1548 – Correlates of psychoform and somatoform dissociation in eating diosrders (ed)

Abstract

Psychoform dissociation is related with various kinds of traumatic experiences and somatoform dissociation with physical abuse, probably because dissociation blocks negative affects. The association between types of dissociation and types of trauma in eating disorders it is not clear. Our objective is to examine what are the correlates of psychoform and somatoform dissociation in ED. We assessed 29 voluntary ED patients (anorexia = 16; bulimia = 13) from one psychiatric consultation with the Dissociative Experiences Scale (DES), the Somatoform Dissociation Questionnaire (SDQ-20), the Traumatic Events Checklist (TEC), and the General Symptom Index (GSI) from the Brief Symptom Inventory (BSI).In anorexia, DES scores significantly correlated with GSI, anxiety, phobia, psychoticism, obsessive-compulsive, depressive, and paranoid symptoms, and with none of the trauma types. In bulimia, DES significantly correlated with GSI, and all of the BSI symptomatology except obsessive-compulsive and hostility; with emotional trauma (occurred between the 0-6 years of age), and familial trauma.In anorexia, SDQ-20 significantly correlated with GSI, and all of the BSI symptomatology except somatization and paranoid symptoms. In bulimia, SDQ-20 significantly correlated with GSI, and all BSI dimensions; with trauma, physical abuse, emotional trauma (occurred between the 0-6 years of age), and with familial trauma.These findings highlight the importance of considering psychopathological symptoms in the treatment of psychoform and somatoform dissociation in ED. A special caution should be given to infancy trauma occurred in the family in the treatment of dissociation in bulimia.

Dissociative Experiences and Psychopathology Among Inmates in Italian and Portuguese Prisons

“…especially as measured by the most widely used questionnaire [i.e., the Dissociative Experiences Scale, (Bernstein & Putnam, 1986)], seems stable across different cultural contexts, in terms of presence and degree of presentation in various countries (Barker-Collo, 2001; Bauer & Power, 1995;Collins & Jones, 2004;Espirito-Santo & Abreu, 2009;Garofalo et al, 2014;Larøi, Billieux, Defeldre, Ceschi, & Van der Linden, 2013;Lipsanen, Saarijärvi, & Lauerma, 2003;Ross, Joshi, & Currie, 1991;Spitzer, Freyberger, & Stieglitz, 1998;Xiao et al, 2006). The association between dissociation and psychopathological symptoms is also well established in a broad range of nonclinical (Bauer & Power, 1995;Levin & Spei, 2004;Maaranen et al, 2008;Martínez-Taboas & Bernal, 2000;Mulder, Beautrais, Joyce, & Fergusson, 1998) and clinical populations (Allen, Coyne, & Console, 1996;1997;Belli, Ural, Vardar, Yesılyurt, & Oncu, 2012;Bob et al, 2008;Espirito-Santo, Gonçalves, Marques, Rocha, & Cassimo, 2013;Lewis-Fernandez et al, 2002;Löffler-Stastka, Szerencsics, & Blüml, 2009;Modestin, Ebner, Junghan, & Erni, 1996;Oedegaard et al, 2008;Rufer, Fricke, Held, Cremer, & Hand, 2005;Sar et al, 2007;Schäfer et al, 2011;Simões, Espirito-Santo, Jesus, & Marques, 2014;Somer, Altus, & Ginzburg, 2010), with stronger correlations between dissociative and psychotic symptoms (Allen et al, 1997;…”

Somatoform dissociation, fatigue severity and pain behavior compared in patients with migraine headache and in healthy individuals

“… 16 Study done in the field of other disorders, such as anorexia nervosa and bulimia nervosa, showed Strong relationship with Somatoform dissociation. 17 These reports show increase in psychosomatic analysis of factors among patients with migraine and other symptoms associated with psychiatric disorders.…”