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Related Experiment Videos

Trauma and dissociation in China.

Zeping Xiao1, Heqin Yan, Zhen Wang

  • 1Shanghai Mental Health Center, China.

The American Journal of Psychiatry
|August 1, 2006
PubMed
Summary

Pathological dissociation is present in China, particularly among psychiatric outpatients. Rates are lower in the general population but higher in individuals with a history of trauma.

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Area of Science:

  • Psychiatry
  • Psychology
  • Trauma Studies

Background:

  • Dissociative disorders are recognized globally, but their prevalence in China is understudied.
  • Lack of public and professional awareness of dissociative identity disorder in China minimizes contamination bias.
  • Understanding pathological dissociation in diverse cultural contexts is crucial for accurate diagnosis and treatment.

Purpose of the Study:

  • To investigate the occurrence of pathological dissociation in China.
  • To assess dissociative disorders among psychiatric patients and the general population in Shanghai.
  • To examine the relationship between trauma history and pathological dissociation.

Main Methods:

  • A survey was conducted in Shanghai, China, involving psychiatric inpatients, outpatients, and factory workers.

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  • Chinese versions of the Dissociative Experiences Scale and Dissociative Disorders Interview Schedule were used.
  • Data were collected by Chinese psychiatrists at the Shanghai Mental Health Center.

    • Main Results:

    • Dissociative disorders were diagnosed in 24 individuals, and 15 met criteria on the Dissociative Experiences Scale.
    • Psychiatric outpatients exhibited the highest rates of childhood abuse and pathological dissociation.
    • Pathological dissociation was less prevalent in the general population sample.

    Conclusions:

    • Pathological dissociation is detectable in Chinese psychiatric outpatients.
    • Trauma history is associated with increased rates of pathological dissociation in China.
    • Findings challenge sociocognitive, contamination, and iatrogenic models of dissociative identity disorder.