Childhood emotional abuse, dissociation, and suicidality among patients with drug dependency in Turkey
Open accessAbstract
Aim: The aim of the present study was to determine the prevalence and correlates of dissociative disorders among patients with drug dependency. Methods: The Dissociative Experiences Scale (DES) was used to screen 104 consecutive patients at an addiction treatment center. Thirty‐seven patients who had scores ≥30 were compared with 21 patients who scored <10 on the DES. Both groups were then evaluated using the Dissociative Disorders Interview Schedule and the Structured Clinical Interview for Dissociative Disorders (SCID‐D). The interviewers were blind to the DES scores. Results: Twenty‐seven patients (26.0%) had a dissociative disorder according to the SCID‐D. Dissociative patients were younger than the non‐dissociative group. History of suicide attempt and/or childhood emotional abuse was significant predictors of a dissociative disorder. The majority (59.3%) of dissociative drug users reported that dissociative experiences had existed prior to substance use. More patients in the dissociative disorder than in the non‐dissociative group stopped their treatment prematurely. Conclusion: A considerable proportion of drug users have a dissociative disorder, which may also interfere with treatment process. The relatively young age of this subgroup of patients and frequent reports of childhood emotional abuse underline potential preventive benefits of early intervention among adolescents with developmental trauma history and dissociative psychopathology.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
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?
Among a sample of drug-dependent individuals, 26% had a comorbid dissociative disorder, predicted by past suicide attempts and childhood emotional abuse.
“Specifically, among a sample of drug-dependent individuals, 26% had a comorbid dissociative disorder, predicted by past suicide attempts and childhood emotional abuse (Tamar-Gurol et al., 2008).”
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 Tamar-Gurol et al., 2008
Studies in alcohol and drug abuse/dependency populations report the presence of comorbid dissociative symptoms in these conditions.
“Similarly, studies in alcohol and drug abuse/dependency populations report the presence of comorbid dissociative symptoms in these conditions (Evren et al., 2011(Evren et al., , 2008(Evren et al., , 2007;;Tamar-Gurol et al., 2008).”
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 Tamar-Gurol et al., 2008
Cites
Development, reliability, and validity of a dissociation scale
BERNSTEIN, E. M., & PUTNAM, F. W. (1986) · The Journal of Nervous and Mental Disease · doi:10.1097/00005053-198612000-00004 · Cited by 3,793 · see citing works
Validity of adult retrospective reports of adverse childhood experiences: review of the evidence
Hardt, J., & Rutter, M. (2004) · Journal of Child Psychology and Psychiatry · doi:10.1111/j.1469-7610.2004.00218.x · Cited by 2,827 · see citing works
Dissociative Disorders and Suicidality in Psychiatric Outpatients
Foote, B., Smolin, Y., Neft, D. I., & Lipschitz, D. (2008) · Journal of Nervous & Mental Disease · doi:10.1097/nmd.0b013e31815fa4e7 · Cited by 223 · see citing works
Structured interview data on 35 cases of dissociative identity disorder in Turkey
(1996) · American Journal of Psychiatry · doi:10.1176/ajp.153.10.1329 · Cited by 113 · see citing works
Self-citationAttention‐deficit/hyperactivity disorder and dissociative disorder among abused children
ENDO, T., SUGIYAMA, T., & SOMEYA, T. (2006) · Psychiatry and Clinical Neurosciences · doi:10.1111/j.1440-1819.2006.01528.x · Cited by 62 · see citing works
Oedegaard, K. J., Neckelmann, D., Benazzi, F., Syrstad, V. E. G., Akiskal, H. S., & Fasmer, O. B. (2008) · Journal of Affective Disorders · doi:10.1016/j.jad.2007.10.018 · Cited by 45 · see citing works
Flagged first, then by citations
Cited by
Sorted by citations
Evaluation of the evidence for the trauma and fantasy models of dissociation.
Dalenberg, C. J., Brand, B. L., Gleaves, D. H., Dorahy, M. J., Loewenstein, R. J., Cardeña, E., Frewen, P. A., Carlson, E. B., & Spiegel, D. (2012) · Psychological Bulletin · doi:10.1037/a0027447 · Cited by 667 · see citing works
Lanius, R. A., Brand, B., Vermetten, E., Frewen, P. A., & Spiegel, D. (2012) · Depression and Anxiety · doi:10.1002/da.21889 · Cited by 459 · see citing works
Epidemiology of dissociative disorders: An overview
Sar, V. (2011) · Epidemiology Research International · doi:10.1155/2011/404538 · Cited by 212 · see citing works
Self-citationBrand, B. L., Sar, V., Stavropoulos, P., Krüger, C., Korzekwa, M., Martínez-Taboas, A., & Middleton, W. (2016) · Harvard Review of Psychiatry · doi:10.1097/hrp.0000000000000100 · Cited by 153 · see citing works
Biomarkers of Pathological Dissociation: A Systematic Review
Roydeva, M. I., & Reinders, A. A. T. S. (2021) · Neuroscience & Biobehavioral Reviews · doi:10.1016/j.neubiorev.2020.11.019 · Cited by 116 · see citing works
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 · see citing works
Pollock, B. E., Macfie, J., & Elledge, L. C. (2017) · Journal of Trauma & Dissociation · doi:10.1080/15299732.2016.1241853 · Cited by 13 · see citing works
Ricci, V., Ciavarella, M. C., Marrangone, C., Messas, G., Maina, G., & Martinotti, G. (2025) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2025.1543673 · Cited by 6 · see citing works
- Authors
- Tamar‐Gurol, D., Sar, V., Karadag, F., Evren, C., & Karagoz, M.
- Venue
- Psychiatry and Clinical Neurosciences
- Publisher
- Wiley
- Published
- 2008-09-29
- Volume
- 62
- Issue
- 5
- Pages
- 540-547
- ISSN
- 1323-1316 (ISSN-L)
- 1440-1819
- OpenAlex
- W1735632831
- Cited by
- 72
- References
- 6
- Citations by year
- 2025: 3 · 2024: 1 · 2023: 6 · 2022: 3 · 2021: 2 · 2020: 6 · 2019: 3 · 2018: 4 · 2017: 6 · 2016: 4 · 2015: 4 · 2014: 4 · 2013: 9 · 2012: 10
- FWCI
- 1.64
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Psychiatry and Clinical Neurosciences (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Psychosomatic Disorders and Their Treatments
- Social Sciences › Psychology › Clinical Psychology › Child Abuse and Trauma
- Social Sciences › Psychology › Clinical Psychology › Psychoanalysis and Psychopathology Research
- Keywords
- childhood emotional abuse, dissociative disorders, suicidality, drug addiction, substance use disorders, suicide attempts, developmental trauma, addiction treatment, treatment discontinuation, Dissociative Experiences Scale
- MeSH terms
- Adolescent, Adult, Borderline Personality Disorder, Cross-Sectional Studies, Major Depressive Disorder, Depressive Disorder, Major, Dissociative Disorders, Female, Humans, Male, Middle Aged, Patient Dropouts, Personality Inventory, Risk Factors, Somatoform Disorders, Illicit Drugs, Suicide, Attempted, Turkey, Comorbidity, Substance-Related Disorders, Adult Survivors of Child Abuse, Young Adult
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