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Updated: Aug 14, 2026

Use of a Psychophysiological Script-driven Imagery Experiment to Study Trauma-related Dissociation in Borderline Personality Disorder
Published on: March 8, 2018
Dissociative disorders among adults in the community, impaired functioning, and axis I and II comorbidity
Jeffrey G Johnson1, Patricia Cohen, Stephanie Kasen
1Columbia University and the New York State Psychiatric Institute, Box 47, 1051 Riverside Drive, New York, NY 10032, USA. jjohnson@pi.cpmc.columbia.edu
Objective:
To investigate the association of dissociative disorder (DD) with impaired functioning and co-occurring Axis I and personality disorders among adults in the community.
Method:
Psychiatric interviews were administered to a sample of 658 adult participants in the Children in the Community Study, a community-based longitudinal study.
Results:
Depersonalization disorder (prevalence: 0.8%), dissociative amnesia (prevalence: 1.8%), dissociative identity disorder (prevalence: 1.5%), and dissociative disorder not otherwise specified (prevalence: 4.4%), evident within the past year, were each associated with impaired functioning, as assessed by the clinician-administered Global Assessment of Functioning Scale. These associations remained significant after controlling for age, sex, and co-occurring disorders. Individuals with anxiety, mood, and personality disorders were significantly more likely than individuals without these disorders were to have DD, after the covariates were controlled. Individuals with Cluster A (DD prevalence: 58%), B (DD prevalence: 68%), and C (DD prevalence: 37%) personality disorders were substantially more likely than those without personality disorders were to have DD.
Conclusions:
DD is associated with clinically significant impairment among adults in the community. DD may be particularly prevalent among individuals with personality disorders.
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