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Dissociative experiences in China.

Zeping Xiao1, Hequin Yan, Zhen Wang

  • 1Shanghai Mental Health Center.

Journal of Trauma & Dissociation : the Official Journal of the International Society for the Study of Dissociation (ISSD)
|July 29, 2006
PubMed
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Dissociative experiences and childhood trauma rates are significantly lower in China's general population compared to psychiatric patients. This study establishes a baseline for dissociation in non-clinical samples with minimal reported childhood abuse.

Area of Science:

  • Psychology
  • Cross-cultural Psychology
  • Psychopathology

Background:

  • Dissociative experiences are often linked to childhood trauma.
  • Understanding the prevalence of dissociation in diverse cultural contexts is crucial for accurate diagnosis and treatment.
  • Previous research has indicated variations in dissociation rates across different populations.

Purpose of the Study:

  • To compare rates of dissociative experiences and childhood trauma between a non-clinical sample in Shanghai, China, and a general population sample in Winnipeg, Canada.
  • To examine the prevalence of dissociative disorders and trauma in Chinese psychiatric patients.
  • To establish a baseline frequency of dissociation in a non-clinical population with low reported childhood abuse.

Main Methods:

  • Administered the Dissociative Experiences Scale (DES) to non-clinical samples in Shanghai (N=618) and Winnipeg (N=1055).

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  • Administered the Dissociative Disorders Interview Schedule (DDIS) to Chinese participants (N=618) and compared with Canadian participants (N=502).
  • Assessed Chinese psychiatric inpatients (N=423) and outpatients (N=304) using both DES and DDIS.
  • Main Results:

    • The Chinese non-clinical sample reported significantly lower rates of childhood trauma and dissociation compared to Chinese psychiatric patients and the Canadian general population.
    • No childhood sexual abuse and minimal childhood physical abuse were reported in the Chinese non-clinical sample.
    • Dissociative experiences were more prevalent in traumatized Chinese psychiatric patients and Canadian respondents than in the Chinese general population.

    Conclusions:

    • The study highlights a lower baseline frequency of dissociation in the Chinese general population, particularly in individuals reporting little to no childhood abuse.
    • Findings suggest significant cultural and environmental influences on the prevalence of dissociative experiences and trauma.
    • The data provide valuable normative data for dissociation in a low-trauma, non-clinical Chinese sample, aiding in cross-cultural comparisons and clinical assessments.