Dissociative disorders in acute psychiatric inpatients in Taiwan

Chui De Chiu, Mei Chih Meg Tseng, Yi Ling Chien, Shih Cheng Liao, Chih Min Liu, Yei Yu Yeh, Hai Gwo Hwu, Colin A. Ross

Research output: Contribution to journalArticlepeer-review

9 Citations (Scopus)

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.

Original languageEnglish
Pages (from-to)285-290
Number of pages6
JournalPsychiatry Research
Volume250
DOIs
Publication statusPublished - Apr 1 2017

Keywords

  • Dissociation
  • First rank symptoms
  • Psychological trauma

ASJC Scopus subject areas

  • Psychiatry and Mental health
  • Biological Psychiatry

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