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Dissociative disorder

MedGen UID:
3871
•Concept ID:
C0012746
•
Mental or Behavioral Dysfunction
Synonyms: Disorder, Dissociative; Disorders, Dissociative; Dissociative Disorder; Dissociative Disorders; Dissociative Reaction; Dissociative Reactions; Reaction, Dissociative; Reactions, Dissociative
SNOMED CT: Dissociative disorder (44376007)
 
Monarch Initiative: MONDO:0001160

Definition

A category of psychiatric disorders which are characterized by a disruption in the usually integrated functions of consciousness, memory, identity, and/or perception of the environment. [from NCI]

Term Hierarchy

CClinical test,  RResearch test,  OOMIM,  GGeneReviews,  VClinVar  
  • CROGVDissociative disorder

Professional guidelines

PubMed

Pathways to care and barriers in treatment among patients with Dissociative disorders.
Shakya P, Sood M, Mathur R, Prajapati N, Patil V
Asian J Psychiatr 2024 May;95:104000. Epub 2024 Mar 8 doi: 10.1016/j.ajp.2024.104000. PMID: 38507864
The symptom criteria for the dissociative subtype of posttraumatic stress disorder.
Ross CA, Ridgway J, Myron T
Psychol Trauma 2024 May;16(4):686-691. Epub 2023 Nov 30 doi: 10.1037/tra0001612. PMID: 38032629
Dissociative disorder underdiagnosed due to undescriptive criteria?
Nakdimen KA
Am J Psychiatry 2006 Sep;163(9):1645; author reply 1646. doi: 10.1176/ajp.2006.163.9.1645a. PMID: 16946198

Recent clinical studies

Etiology

Fibromyalgia and dissociative symptoms.
Duarte JM, Crow C, Antik A, Appiani F, Caride A
CNS Spectr 2019 Dec;24(6):605-608. doi: 10.1017/S1092852918001608. PMID: 30894235
Dissociation debates: everything you know is wrong.
Loewenstein RJ
Dialogues Clin Neurosci 2018 Sep;20(3):229-242. doi: 10.31887/DCNS.2018.20.3/rloewenstein. PMID: 30581293Free PMC Article
Stereotypy of psychogenic nonepileptic seizures.
Herskovitz M
Epilepsy Behav 2017 May;70(Pt A):140-144. Epub 2017 Apr 17 doi: 10.1016/j.yebeh.2017.02.015. PMID: 28427022
The evolving standard of care in the practice of trauma and dissociative disorder therapy.
Scheflin AW
Bull Menninger Clin 2000 Spring;64(2):197-234. PMID: 10842448
Epidemiology of multiple personality disorder and dissociation.
Ross CA
Psychiatr Clin North Am 1991 Sep;14(3):503-17. PMID: 1946021

Diagnosis

Sleep-Related Dissociative Disorders.
Eiser AS
Sleep Med Clin 2024 Mar;19(1):159-167. Epub 2023 Nov 22 doi: 10.1016/j.jsmc.2023.10.003. PMID: 38368062
Night Stepping: Fitbit Cracks the Case.
Somboon T, Grigg-Damberger MM, Foldvary-Schaefer N
J Clin Sleep Med 2019 Feb 15;15(2):355-357. doi: 10.5664/jcsm.7646. PMID: 30736884Free PMC Article
Stereotypy of psychogenic nonepileptic seizures.
Herskovitz M
Epilepsy Behav 2017 May;70(Pt A):140-144. Epub 2017 Apr 17 doi: 10.1016/j.yebeh.2017.02.015. PMID: 28427022
Dissociative disorders.
Kihlstrom JF
Annu Rev Clin Psychol 2005;1:227-53. doi: 10.1146/annurev.clinpsy.1.102803.143925. PMID: 17716088
Pseudoseizures.
Bowman ES
Psychiatr Clin North Am 1998 Sep;21(3):649-57, vii. doi: 10.1016/s0193-953x(05)70029-0. PMID: 9774802

Therapy

Night Stepping: Fitbit Cracks the Case.
Somboon T, Grigg-Damberger MM, Foldvary-Schaefer N
J Clin Sleep Med 2019 Feb 15;15(2):355-357. doi: 10.5664/jcsm.7646. PMID: 30736884Free PMC Article
Reconsidering the autohypnotic model of the dissociative disorders.
Dell PF
J Trauma Dissociation 2019 Jan-Feb;20(1):48-78. Epub 2018 Mar 22 doi: 10.1080/15299732.2018.1451806. PMID: 29565750
Intravenous diazepam for dissociative disorder: memory lost and found.
Ballew L, Morgan Y, Lippmann S
Psychosomatics 2003 Jul-Aug;44(4):346-7. doi: 10.1176/appi.psy.44.4.346. PMID: 12832603
The use of carbamazepine for episodic violence in multiple personality disorder and dissociative disorder not otherwise specified: two additional cases.
Coons PM
Biol Psychiatry 1992 Oct 15;32(8):717-20. doi: 10.1016/0006-3223(92)90302-g. PMID: 1457627
Pseudoseizures: an overview.
Volow MR
South Med J 1986 May;79(5):600-7. doi: 10.1097/00007611-198605000-00020. PMID: 3518074

