Investigation of the comorbidity of dissociative disorders in patients with bipolar disorder

Authors : Atilla TEKİN, Esra ÖZDİL DEMİRYÜREK, Mehmet Diyaddin GÜLEKEN, Bahadır BAKIM, Ömer Akil ÖZER, Oğuz KARAMUSTAFALIOĞLU

Pages : 667-672

Doi:10.18621/eurj.412272

View : 22 | Download : 14

Publication Date : 2019-07-04

Article Type : Research Paper

Abstract :Objective: The aim of this study was to investigate the comorbidity of dissociative disorders in patients with bipolar disorder. Methods: Fifty-one patients who are diagnosed with bipolar disorder in euthymic state and forty-nine healty controls were included in the study. The Structured Clinical Interview for DSM-IV Axis I Disorders insert ignore into journalissuearticles values(SCID-I);, Structured Clinical Interview for DSM-IV Dissociative Disorders insert ignore into journalissuearticles values(SCID-D);, Dissociative Experiences Scale insert ignore into journalissuearticles values(DES); and Childhood Trauma Questionnaire insert ignore into journalissuearticles values(CTQ-28); were administered to all participants with a sociodemographic form. Results: Mean DES and CTQ-28 total scores were statistically higher in patients group than control group insert ignore into journalissuearticles values( p < 0.001 and p < 0.001, respectively);. Emotional abuse, emotional neglect, physical abuse, physical neglect and sexual abuse subscale scores of CTQ-28 were higher in patients group than healthy controls group insert ignore into journalissuearticles values( p = 0.002, p < 0.001, p = 0.005, p < 0.001 and p < 0.021, respectively);. The rate of any dissociative disorder comorbidity was %35.4 in patients with bipolar disorder. The most frequent dissociative disorder in patient with bipolar disorder was depersonalization disorder insert ignore into journalissuearticles values(%17.6);. There was a positive correlation between DES score and number of suicidal attempts insert ignore into journalissuearticles values(r=0.284);. Negative correlations were found between DES score and age of disease onset, and CTQ-28 total score and age of disease onset insert ignore into journalissuearticles values(r=-0.332 and r=-0.291);. Conclusion: Our results have shown that dissociative disorders may be frequently accompanied in patients with bipolar disorder. Dissociation and childhood traumatic events can be related with clinical features in patients with bipolar disorder. 
Keywords : childhood trauma, dissociation, bipolar disorder