Individually-personal features of patients with dissociative disorders

Authors

  • A. N. Stolyarenko Zaporizhzhia State Medical University,

DOI:

https://doi.org/10.14739/2310-1210.2016.2.69227

Keywords:

Dissociative Disorders, Accentuation of Personality Traits, Personality Disorders, Psychological Testis

Abstract

Predisposed factors in the development of dissociative disorders remains a pressing question in the context of dissociative disorders establishing. Leading role in this aspect was given to the premorbid characteristics of patients.

Aim: to study individually-personal features of patients with dissociative disorders and to establish premorbid characteristics and predisposed factors of the disease.

Methods and results. 108 patients with dissociative disorders were examined on the basis of Public Health Institution «Regional clinical mental hospital» of the Zaporizhzhian regional council. The next methods of research were used: socio-demographic, medical history, follow-up, clinical-psychopathological, psychodiagnostic.

Results. It has been established that patients with dissociative disorders were characterized by: female gender; the presence of accentuations of character in 94.44% of cases; the ratio of "clean" and amalgam of character accentuation 3:2; the prevalence of hysteroid (56.48%), labile (28.70%) and epileptic (24.07%) radicals in the personality structure of patients; domination hysteroid (38.71%), epileptoid (24.19%) and labile (24.19%) types among the "pure" character accentuation; the dominance of anxiety-hysterical (32.50%), hystero-excitable (30.00%) and hystero-labile (30.00%) types of accentuations. Men significantly frequently had balanced personality and "pure" schizoid-type personality accentuation.

The study highlighted individually-personal features of patients with dissociative disorders, the prevailing premorbid characteristics of patients with dissociative disorders. The results of the study showed prevalence of the dissociative disorders in women.

Conclusion. Question about the role of established premorbid characteristics and predisposed factors of the disease on the compliance to therapy in patients with dissociative disorders stays still open.

References

Shestopalova, L. F. (2006) Psykholohiia likuvalnoho protsesu: suchasni problemy ta perspektyvy doslidzhennia [Psychology of treatment process: current issues and perspektivischen]. Medicinskaya psikhologiya, 1(4), 30–32. [in Ukrainian].

Sarisoy, G., Kaçar, Ö. M., Öztürk, A., Yilman, T., Mor, S., Özturan, D. D., et al. (2015) Temperament and character traits in patients with conversion disorder and their relations with dissociation. Psychiatr Danub., 27(4), 390–396.

Carota, A., & Calabrese, P. (2014) Hysteria around the world. Front Neurol. Neurosci, 35, 169–180. doi: 10.1159/000360062.

MacPhee, E. (2013) Dissociative disorders in medical settings. Curr. Psychiatry Rep, 15(10), 398. doi: 10.1007/s11920-013-0398-8.

Spiegel, D., Lewis-Fernández, R., Lanius, R., Vermetten, E., Simeon, D., & Friedman, M. (2013) Dissociative disorders in DSM-5. Annu. Rev. Clin. Psychol, 9, 299–326.

Reynolds, E. H. (2012) Hysteria, conversion and functional disorders: a neurological contribution to classification issues. Br. J. Psychiatry, 201(4), 253–254. doi: 10.1192/bjp.bp.111.107219.

Bühler, K. E., & Heim, G. (2011) Etiology, pathogenesis, and therapy according to Pierre Janet concerning conversion disorders and dissociative disorders. Am. J. Psychother, 65(4), 281–309.

How to Cite

1.
Stolyarenko AN. Individually-personal features of patients with dissociative disorders. Zaporozhye Medical Journal [Internet]. 2016May23 [cited 2024Jul.17];18(2). Available from: http://zmj.zsmu.edu.ua/article/view/69227

Issue

Section

Original research