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Dissociation in posttraumatic stress disorder: evidence from the World Mental Health Surveys

dc.creatorStein, Dan J.
dc.creatorKoenen, Karestan C.
dc.creatorFriedman, Matthew J.
dc.creatorHill, Eric
dc.creatorMcLaughlin, Katie A.
dc.creatorPetukhova, Maria
dc.creatorMeron Ruscio, Ayelet
dc.creatorShahly, Victoria
dc.creatorSpiegel, David
dc.creatorBorges, Guilherme
dc.creatorBunting, Brendan
dc.creatorCaldas-de-Almeida, Jose Miguel
dc.creatorDe Girolamo, Giovanni
dc.creatorDemyttenaere, Koen
dc.creatorFlorescu, Silvia
dc.creatorHaro, Josep Maria
dc.creatorKaram, Elie G.
dc.creatorKovess-Masfety, Viviane
dc.creatorLee, Sing
dc.creatorMatschinger, Herbert
dc.creatorMladenova, Maya
dc.creatorPosada-Villa, Jose
dc.creatorTachimori, Hisateru
dc.creatorViana, Maria Carmen
dc.creatorKessler, Ronald C.
dc.date.accessioned2017-06-29T03:44:32Z
dc.date.available2017-06-29T03:44:32Z
dc.date.issued2013es_ES
dc.identifier2625es_ES
dc.identifier.issn0006-3223es_ES
dc.identifier.urihttp://repositorio.inprf.gob.mx/handle/123456789/4474
dc.identifier.urihttps://doi.org/10.1016/j.biopsych.2012.08.022es_ES
dc.description.abstractes_ES
dc.language.isoenges_ES
dc.publisheres_ES
dc.relation73(4) 302-312p.es_ES
dc.relationversión del editores_ES
dc.rightsacceso cerradoes_ES
dc.subject.meshAdolescentes_ES
dc.subject.meshAdultes_ES
dc.subject.meshComorbidityes_ES
dc.subject.meshDiagnostic and Statistical Manual of Mental Disorderses_ES
dc.subject.meshDissociative Disorders/diagnosises_ES
dc.subject.meshDissociative Disorders/epidemiologyes_ES
dc.subject.meshFemalees_ES
dc.subject.meshHealth Surveyses_ES
dc.subject.meshHumanses_ES
dc.subject.meshInterview, Psychologicales_ES
dc.subject.meshLife Change Eventses_ES
dc.subject.meshMalees_ES
dc.subject.meshMental Healthes_ES
dc.subject.meshPrevalencees_ES
dc.subject.meshStress Disorders, Post-Traumatic/diagnosises_ES
dc.subject.meshStress Disorders, Post-Traumatic/epidemiologyes_ES
dc.subject.meshSuicide/psychologyes_ES
dc.titleDissociation in posttraumatic stress disorder: evidence from the World Mental Health Surveyses_ES
dc.title.alternativees_ES
dc.typeartículoes_ES
dc.contributor.affiliationDepartment of Psychiatry and Mental Health (DJS), University of Cape Town, Cape Town, South Africaes_ES
dc.contributor.emailkessler@hcp.med.harvard.edues_ES
dc.relation.jnabreviadoBIOL PSYCHIATRYes_ES
dc.relation.journalBiological psychiatryes_ES
dc.identifier.placeEstados Unidoses_ES
dc.date.published2013es_ES
dc.identifier.organizacionInstituto Nacional de Psiquiatría Ramón de la Fuente Muñizes_ES
dc.identifier.eissn1873-2402es_ES
dc.identifier.doi10.1016/j.biopsych.2012.08.022es_ES
dc.description.monthFebes_ES
dc.description.abstractotrodiomaBackground—Although the proposal for a dissociative subtype of posttraumatic stress disorder (PTSD) in DSM-5 is supported by considerable clinical and neurobiological evidence, this evidence comes mostly from referred samples in Western countries. Cross-national population epidemiologic surveys were analyzed to evaluate generalizability of the subtype in more diverse samples. Methods—Interviews were administered to 25,018 respondents in 16 countries in the World Health Organization World Mental Health Surveys. The Composite International Diagnostic Interview was used to assess 12-month DSM-IV PTSD and other common DSM-IV disorders. Items from a checklist of past-month nonspecific psychological distress were used to assess dissociative symptoms of depersonalization and derealization. Differences between PTSD with and without these dissociative symptoms were examined across a variety of domains, including index trauma characteristics, prior trauma history, childhood adversity, sociodemographic characteristics, psychiatric comorbidity, functional impairment, and treatment seeking. Results—Dissociative symptoms were present in 14.4% of respondents with 12-month DSM-IV/ Composite International Diagnostic Interview PTSD and did not differ between high and low/ middle income countries. Symptoms of dissociation in PTSD were associated with high counts of re-experiencing symptoms and net of these symptom counts with male sex, childhood onset of PTSD, high exposure to prior (to the onset of PTSD) traumatic events and childhood adversities, prior histories of separation anxiety disorder and specific phobia, severe role impairment, and suicidality. Conclusion—These results provide community epidemiologic data documenting the value of the dissociative subtype in distinguishing a meaningful proportion of severe and impairing cases of PTSD that have distinct correlates across a diverse set of countries.es_ES
dc.subject.meshmes_ES
dc.subject.kwes_ES
dc.subject.koDissociationes_ES
dc.subject.koDissociative subtypees_ES
dc.subject.koDSM-5es_ES
dc.subject.koEpidemiologyes_ES
dc.subject.koNosologyes_ES
dc.subject.koPosttraumatic stress disorderes_ES
dc.subject.koWorld Mental Health Surveyses_ES


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