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OBJECTIVE This study attempted to determine 1) the prevalence of dissociative disorders in psychiatric inpatients, 2) the degree of reported childhood trauma in patients with dissociative disorders, and 3) the degree to which dissociative experiences are recognized in psychiatric patients. METHODS A total of 110 patients consecutively admitted to a state psychiatric hospital were given the Dissociative Experiences Scale. Patients who scored above 25 were matched for age and gender with a group of patients who scored below 5 on the scale. All patients in the two groups were then interviewed in a blind manner, and the Dissociative Disorders Interview Schedule, the Traumatic Antecedent Questionnaire, and the posttraumatic stress disorder (PTSD) module of the Structured Clinical Interview for DSM-III-R, Nonpatient Version, were administered. Chart reviews were also conducted on all patients. RESULTS Fifteen percent of the psychiatric patients scored above 25 on the Dissociative Experiences Scale; 100% of these patients met DSM-III criteria for a dissociative disorder. These patients had significantly higher rates of major depression, PTSD, substance abuse, and borderline personality than did the comparison patients, and they also reported significantly higher rates of childhood trauma. Chart review data revealed that dissociative symptoms were largely unrecognized. CONCLUSIONS A high proportion of psychiatric inpatients have significant dissociative pathology, and these symptoms are underrecognized by clinicians. The proper diagnosis of these patients has important implications for their clinical course.
G N Saxe, and
B A van der Kolk, and
R Berkowitz, and
G Chinman, and
K Hall, and
G Lieberg, and
J Schwartz
June 2000,
The American journal of psychiatry,
G N Saxe, and
B A van der Kolk, and
R Berkowitz, and
G Chinman, and
K Hall, and
G Lieberg, and
J Schwartz
January 1996,
Comprehensive psychiatry,
G N Saxe, and
B A van der Kolk, and
R Berkowitz, and
G Chinman, and
K Hall, and
G Lieberg, and
J Schwartz
April 2017,
Psychiatry research,
G N Saxe, and
B A van der Kolk, and
R Berkowitz, and
G Chinman, and
K Hall, and
G Lieberg, and
J Schwartz
September 1992,
General hospital psychiatry,
G N Saxe, and
B A van der Kolk, and
R Berkowitz, and
G Chinman, and
K Hall, and
G Lieberg, and
J Schwartz
June 1998,
The American journal of psychiatry,
G N Saxe, and
B A van der Kolk, and
R Berkowitz, and
G Chinman, and
K Hall, and
G Lieberg, and
J Schwartz
April 2001,
The Journal of nervous and mental disease,
G N Saxe, and
B A van der Kolk, and
R Berkowitz, and
G Chinman, and
K Hall, and
G Lieberg, and
J Schwartz
June 1998,
The American journal of psychiatry,
G N Saxe, and
B A van der Kolk, and
R Berkowitz, and
G Chinman, and
K Hall, and
G Lieberg, and
J Schwartz
August 2007,
Psychiatry research,
G N Saxe, and
B A van der Kolk, and
R Berkowitz, and
G Chinman, and
K Hall, and
G Lieberg, and
J Schwartz
January 2003,
International journal of law and psychiatry,
G N Saxe, and
B A van der Kolk, and
R Berkowitz, and
G Chinman, and
K Hall, and
G Lieberg, and
J Schwartz
January 2003,
Comprehensive psychiatry,
