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Cited by 186Psychosomatic Disorders and Their TreatmentsAnxiety, Depression, Psychometrics, Treatment, Cognitive ProcessesPersonality Disorders and Psychopathology

The DOI matches its Crossref record; 91 of the 97 references it cites were found in a registry or an index.

Depersonalisation disorder: a cognitive–behavioural conceptualisation

Hunter, E.C.M., Phillips, M.L., Chalder, T., Sierra, M., David, A.S.·2003·Behaviour Research and Therapy
DOI 10.1016/s0005-7967(03)00066-4
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Abstract

Depersonalisation (DP) and derealisation (DR) are subjective experiences of unreality in, respectively, one's sense of self and the outside world. These experiences occur on a continuum from transient episodes that are frequently reported in healthy individuals under certain situational conditions to a chronic psychiatric disorder that causes considerable distress (depersonalisation disorder, DPD). Despite the relatively high rates of reporting these symptoms, little research has been conducted into psychological treatments for this disorder. We suggest that there is compelling evidence to link DPD with the anxiety disorders, particularly panic. This paper proposes that it is the catastrophic appraisal of the normally transient symptoms of DP/DR that results in the development of a chronic disorder. We suggest that if DP/DR symptoms are misinterpreted as indicative of severe mental illness or brain dysfunction, a vicious cycle of increasing anxiety and consequently increased DP/DR symptoms will result. Moreover, cognitive and behavioural responses to symptoms such as specific avoidances, 'safety behaviours' and cognitive biases serve to maintain the disorder by increasing awareness of the symptoms, heightening the perceived threat and preventing disconfirmation of the catastrophic misinterpretations. A coherent model facilitates the development of potentially effective cognitive and behavioural interventions.

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Crossref · 10.1016/s0005-7967(03)00066-4

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Citations

Cites

Research works printed but not linked: 4

  1. American Psychiatric Association. (1994). Diagnostic and statistical manual of mental disorders (4th ed.). Washington, D.C.
  2. Oberndorf, 1950, Role of anxiety in depersonalization, International Journal of Psychoanalysis, 31, 1
  3. Steinberg, 1993, Clinical assessment of dissociative symptoms and disorders: the structured clinical interview for DSM-IV dissociative disorders (SCID-D), Dissociation, 6, 3
  4. Wells, 1997, Attention training: effects on anxiety and beliefs in panic and social phobia, Clinical Psychology and Psychotherapy, 4, 226, 10.1002/(SICI)1099-0879(199712)4:4<226::AID-CPP129>3.0.CO;2-M · DOI

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Metadata

Authors
Hunter, E. C. M., Phillips, M. L., Chalder, T., Sierra, M., & David, A. S.
Affiliations
King's College London (GB)
Corresponding author
Hunter, E.C.M.
ORCID
Venue
Behaviour Research and Therapy
Publisher
Elsevier BV
Published
2003-12
Volume
41
Issue
12
Pages
1451-1467
ISSN
0005-7967 (ISSN-L)
DOI
10.1016/s0005-7967(03)00066-4
OpenAlex
W2039048442
Cited by
185
References
97
Citations by year
2026: 14 · 2025: 21 · 2024: 16 · 2023: 17 · 2022: 9 · 2021: 9 · 2020: 8 · 2019: 2 · 2018: 5 · 2017: 5 · 2016: 9 · 2015: 2 · 2014: 7 · 2013: 7 · 2012: 11
FWCI
3.06
Type
journal article
Language
en
Open access
closed
Licence
www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations
  • Behaviour Research and Therapy (publishedVersion)
  • PubMed (publishedVersion)
  • ORCA Online Research @Cardiff (Cardiff University) (submittedVersion)
  • Research Portal (King's College London) (submittedVersion)
Topics
  • Health Sciences › Medicine › Psychiatry and Mental health › Psychosomatic Disorders and Their Treatments
  • Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
  • Social Sciences › Psychology › Clinical Psychology › Personality Disorders and Psychopathology
Keywords
depersonalization, derealization, anxiety disorders, panic, safety behavior, cognitive biases, avoidance, cognitive-behavioral model, psychological intervention
MeSH terms
Adult, Anxiety Disorders, Depersonalization, Humans, Male, Models, Psychological, Cognitive Behavioral Therapy

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