CoChat
Sign Up
Cited by 149Psychosomatic Disorders and Their TreatmentsPsychoanalysis and Psychopathology ResearchPersonality Disorders and Psychopathology

A longitudinal naturalistic study of patients with dissociative disorders treated by community clinicians

Brand, Bethany L., McNary, Scot W., Myrick, Amie C., Classen, Catherine C., Lanius, Ruth, Loewenstein, Richard J., Pain, Clare, Putnam, Frank W.·2013·Psychological Trauma Theory Research Practice and Policy
DOI 10.1037/a0027654
Open this paper in CoChat — free account

Abstract

Severe dissociative disorders (DD) are associated with high levels of impairment, treatment utilization, and treatment costs, yet relatively little systematic research has focused on treatment for these challenging patients. The goal of this naturalistic observational 30-month follow-up study of an international sample of patients with dissociative disorders was to determine if treatment provided by community providers was associated with improvements in symptoms and adaptive functioning. The patients were diagnosed with dissociative identity disorder (DID) and dissociative disorder not otherwise specified (DDNOS). The patients and their therapists completed surveys at study entry and at 6-, 18-, and 30-month follow-up. At the 30-month follow-up, 119 of the original 226 patients completed the surveys. According to patients’ reports, they showed decreased levels of dissociation, posttraumatic stress disorder symptoms, general distress, drug use, physical pain, and depression over the course of treatment. As treatment progressed, patients reported increased socializing, attending school or volunteering, and feeling good. According to therapists’ reports, patients engaged in less self-injurious behavior and had fewer hospitalizations as well as increased global assessment of functioning scores (American Psychiatric Association, 2000) and adaptive capacities over time. These results suggest that treatment provided by therapists who have training in treating DID/DDNOS appears to be beneficial across a number of clinical domains. Additional research into the treatment of DD is warranted.

Integrity signals

Registry

Crossref · 10.1037/a0027654

Cites

40 of 40 references verified0 citation errors · 0 not checkable

Statistics

Recomputing p-values needs the paper’s full text.

Claims the paper makes

This paper’s full text isn’t openly available, so its claims and self-check weren’t run. The registry and citation checks still apply.

Claims other papers make about this one

Each is checked against this paper’s own text: does it say what the citing paper says it does?

  • The effects of standard psychodynamic psychotherapy for DID on core dissociative symptoms are small or absent.

    “The results indicated that, although the general functioning of patients improved, the effects of this treatment on the core symptoms (i.e., dissociative symptoms) are small or absent.”

    From Schema therapy for Dissociative Identity Disorder: a case report (2023) · cites this paper as [8]

Cites

Flagged first, then by citations

Cited by

Sorted by citations

Related

Authors
Brand, B. L., McNary, S. W., Myrick, A. C., Classen, C. C., Lanius, R., Loewenstein, R. J., Pain, C., & Putnam, F. W.
ORCID
Venue
Psychological Trauma Theory Research Practice and Policy
Publisher
American Psychological Association (APA)
Published
2013
Volume
5
Issue
4
Pages
301-308
ISSN
  • 1942-9681 (ISSN-L)
  • 1942-969X
DOI
10.1037/a0027654
OpenAlex
W2332090839
Cited by
149
References
40
Citations by year
2026: 6 · 2025: 8 · 2024: 15 · 2023: 8 · 2022: 17 · 2021: 12 · 2020: 8 · 2019: 11 · 2018: 7 · 2017: 15 · 2016: 8 · 2015: 12 · 2014: 10 · 2013: 6 · 2012: 6
FWCI
7.75
Type
journal article
Language
en
Open access
closed
Locations
Psychological Trauma Theory Research Practice and Policy (publishedVersion)
Funders
  • Towson University
  • University of Western Ontario
Topics
  • Health Sciences › Medicine › Psychiatry and Mental health › Psychosomatic Disorders and Their Treatments
  • Social Sciences › Psychology › Clinical Psychology › Psychoanalysis and Psychopathology Research
  • Social Sciences › Psychology › Clinical Psychology › Personality Disorders and Psychopathology
Keywords
dissociative disorders, dissociative identity disorder, dissociative disorder not otherwise specified, community mental health treatment, treatment outcomes, adaptive behavior, dissociation, post-traumatic stress disorder, self-harm, hospitalization, depression, drug use, bodily pain, therapist training

About these checks

Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.

Statistics and arithmetic are recomputed, not judged.

Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.

What counts as a claim ›How we measure confidence ›How we check this ›

Are you an author, or do you see a problem with this page? Request a review