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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.creatorRuscio, Ayelet Meron
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.creatorMaria Haro, Josep
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.accessioned2017-06-29T03:45:26Z
dc.date.available2017-06-29T03:45:26Z
dc.date.issued2013es_ES
dc.identifier2643es_ES
dc.identifier.issn0006-3223es_ES
dc.identifier.uries_ES
dc.identifier.urihttp://repositorio.inprf.gob.mx/handle/123456789/4492
dc.identifier.urihttps://doi.org/10.1016/j.biopsych.2012.08.022es_ES
dc.language.isoenges_ES
dc.publisherElsevier Science INC, 360 Park Ave South, New York, NY 10010-1710 USA es_ES
dc.relation73(4) 302-312p.es_ES
dc.relationversión del editores_ES
dc.rightsacceso cerradoes_ES
dc.subject.meshes_ES
dc.titleDissociation in Posttraumatic Stress Disorder: Evidence from the World Mental Health Surveys es_ES
dc.title.alternativees_ES
dc.typeartículoes_ES
dc.contributor.affiliationHarvard Univ, Sch Med, Dept Hlth Care Policy, 180 Longwood Ave, Boston, MA 02115 USAes_ES
dc.contributor.emailKessler@hcp.med.harvard.edu es_ES
dc.relation.jnabreviadoBIOL PSYCHIATRYes_ES
dc.relation.journalBiological psychiatryes_ES
dc.identifier.placeNew Yorkes_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.2012.08.022 es_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.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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