Dissociative symptoms and dissociative disorders comorbidity in obsessive compulsive disorder: Symptom screening, diagnostic tools and reflections on treatment
Open accessAbstract
Borderline personality disorder, conversion disorder and obsessive compulsive disorder frequently have dissociative symptoms. The literature has demonstrated that the level of dissociation might be correlated with the severity of obsessive compulsive disorder (OCD) and that those not responding to treatment had high dissociative symptoms. The structured clinical interview for DSM-IV dissociative disorders, dissociation questionnaire, somatoform dissociation questionnaire and dissociative experiences scale can be used for screening dissociative symptoms and detecting dissociative disorders in patients with OCD. However, a history of neglect and abuse during childhood is linked to a risk factor in the pathogenesis of dissociative psychopathology in adults. The childhood trauma questionnaire-53 and childhood trauma questionnaire-40 can be used for this purpose. Clinicians should not fail to notice the hidden dissociative symptoms and childhood traumatic experiences in OCD cases with severe symptoms that are resistant to treatment. Symptom screening and diagnostic tools used for this purpose should be known. Knowing how to treat these pathologies in patients who are diagnosed with OCD can be crucial.
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Dissociative symptomatology can also be present in syndromes less frequently associated with trauma, including major depressive disorder, anxiety disorders, obsessive compulsive disorder, bipolar disorder, alcohol and drug abuse and dependence, and schizophrenia.
“Notably, dissociative symptomatology can also be present in syndromes less frequently associated with trauma including major depressive disorder (MDD) (Bob et al., 2008;Molina-Serrano et al., 2008;Mula et al., 2007;Sar et al., 2013;Parlar et al., 2016), anxiety disorders (Ball et al., 1997;Marquez et al., 2001;Mula et al., 2007;Sierra et al., 2012), obsessive compulsive disorder (OCD) (Belli,”
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, 2014
Cites
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Potentials and Limitations of Cognitive Treatments for Obsessive‐Compulsive Disorder
Abramowitz, J. S., Taylor, S., & McKay, D. (2005) · Cognitive Behaviour Therapy · doi:10.1080/16506070510041202 · Cited by 142 · see citing works
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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
“Interestingly, among a sample of individuals with panic disorder and other anxiety disorders (social phobia; generalized anxiety disorder; OCD; specific phobia), individuals who experienced symptoms of depersonalization had higher rates of comorbid depression and personality M.C. McKinnon et al. / Neuropsychologia 90…”
InfluentialMindfulness-based Cognitive Therapy for Obsessive-Compulsive Disorder: A Pilot Study.
DIDONNA, F., LANFREDI, M., XODO, E., FERRARI, C., ROSSI, R., & PEDRINI, L. (2019) · Journal of Psychiatric Practice® · doi:10.1097/pra.0000000000000377 · Cited by 43 · see citing works
- Authors
- Belli, H.
- Affiliations
- Bağcılar Eğitim ve Araştırma Hastanesi (TR)
- Corresponding author
- Belli, Hasan
- ORCID
- Belli, Hasan
- Venue
- World Journal of Clinical Cases
- Publisher
- Baishideng Publishing Group Inc.
- Published
- 2014
- Volume
- 2
- Issue
- 8
- Pages
- 327
- ISSN
- 2307-8960 (ISSN-L)
- PMC
- PMC4133421
- OpenAlex
- W2083339056
- Cited by
- 19
- References
- 2
- Citations by year
- 2025: 3 · 2024: 3 · 2023: 2 · 2022: 2 · 2021: 2 · 2020: 2 · 2019: 2 · 2018: 2 · 2016: 1
- FWCI
- 0.05
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- cc-by-nc
- Locations
- World Journal of Clinical Cases (publishedVersion, cc-by-nc)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- 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
- dissociative symptoms, dissociative disorders, obsessive-compulsive disorder, comorbidities, symptom screening, diagnostic tools, childhood trauma, childhood neglect and abuse, treatment-resistant OCD, Dissociative Experiences Scale, Childhood Trauma Questionnaire
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