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Dissociative symptomatology and aggressive behavior

M L Kaplan1, M Erensaft, W C Sanderson

  • 1Department of Psychiatry, Albert Einstein College of Medicine, Montefiore Medical Center, Bronx, NY 10467, USA.

Comprehensive Psychiatry
|October 20, 1998
PubMed
Summary

High scores on the Dissociative Experiences Scale (DES) correlate with increased aggression and suicide attempts in psychiatric outpatients. This highlights the need to address dissociative symptoms for better patient management.

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Area of Science:

  • Psychiatry
  • Psychology
  • Clinical Research

Background:

  • Dissociative symptomatology is prevalent in psychiatric populations.
  • Understanding its link to aggressive behavior is crucial for effective treatment.

Purpose of the Study:

  • To examine the relationship between dissociative experiences and aggressive behaviors.
  • To identify specific aggressive behaviors associated with higher levels of dissociation.

Main Methods:

  • A general psychiatric outpatient sample (n=122) was assessed.
  • The Dissociative Experiences Scale (DES) was used to measure dissociative symptomatology.
  • Aggressive behaviors were evaluated in relation to DES scores.

Main Results:

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  • 29% of patients scored above 25 on the DES.
  • Higher DES scores were significantly associated with a history of childhood sexual abuse.
  • Increased assaultive behavior, irritability, and negativism were reported by patients with high DES scores.
  • No significant difference in homicidal behavior was found between high and low DES score groups.

Conclusions:

  • Dissociative symptomatology is linked to specific aggressive behaviors and a history of trauma in psychiatric outpatients.
  • Clinical attention to dissociative experiences may improve the management of aggression in this population.