Dissociation in psychiatric disorders: a meta-analysis of studies using the dissociative experiences scale
Objective:Dissociation is a complex, ubiquitous construct in psychopathology. Symptoms of dissociation are present in a variety of mental disorders and have been connected to higher burden of illness and poorer treatment response, and not only in disorders with high levels of dissociation. This meta...
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| Hauptverfasser: | , , |
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| Dokumenttyp: | Article (Journal) |
| Sprache: | Englisch |
| Veröffentlicht: |
2018
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| In: |
The American journal of psychiatry
Year: 2017, Jahrgang: 175, Heft: 1, Pages: 37-46 |
| ISSN: | 1535-7228 |
| DOI: | 10.1176/appi.ajp.2017.17010025 |
| Online-Zugang: | Verlag, Volltext: http://dx.doi.org/10.1176/appi.ajp.2017.17010025 Verlag, Volltext: https://ajp.psychiatryonline.org/doi/10.1176/appi.ajp.2017.17010025 
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| Verfasserangaben: | Lisa Lyssenko, Christian Schmahl, Laura Bockhacker, Ruben Vonderlin, Martin Bohus, Nikolaus Kleindienst |
| Zusammenfassung: | Objective:Dissociation is a complex, ubiquitous construct in psychopathology. Symptoms of dissociation are present in a variety of mental disorders and have been connected to higher burden of illness and poorer treatment response, and not only in disorders with high levels of dissociation. This meta-analysis offers a systematic and evidence-based study of the prevalence and distribution of dissociation, as assessed by the Dissociative Experiences Scale, within different categories of mental disorders, and it updates an earlier meta-analysis.Method:More than 1,900 original publications were screened, and 216 were included in the meta-analysis, comprising 15,219 individuals in 19 diagnostic categories.Results:The largest mean dissociation scores were found in dissociative disorders (mean scores >35), followed by posttraumatic stress disorder, borderline personality disorder, and conversion disorder (mean scores >25). Somatic symptom disorder, substance-related and addictive disorders, feeding and eating disorders, schizophrenia, anxiety disorder, OCD, and most affective disorders also showed mean dissociation scores >15. Bipolar disorders yielded the lowest dissociation scores (mean score, 14.8).Conclusions:The findings underline the importance of careful psychopathological assessment of dissociative symptoms in the entire range of mental disorders. |
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| Beschreibung: | Gesehen am 04.07.2018 Published online September 26, 2017 |
| Beschreibung: | Online Resource |
| ISSN: | 1535-7228 |
| DOI: | 10.1176/appi.ajp.2017.17010025 |