorders in DSM-5

Spiegel

Lewis‐Fernández

Lanius

et al. 2013

Annu. Rev. Clin. Psychol.

164

123

View full text Add to dashboard Cite

The rationale, research literature, and proposed changes to the dissociative disorders and conversion disorder in the fifth edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5) are presented. Dissociative identity disorder will include reference to possession as well as identity fragmentation, to make the disorder more applicable to culturally diverse situations. Dissociative amnesia will include dissociative fugue as a subtype, since fugue is a rare disorder that always involves amnesia but does not always include confused wandering or loss of personality identity. Depersonalization disorder will include derealization as well, since the two often co-occur. A dissociative subtype of posttraumatic stress disorder (PTSD), defined by the presence of depersonalization or derealization in addition to other PTSD symptoms, is being recommended, based upon new epidemiological and neuroimaging evidence linking it to an early life history of adversity and a combination of frontal activation and limbic inhibition. Conversion disorder (functional neurological symptom disorder) will likely remain with the somatic symptom disorders, despite considerable dissociative comorbidity.

show abstract

“…This considered ‘rarity status’ unfortunately means that delays in diagnosis are common: the average time to diagnosis quoted on patients’ websites such as PODS () is 7 years, and for many it is much longer. Foote et al (2006) reported that, of the 24 psychiatric out-patients (29%; N = 82) they diagnosed with a dissociative disorder, only 4 (5% of the total) had been previously identified as having such a disorder.…”

Section: Prevalence Of Did and Ddnosmentioning

confidence: 99%

Understanding, identifying and managing severe dissociative disorders in general psychiatric settings

Temple¹

2018

BJPsych advances

View full text Add to dashboard Cite

SUMMARYThe severe dissociative disorders of dissociative identity disorder (DID) and dissociative disorder not otherwise specified (DDNOS) are complex, not uncommon presentations associated with severe symptoms, high rates of comorbidity, high service use compared with other psychiatric disorders, and high suicidality. They exact high personal and socioeconomic burdens and show poor response to standard treatments, with high levels of treatment attrition and ‘revolving-door’ out-patient and in-patient service use; patients are often misdiagnosed or labelled ‘untreatable’. DID and DDNOS diagnoses remain controversial, but they have been repeatedly validated internationally over the past 20 years and the disorders can be accurately identified using screening tools and structured clinical interviews. Neurobiological understanding of the disorders is increasing; findings are consistent with a trauma origin and have commonality with features seen in other trauma-related disorders. Specialist treatment that addresses the dissociative symptoms alongside their trauma origins shows promise in early evidence. Working knowledge of these disorders among non-specialist psychiatrists and psychologists in the UK remains poor, resulting in long delays before diagnosis and treatment.LEARNING OBJECTIVES•Understand trauma-related DID and DDNOS, in particular that they are ‘real’ and not rare disorders•Know when to suspect their presence in general psychiatric settings and how to assess for them•Understand (and help the patient to access) specialist treatments and be able to apply general approaches in the non-specialist settingDECLARATION OF INTERESTNone.

show abstract

Prevalence of dissociative disorders in psychiatric outpatients

Cited by 19 publications

References 0 publications

Amygdala and hippocampal volumes and cognition in adult survivors of childhood abuse with dissociative disorders

Amygdala and hippocampal volumes and cognition in adult survivors of childhood abuse with dissociative disorders

Dissociative Disorders in DSM-5

Understanding, identifying and managing severe dissociative disorders in general psychiatric settings

Contact Info

Product

Resources

About