Prognosis

Characteristics, Methods, And Functions Of Non-Suicidal Self-Injury Among Highly Dissociative Individuals.
Nester MS, Pierorazio NA, Shandler G, Brand BL
J Trauma Dissociation 2023 May-Jun;24(3):333-347. Epub 2023 Feb 20 doi: 10.1080/15299732.2023.2181475. PMID: 36803534
Ganser syndrome - a dissociative disorder or a factitious disorder? A case report.
Wincewicz K, Sapota-Zaręba K, Nasierowski T
Psychiatr Pol 2022 Feb 27;56(1):63-75. doi: 10.12740/PP/129012. PMID: 35569148
A systematic scoping review of dissociation in borderline personality disorder and implications for research and clinical practice: Exploring the fog.
Al-Shamali HF, Winkler O, Talarico F, Greenshaw AJ, Forner C, Zhang Y, Vermetten E, Burback L
Aust N Z J Psychiatry 2022 Oct;56(10):1252-1264. Epub 2022 Feb 13 doi: 10.1177/00048674221077029. PMID: 35152771Free PMC Article
Dissociative sensibility disorders - A retrospective case series and systematic literature review.
Weber P, Erlacher R
Eur J Paediatr Neurol 2018 Jan;22(1):27-38. Epub 2017 Sep 1 doi: 10.1016/j.ejpn.2017.08.005. PMID: 28899586
Epidemiology of multiple personality disorder and dissociation.
Ross CA
Psychiatr Clin North Am 1991 Sep;14(3):503-17. PMID: 1946021

Clinical prediction guides

Stress response in dissociation and conversion disorders: A systematic review.
Boulet C, Lopez-Castroman J, Mouchabac S, Olié E, Courtet P, Thouvenot E, Abbar M, Conejero I
Neurosci Biobehav Rev 2022 Jan;132:957-967. Epub 2021 Nov 2 doi: 10.1016/j.neubiorev.2021.10.049. PMID: 34740754
Fibromyalgia and dissociative symptoms.
Duarte JM, Crow C, Antik A, Appiani F, Caride A
CNS Spectr 2019 Dec;24(6):605-608. doi: 10.1017/S1092852918001608. PMID: 30894235
Altered orientation of spatial attention in depersonalization disorder.
Adler J, Beutel ME, Knebel A, Berti S, Unterrainer J, Michal M
Psychiatry Res 2014 May 15;216(2):230-5. Epub 2014 Feb 19 doi: 10.1016/j.psychres.2014.02.021. PMID: 24594203
An outpatient clinical study of dissociative disorder not otherwise specified.
Yanartaş Ö, Özmen HA, Citak S, Zincir SB, Sünbül EA
Compr Psychiatry 2014 May;55(4):755-61. Epub 2013 Dec 23 doi: 10.1016/j.comppsych.2013.12.015. PMID: 24461163
Pseudoseizures: an overview.
Volow MR
South Med J 1986 May;79(5):600-7. doi: 10.1097/00007611-198605000-00020. PMID: 3518074

Recent systematic reviews

A systematic scoping review of dissociation in borderline personality disorder and implications for research and clinical practice: Exploring the fog.
Al-Shamali HF, Winkler O, Talarico F, Greenshaw AJ, Forner C, Zhang Y, Vermetten E, Burback L
Aust N Z J Psychiatry 2022 Oct;56(10):1252-1264. Epub 2022 Feb 13 doi: 10.1177/00048674221077029. PMID: 35152771Free PMC Article
Stress response in dissociation and conversion disorders: A systematic review.
Boulet C, Lopez-Castroman J, Mouchabac S, Olié E, Courtet P, Thouvenot E, Abbar M, Conejero I
Neurosci Biobehav Rev 2022 Jan;132:957-967. Epub 2021 Nov 2 doi: 10.1016/j.neubiorev.2021.10.049. PMID: 34740754
Pharmacotherapy for dissociative disorders: A systematic review.
Sutar R, Sahu S
Psychiatry Res 2019 Nov;281:112529. Epub 2019 Aug 23 doi: 10.1016/j.psychres.2019.112529. PMID: 31470213
Dissociative sensibility disorders - A retrospective case series and systematic literature review.
Weber P, Erlacher R
Eur J Paediatr Neurol 2018 Jan;22(1):27-38. Epub 2017 Sep 1 doi: 10.1016/j.ejpn.2017.08.005. PMID: 28899586
Conversion disorder: A systematic review of current terminology.
Ding JM, Kanaan RA
Gen Hosp Psychiatry 2017 Mar-Apr;45:51-55. Epub 2016 Dec 24 doi: 10.1016/j.genhosppsych.2016.12.009. PMID: 28274339

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