Childhood emotional abuse, dissociation, and suicidality among patients with drug dependency in Turkey

Abstract

Aim:The aim of the present study was to determine the prevalence and correlates of dissociative disorders among patients with drug dependency. Methods:The Dissociative Experiences Scale (DES) was used to screen 104 consecutive patients at an addiction treatment center. Thirty-seven patients who had scores Ն30 were compared with 21 patients who scored <10 on the DES. Both groups were then evaluated using the Dissociative Disorders Interview Schedule and the Structured Clinical Interview for Dissociative Disorders (SCID-D). The interviewers were blind to the DES scores.Results: Twenty-seven patients (26.0%) had a dissociative disorder according to the SCID-D. Dissociative patients were younger than the non-dissociative group. History of suicide attempt and/or childhood emotional abuse was significant predictors of a dissociative disorder. The majority (59.3%) of dissociative drug users reported that dissociative experiences had existed prior to substance use. More patients in the dissociative disorder than in the nondissociative group stopped their treatment prematurely. Conclusion:A considerable proportion of drug users have a dissociative disorder, which may also interfere with treatment process. The relatively young age of this subgroup of patients and frequent reports of childhood emotional abuse underline potential preventive benefits of early intervention among adolescents with developmental trauma history and dissociative psychopathology.

A Review of Published Research on Adult Dissociative Identity Disorder

“…A single researcher accounted for 30% of all cases across three studies (Dell, 2002(Dell, , 2006a(Dell, , 2006b; however, it is essential to note that the researcher obtained the largest samples (N = 102; N = 220) by giving surveys to other therapists to administer to their patients (Dell, 2006a(Dell, , 2006b. Another single researcher accounted for 6% of the cases (Thomas, 2001), and three research groups accounted for 14% Ellason, 2001, 2005;Ross and Haley, 2004;Ross and Keyes, 2004;Ross et al, 2002Ross et al, , 2008Ross and Ness, 2010;Yu et al, 2010), 13% Ö ztürk and Sar, 2008;Tamar-Gurol et al, 2008;Tezcan et al, 2003; all articles with Ş ar as first author), and 6% of the cases (all articles with Dorahy as first author).…”

Epidemiology of Dissociative Disorders: An Overview

“…Among consecutive inpatients admitted to a dependency treatment unit of a large state mental hospital in Istanbul, Turkey, the lifetime prevalence of DSM-IV dissociative disorders was 17.2% [45]. These rates were 9.0% for alcohol dependency only [46] and 26.0% for patients with chemical dependency [47]. Those rates were between 15.0% and 39.0% [48][49][50] for patients with chemical dependency in North America.…”

A (in)visibilidade da violência psicológica na infância e adolescência no contexto familiar

“…Os resultados de 8 artigos (15,6%) que estudaram a estimativa de prevalência de violência psicológica encontraram os percentuais entre 26% a 80% 25,30,41,50,51,52,53,54 .…”