Cargando…
Dissociation in Patients with Non-Psychotic Mental Disorders
BACKGROUND: Dissociation is a generally recognized phenomenon in psychology and psychiatry; however, questions are still not fully resolved about the difference between pathological and normal dissociation, as well as the role of dissociation, depending on its aetiology, in the formation of clinical...
Autores principales: | , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Russian Psychological Society
2021
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10038679/ https://www.ncbi.nlm.nih.gov/pubmed/36967719 http://dx.doi.org/10.11621/pir2021.0201 |
_version_ | 1784912133309333504 |
---|---|
author | Iskanderova, Rinata Vasilyev, Valeriy V. |
author_facet | Iskanderova, Rinata Vasilyev, Valeriy V. |
author_sort | Iskanderova, Rinata |
collection | PubMed |
description | BACKGROUND: Dissociation is a generally recognized phenomenon in psychology and psychiatry; however, questions are still not fully resolved about the difference between pathological and normal dissociation, as well as the role of dissociation, depending on its aetiology, in the formation of clinical manifestations of mental disorders. OBJECTIVE: To complement the existing data about the significance of dissociation in non-psychotic mental disorders. DESIGN: Using the Dissociative Experience Scale (DES), we screened 62 patients (13 male and 49 female) from the Non-Psychotic Conditions Inpatient Department of the Udmurt Republican Clinical Psychiatric Hospital (Izhevsk, Russia). Nineteen of the patients had mental disorders of organic aetiology and 43 patients had mental disorders of psychogenic aetiology. RESULTS: Dissociation at the pathological level was detected in 12.9% of the patients, all of them female. Among patients with psychogenic disorders, the proportion of patients with pathological dissociation was more than three times that of patients with organic disorders. Among the particular dissociative phenomena, absorption had the highest average severity, both in the general sample and in each aetiological group of patients, while dissociative amnesia had the lowest average severity. The highest levels of dissociation were found in young female patients who had never been married. In patients with psychogenic disorders, the average dissociation severity was significantly higher than in the general population, while in patients with organic disorders it was significantly lower. CONCLUSION: The dissociation phenomenon may play a significant symptom-forming role in young women suffering from non-psychotic mental disorders of psychogenic aetiology. In the case of organic mental disorders, the severity of dissociative manifestations decreases even below the conditionally normal level, which may indirectly indicate the destruction of dissociative physiological mechanisms by an organic brain process. |
format | Online Article Text |
id | pubmed-10038679 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Russian Psychological Society |
record_format | MEDLINE/PubMed |
spelling | pubmed-100386792023-03-25 Dissociation in Patients with Non-Psychotic Mental Disorders Iskanderova, Rinata Vasilyev, Valeriy V. Psychol Russ Clinical Psychology BACKGROUND: Dissociation is a generally recognized phenomenon in psychology and psychiatry; however, questions are still not fully resolved about the difference between pathological and normal dissociation, as well as the role of dissociation, depending on its aetiology, in the formation of clinical manifestations of mental disorders. OBJECTIVE: To complement the existing data about the significance of dissociation in non-psychotic mental disorders. DESIGN: Using the Dissociative Experience Scale (DES), we screened 62 patients (13 male and 49 female) from the Non-Psychotic Conditions Inpatient Department of the Udmurt Republican Clinical Psychiatric Hospital (Izhevsk, Russia). Nineteen of the patients had mental disorders of organic aetiology and 43 patients had mental disorders of psychogenic aetiology. RESULTS: Dissociation at the pathological level was detected in 12.9% of the patients, all of them female. Among patients with psychogenic disorders, the proportion of patients with pathological dissociation was more than three times that of patients with organic disorders. Among the particular dissociative phenomena, absorption had the highest average severity, both in the general sample and in each aetiological group of patients, while dissociative amnesia had the lowest average severity. The highest levels of dissociation were found in young female patients who had never been married. In patients with psychogenic disorders, the average dissociation severity was significantly higher than in the general population, while in patients with organic disorders it was significantly lower. CONCLUSION: The dissociation phenomenon may play a significant symptom-forming role in young women suffering from non-psychotic mental disorders of psychogenic aetiology. In the case of organic mental disorders, the severity of dissociative manifestations decreases even below the conditionally normal level, which may indirectly indicate the destruction of dissociative physiological mechanisms by an organic brain process. Russian Psychological Society 2021-06-30 /pmc/articles/PMC10038679/ /pubmed/36967719 http://dx.doi.org/10.11621/pir2021.0201 Text en © Lomonosov Moscow State University, 2021 https://creativecommons.org/licenses/by/4.0/The journal content is licensed with CC BY-NC “Attribution-NonCommercial” Creative Commons license. |
spellingShingle | Clinical Psychology Iskanderova, Rinata Vasilyev, Valeriy V. Dissociation in Patients with Non-Psychotic Mental Disorders |
title | Dissociation in Patients with Non-Psychotic Mental Disorders |
title_full | Dissociation in Patients with Non-Psychotic Mental Disorders |
title_fullStr | Dissociation in Patients with Non-Psychotic Mental Disorders |
title_full_unstemmed | Dissociation in Patients with Non-Psychotic Mental Disorders |
title_short | Dissociation in Patients with Non-Psychotic Mental Disorders |
title_sort | dissociation in patients with non-psychotic mental disorders |
topic | Clinical Psychology |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10038679/ https://www.ncbi.nlm.nih.gov/pubmed/36967719 http://dx.doi.org/10.11621/pir2021.0201 |
work_keys_str_mv | AT iskanderovarinata dissociationinpatientswithnonpsychoticmentaldisorders AT vasilyevvaleriyv dissociationinpatientswithnonpsychoticmentaldisorders |