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Cited by 44Psychosomatic Disorders and Their TreatmentsObsessive-Compulsive Spectrum DisordersPsychoanalysis and Psychopathology Research

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

Belli, Hasan, Ural, Cenk, Vardar, Melek Kanarya, Yesılyurt, Sema, Oncu, Fatıh·2012·Comprehensive Psychiatry
DOI 10.1016/j.comppsych.2012.02.004
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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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Crossref · 10.1016/j.comppsych.2012.02.004

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  1. Thiel, 1995, Zwangssymptome bei strukturellen Selbst-Defekten-Eine Untersuchung am Beispiel der Anorexia und Bulimia Nervosa, Z Psychosom Med Psychoanal, 41, 60

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Metadata

Authors
Belli, H., Ural, C., Vardar, M. K., Yesılyurt, S., & Oncu, F.
Affiliations
Bağcılar Eğitim ve Araştırma Hastanesi (TR)
Corresponding author
Belli, Hasan
ORCID
Venue
Comprehensive Psychiatry
Publisher
Elsevier BV
Published
2012-10
Volume
53
Issue
7
Pages
975-980
ISSN
0010-440X (ISSN-L)
DOI
10.1016/j.comppsych.2012.02.004
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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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).

Semantic Scholar’s data is described in: Kinney, R., et al. (2023). The Semantic Scholar Open Data Platform. arXiv:2301.10140.