title: Early traumatized inpatients high in psychoform and somatoform dissociation: characteristics and treatment response.
abstract: This study examined the clinical relevance of differences in psychoform and somatoform dissociative symptoms in 55 early traumatized inpatients. The high psychoform and somatoform dissociative group (n = 18), somatoform dissociative group (n = 22), and nondissociative group (n = 15) did not differ on abuse severity, depressive symptoms, interpersonal problems, Axis I or II comorbidity, or deterioration rates. Compared to the other 2 groups, the highly dissociative group was characterized by younger age, living alone, higher levels of posttraumatic and general distress, more frequent reports of suicidality, self-mutilation, eating problems, and less favorable treatment response. The results highlight the clinical relevance of using dissociation measures for identifying subgroups of patients with severe psychopathology who may be more treatment resistant.
authors.affiliation: a Department for Trauma Treatment and Research Institute , Modum Bad , Vikersund , Norway.
authors.forename: Ellen K K
authors.initials: EK
authors.lastname: Jepsen
authors.forename: Willie
authors.initials: W
authors.lastname: Langeland
authors.forename: Trond
authors.initials: T
authors.lastname: Heir
mesh_terms: D000328:Adult; D000367:Age Factors; D000379:Agoraphobia / Q000523:psychology; D002648:Child; D002650:Child Abuse, Sexual / Q000523:psychology*; D003865:Major Depressive Disorder / Q000523:psychology; D004213:Dissociative Disorders / Q000523:psychology*; D001068:Feeding and Eating Disorders / Q000523:psychology; D005260:Female; D006801:Humans; D007297:Inpatients / Q000523:psychology; D008297:Male; D009664:Norway; D010698:Phobic Disorders / Q000523:psychology; D011569:Psychiatric Status Rating Scales; D011594:Psychometrics; D012307:Risk Factors; D016728:Self-Injurious Behavior / Q000523:psychology; D013001:Somatoform Disorders / Q000523:psychology*; D013313:Stress Disorders, Post-Traumatic / Q000523:psychology*; D059020:Suicidal Ideation
keywords: comorbidity; dissociation; early trauma; personality disorders; treatment response