Dissociative disorders in acute psychiatric inpatients in Taiwan. (April 2017)

• Record Type: Journal Article
• Authors: Chiu, Chui-De; Meg Tseng, Mei-Chih; Chien, Yi-Ling; Liao, Shih-Cheng; Liu, Chih-Min; Yeh, Yei-Yu; Hwu, Hai-Gwo; Ross, Colin A.
• Is Part Of: Psychiatry research. Volume 250(2017)
• Page Start: 285
• Page End: 290
• Publication Date: 2017-04
• Subjects: Dissociation -- First rank symptoms -- Psychological trauma; Psychiatry -- Periodicals; Psychiatry -- periodicals; Psychiatrie -- Périodiques; 616.89
• DOI: 10.1016/j.psychres.2017.01.082
• Languages: English
• ISSNs: 0165-1781

Abstract

Abstract: Dissociative disorders have been documented to be common psychiatric disorders which can be detected reliably with standardized diagnostic instruments in North American and European psychiatric inpatients and outpatients (20.6% and 18.4%, respectively). However, there are concerns about their cross-cultural manifestations as an apparently low prevalence rate has been reported in East Asian inpatients and outpatients (1.7% and 4.9%, respectively). It is unknown whether the clinical profile of dissociative disorders in terms of their core symptomatic clusters, associated comorbid disorders, and environmental risk factors that has emerged in western clinical populations can also be found in non-western clinical populations. A standardized structured interview for DSM-IV dissociative disorders, post-traumatic stress disorder, and a history of interpersonal victimization was administered in a sample of Taiwanese acute psychiatric inpatients. Our results showed that 19.5% of our participants met criteria for a DSM-IV dissociative disorder, mostly dissociative disorder not otherwise specified. More importantly, the western clinical profile of dissociative disorders also characterized our patients, including a poly-symptomatic presentation and a history of interpersonal trauma in both childhood and adulthood. Our results lend support to the conclusion that cross-cultural manifestations of dissociative pathology in East Asia are similar to those in North America and Europe. Highlights: A prevalence rate comparable to western studies was found in this Taiwanese sample. Our dissociative patients were also characterized by a poly-symptomatic presentation. Interpersonal trauma in child- and adult-hood correlated with dissociative disorders. Pathological trance possession wasn't a common complain of our dissociative patients.