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Dissociative symptoms in a substance abuse population

G E Dunn¹, A M Paolo, J J Ryan

¹Dwight D. Eisenhower Department of Veterans Affairs Medical Center, Leavenworth, KS 66048.

The American Journal of Psychiatry

|July 1, 1993

Summary

Over 41% of veterans in substance abuse treatment reported significant dissociative experiences, suggesting a need for routine screening. Psychological discomfort, IQ, and race were key factors influencing these dissociative symptoms.

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Area of Science:

Psychiatry
Psychology
Neuroscience

Background:

Dissociative experiences are often overlooked in substance abuse populations.
Understanding the prevalence and contributing factors of dissociation is crucial for effective treatment.

Purpose of the Study:

To investigate the prevalence of dissociative experiences in individuals with substance use disorders.
To identify demographic and clinical variables associated with dissociative experiences in this population.

Main Methods:

A cohort of 265 male veterans in inpatient substance abuse treatment completed standardized psychological assessments.
Data collection included the MMPI-2, Shipley-Hartford Institute of Living Scale, Dissociative Experiences Scale, and medical record review.

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Main Results:

More than 41% of participants scored high on the Dissociative Experiences Scale, indicating potential dissociative disorders.
Multiple regression analysis showed psychological discomfort, IQ, and race explained over 24% of the variance in dissociative experiences.

Conclusions:

Routine screening for dissociative symptoms should be considered for individuals with substance use disorders.
Findings highlight the importance of considering dissociation alongside common comorbidities like depression and anxiety in this population.