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SCL-90 symptom patterns: indicators of dissociative disorders
Marlene Steinberg1, Declan T Barry, Diane Sholomskas
1Department of Psychiatry, Yale University School of Medicine, New Haven, CT, USA. m.steinberg@rcn.com
Bulletin of the Menninger Clinic
|September 24, 2005
Summary
Adult outpatients with dissociative identity disorder (DID) show higher Symptom Checklist-90 (SCL-90) scores. This suggests SCL-90 symptom severity may indicate a need for dissociative disorder assessment.
Area of Science:
- Psychiatry
- Clinical Psychology
- Mental Health Research
Background:
- Dissociative disorders are complex mental health conditions.
- Accurate diagnosis is crucial for effective treatment.
- Symptom assessment tools like the SCL-90 may offer diagnostic insights.
Purpose of the Study:
- To investigate the Symptom Checklist-90 (SCL-90) profiles in adult outpatients.
- To compare SCL-90 scores between patients with and without dissociative disorders.
- To explore the utility of the SCL-90 in identifying potential dissociative disorders.
Main Methods:
- 194 adult outpatients participated in the study.
- Participants completed the Structured Clinical Interview for DSM-IV Dissociative Disorders-Revised (SCID-D-R).
- The Symptom Checklist-90 (SCL-90) was administered to all participants.
Main Results:
- Patients diagnosed with dissociative identity disorder (DID) exhibited significantly elevated SCL-90 Global Severity Index (GSI) scores.
- Individuals with DID also reported higher scores on individual SCL-90 subscales compared to controls.
- Elevated SCL-90 scores were associated with the presence of dissociative disorders.
Conclusions:
- The SCL-90 may serve as a valuable screening tool for dissociative disorders.
- Polysymptomatic patients on the SCL-90 warrant further assessment for dissociative symptoms.
- Integrating SCL-90 data can improve differential diagnosis and treatment planning for dissociative disorders.