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Pain-determined dissociation episodes.

D A Fishbain1, R B Cutler, H L Rosomoff

  • 1University of Miami School of Medicine, Department of Surgery, Miami Beach, Florida, USA.

Pain Medicine (Malden, Mass.)
|April 23, 2004
PubMed
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Increased pain levels may trigger dissociative episodes in patients with chronic pain, potentially linking dissociation disorders like dissociative fugue and dissociative identity disorder to pain onset and exacerbation.

Area of Science:

  • Psychiatry
  • Pain Medicine
  • Psychology

Background:

  • Dissociative disorders involve disruptions in consciousness, memory, or perception.
  • Chronic pain affects a significant portion of the population.
  • Understanding the interplay between chronic pain and psychological conditions is crucial.

Purpose of the Study:

  • To investigate the relationship between elevated pain levels and the development of dissociative disorders.
  • To examine the occurrence of dissociative fugue (DF) and dissociative identity disorder (DID) in patients with chronic pain (PWCP).

Main Methods:

  • A retrospective analysis of 2,544 patients with chronic pain evaluated between November 1992 and July 2000.
  • Identification and case presentation of six patients diagnosed with dissociative disorders (2 DID, 4 DF).

Related Experiment Videos

  • Utilized the Dissociative Experiences Scale to assess dissociation levels in DF patients before and during chronic pain.

    • Main Results:

    • The prevalence of dissociation in this chronic pain population was 0.235%.
    • Dissociation episodes in all four DF patients commenced after the onset of chronic pain.
    • All six patients linked their dissociation episodes to periods of increased pain intensity.

    Conclusions:

    • A potential etiological association exists between the development of dissociation episodes and chronic pain.
    • Increases in chronic pain severity may trigger or exacerbate dissociative phenomena.
    • While the frequency is low in this cohort, the findings suggest a link warranting further investigation.