Type of presentation of dissociative disorder and frequency of co-morbid depressive disorder.

Abstract

OBJECTIVE:

To determine the frequency distribution of various types of dissociative disorders, along with existing co-morbid depression and its level of severity in patients with dissociative disorder.

STUDY DESIGN:

Observational, cross-sectional study.

PLACE AND DURATION OF STUDY:

The Institute of Psychiatry, Rawalpindi General Hospital from October 2004 to March 2005.

METHODOLOGY:

Fifty consecutive patients were included in the study through non-probable purposive sampling technique. Encounter form included socio-demographic profile and brief psychiatric history. ICD 10 diagnostic criteria for research were administered for determining the presentation of dissociative disorder. Present state examination was applied to make diagnosis of depressive disorder in the studied patients. Descriptive statistics for frequency analysis of sociodemographic variables, type of presentation of dissociative disorder and the frequency of depressive disorder in patients of dissociative disorder.

RESULTS:

The mean age was 23.6+/-8.67 years with female preponderance (n=40, 80% patients). Most of them were single, unemployed and belonged to urban population. Main stress was primary support group issue. Mixed category of dissociative disorder was highest (n=18, 38%) followed by unspecified and motor symptoms (n=13, 26%) in each group. Depression was present in 42 (84%) patients. Moderate depression was most frequent (n=19, 38%).

CONCLUSION:

Mixed dissociative symptoms were found in 38%, while 26% had motor and unspecified category of dissociative symptoms respectively. Depressive disorder was present in 42 (84%) cases of dissociative disorder with 38% having moderate depression.

• Authors: Tabassum Alvi, Fareed Aslam Minhas
• Journal: Journal of the College of Physicians and Surgeons--Pakistan : JCPSP (J Coll Physicians Surg Pak) Vol. 19 Issue 2 Pg. 113-6 (Feb 2009) ISSN: 1022-386X [Print] Pakistan
• PMID: 19208316 (Publication Type: Journal Article)

Topics

• Adolescent
• Adult
• Child
• Comorbidity
• Conversion Disorder (diagnosis, epidemiology, psychology)
• Cross-Sectional Studies
• Depressive Disorder (diagnosis, epidemiology, psychology)
• Diagnostic and Statistical Manual of Mental Disorders
• Dissociative Disorders (diagnosis, epidemiology, psychology)
• Female
• Humans
• Male
• Middle Aged
• Psychiatric Status Rating Scales
• Severity of Illness Index
• Sex Factors
• Socioeconomic Factors
• Surveys and Questionnaires
• Young Adult