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Dissociative disorders in Turkish inpatients with conversion disorder
Ertan Tezcan1, Murad Atmaca, Murat Kuloglu
1Firat University, School of Medicine, Department of Psychiatry, Elazig, Turkey.
Comprehensive Psychiatry
|August 19, 2003
Summary
A significant portion of conversion disorder patients exhibit dissociative disorders. Early diagnosis of dissociative disorders in conversion disorder patients is crucial for effective treatment and improved clinical outcomes.
Area of Science:
- Psychiatry
- Clinical Psychology
Background:
- Conversion disorder (CD) is a complex condition.
- The co-occurrence of dissociative disorders (DDs) with CD requires further investigation.
Purpose of the Study:
- To determine the frequency of dissociative disorders among inpatients with conversion disorder.
- To explore the clinical characteristics of CD patients with co-occurring DDs.
Main Methods:
- Screening of 59 adult CD inpatients using the Dissociative Experience Scale (DES).
- Diagnostic interviews using the Dissociative Disorders Interview Schedule (DDIS) and Structured Interview for DSM-IV Dissociative Disorders (SCID-D).
Main Results:
- 30.5% of CD patients received a diagnosis of a dissociative disorder.
- Dissociative identity disorder and dissociative disorder not otherwise specified were the most common diagnoses.
- Childhood sexual abuse and neglect were reported by all patients in the DDs group.
Conclusions:
- A high prevalence of dissociative pathology exists in conversion disorder patients.
- Identifying dissociative disorders in CD patients is essential for managing their clinical course.
- Co-occurring DDs in CD may be linked to histories of trauma.