The DOI matches its Crossref record; 49 of the 53 references it cites were found in a registry or an index.
Dissociative symptoms and dissociative disorder comorbidity in patients with obsessive-compulsive disorder
Abstract
The present study attempted to assess the dissociative symptoms and overall dissociative disorder comorbidity in patients with obsessive-compulsive disorder (OCD). In addition, we examined the relationship between the severity of obsessive-compulsive symptoms and dissociative symptoms. All patients admitted for the first time to the psychiatric outpatient unit were included in the study. Seventy-eight patients had been diagnosed as having OCD during the 2-year study period. Patients had to meet the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition criteria for OCD. Most (76.9%; n = 60) of the patients were female, and 23.1% (n = 18) of the patients were male. Dissociation Questionnaire was used to measure dissociative symptoms. The Structured Clinical Interview for Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition Dissociative Disorders interviews and Yale-Brown Obsessive Compulsive Checklist and Severity Scale were used. Eleven (14%) of the patients with OCD had comorbid dissociative disorder. The most prevalent disorder in our study was dissociative depersonalization disorder. Dissociative amnesia and dissociative identity disorder were common as well. The mean Yale-Brown score was 23.37 ± 7.27 points. Dissociation Questionnaire scores were between 0.40 and 3.87 points, and the mean was 2.23 ± 0.76 points. There was a statistically significant positive correlation between Yale-Brown points and Dissociation Questionnaire points. We conclude that dissociative symptoms among patients with OCD should alert clinicians for the presence of a chronic and complex dissociative disorder. Clinicians may overlook an underlying dissociative process in patients who have severe symptoms of OCD. However, a lack of adequate response to cognitive-behavioral and drug therapy may be a consequence of dissociative process.
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“Additional studies reveal that dissociative symptoms are present in OCD and are correlated with increased disease severity (Belli et al., 2012;Rufer et al., 2006a), treatment non-compliance and reduced treatment effectiveness (Rufer et al., 2006b;Semiz et al., 2014).”
From A review of the relation between dissociation, memory, executive functioning and social cognition in military members and civilians with neuropsychiatric conditions (2016) · cites this paper as Belli et al., 2012
In the citing paper
“Belli et al. (2012) reported further that approximately 14% of a sample of individuals with OCD met criteria for a comorbid dissociative disorder.”
From A review of the relation between dissociation, memory, executive functioning and social cognition in military members and civilians with neuropsychiatric conditions (2016) · cites this paper as Belli et al., 2012
In the citing paper
“Transdiagnostically, heighted dissociative symptoms are associated with increased disease severity (Belli et al., 2012;Rufer et al., 2006a;Stein et al., 2013)”
From A review of the relation between dissociation, memory, executive functioning and social cognition in military members and civilians with neuropsychiatric conditions (2016) · cites this paper as Belli et al., 2012
Citations
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The Yale-Brown Obsessive-Compulsive Scale: Measures of internal consistency
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Responsibility attitudes and interpretations are characteristic of obsessive compulsive disorder
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Dissociation: Clinical and Theoretical Perspectives
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Childhood trauma, dissociation, and psychiatric comorbidity in patients with conversion disorder
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Research works printed but not linked: 1
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Cited by
The link between dissociation and both suicide attempts and non-suicidal self-injury: Meta-analyses
Calati, R., Bensassi, I., & Courtet, P. (2017) · Psychiatry Research · doi:10.1016/j.psychres.2017.01.035 · Cited by 159
The Prevalence of Depersonalization-Derealization Disorder: A Systematic Review
Yang, J., Millman, L. S. M., David, A. S., & Hunter, E. C. M. (2022) · Journal of Trauma & Dissociation · doi:10.1080/15299732.2022.2079796 · Cited by 108
Semiz, Ü. B., İnanç, L., & Bezgin, Ç. (2013) · Social Psychiatry and Psychiatric Epidemiology · doi:10.1007/s00127-013-0787-7 · Cited by 95
McKinnon, M. C., Boyd, J. E., Frewen, P. A., Lanius, U. F., Jetly, R., Richardson, J. D., & Lanius, R. A. (2016) · Neuropsychologia · doi:10.1016/j.neuropsychologia.2016.07.017 · Cited by 94
“…and social phobia (Ball et al., 1997; Marquez et al., 2001; Mula et al., 2007; Simeon et al., 2003), MDD (Nuller, 1982; Parlar et al., 2016), bipolar disorder (Oedegaard et al., 2008), OCD (Belli, 2014; Belli et al., 2012; Rufer et al., 2006a, 2006b), and schizophrenia (Yu et al., 2010).”
InfluentialDissociative depression among women in the community
Sar, V., Akyüz, G., Öztürk, E., & Alioğlu, F. (2013) · Journal of Trauma & Dissociation · doi:10.1080/15299732.2012.753654 · Cited by 86
Metadata
- Authors
- Belli, H., Ural, C., Vardar, M. K., Yesılyurt, S., & Oncu, F.
- Affiliations
- Bağcılar Eğitim ve Araştırma Hastanesi (TR)
- Corresponding author
- Belli, Hasan
- Venue
- Comprehensive Psychiatry
- Publisher
- Elsevier BV
- Published
- 2012-10
- Volume
- 53
- Issue
- 7
- Pages
- 975-980
- ISSN
- 0010-440X (ISSN-L)
- OpenAlex
- W2066426753
- Cited by
- 42
- References
- 53
- Citations by year
- 2026: 2 · 2025: 1 · 2024: 3 · 2023: 5 · 2022: 4 · 2021: 2 · 2020: 2 · 2019: 1 · 2018: 4 · 2017: 3 · 2016: 2 · 2015: 2 · 2014: 4 · 2013: 7
- FWCI
- 2.81
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- www.elsevier.com/tdm/userlicense/1.0/ (tdm)
- Locations
- Comprehensive Psychiatry (publishedVersion)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion)
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Psychosomatic Disorders and Their Treatments
- Social Sciences › Psychology › Clinical Psychology › Obsessive-Compulsive Spectrum Disorders
- Social Sciences › Psychology › Clinical Psychology › Psychoanalysis and Psychopathology Research
- Keywords
- obsessive-compulsive disorder, dissociative symptoms, dissociative amnesia, dissociative identity disorder, Yale-Brown Obsessive Compulsive Scale, symptom severity, treatment resistance
- MeSH terms
- Adolescent, Adult, Dissociative Disorders, Female, Humans, Interview, Psychological, Male, Middle Aged, Obsessive-Compulsive Disorder, Surveys and Questionnaires, Comorbidity, Diagnostic and Statistical Manual of Mental Disorders
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- The paper
- Belli, H., Ural, C., Vardar, M. K., Yesılyurt, S., & Oncu, F. (2012). Dissociative symptoms and dissociative disorder comorbidity in patients with obsessive-compulsive disorder. Comprehensive Psychiatry. https://doi.org/10.1016/j.comppsych.2012.02.004
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Bibliographic data: Semantic Scholar, OpenAlex, Crossref.
Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).
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