title: Dissociative disorders in acute psychiatric inpatients in Taiwan.
abstract: Dissociative disorders have been documented to be common psychiatric disorders which can be detected reliably with standardized diagnostic instruments in North American and European psychiatric inpatients and outpatients (20.6% and 18.4%, respectively). However, there are concerns about their cross-cultural manifestations as an apparently low prevalence rate has been reported in East Asian inpatients and outpatients (1.7% and 4.9%, respectively). It is unknown whether the clinical profile of dissociative disorders in terms of their core symptomatic clusters, associated comorbid disorders, and environmental risk factors that has emerged in western clinical populations can also be found in non-western clinical populations. A standardized structured interview for DSM-IV dissociative disorders, post-traumatic stress disorder, and a history of interpersonal victimization was administered in a sample of Taiwanese acute psychiatric inpatients. Our results showed that 19.5% of our participants met criteria for a DSM-IV dissociative disorder, mostly dissociative disorder not otherwise specified. More importantly, the western clinical profile of dissociative disorders also characterized our patients, including a poly-symptomatic presentation and a history of interpersonal trauma in both childhood and adulthood. Our results lend support to the conclusion that cross-cultural manifestations of dissociative pathology in East Asia are similar to those in North America and Europe.
authors.affiliation: Department of Psychology, The Chinese University of Hong Kong, Special Administrative Region; Department of Psychology, National Taiwan University, Taipei, Taiwan. Electronic address: cdchiu@psy.cuhk.edu.hk.
authors.forename: Chui-De
authors.initials: CD
authors.lastname: Chiu
authors.affiliation: Department of Psychiatry, National Taiwan University, Taipei, Taiwan; Department of Psychiatry, Far Eastern Memorial Hospital, New Taipei City, Taiwan.
authors.forename: Mei-Chih
authors.initials: MC
authors.lastname: Meg Tseng
authors.affiliation: Department of Psychiatry, National Taiwan University Hospital, Taipei, Taiwan.
authors.forename: Yi-Ling
authors.initials: YL
authors.lastname: Chien
authors.affiliation: Department of Psychiatry, National Taiwan University Hospital, Taipei, Taiwan.
authors.forename: Shih-Cheng
authors.initials: SC
authors.lastname: Liao
authors.affiliation: Department of Psychiatry, National Taiwan University, Taipei, Taiwan; Department of Psychiatry, National Taiwan University Hospital, Taipei, Taiwan.
authors.forename: Chih-Min
authors.initials: CM
authors.lastname: Liu
authors.affiliation: Department of Psychology, National Taiwan University, Taipei, Taiwan.
authors.forename: Yei-Yu
authors.initials: YY
authors.lastname: Yeh
authors.affiliation: Department of Psychology, National Taiwan University, Taipei, Taiwan; Department of Psychiatry, National Taiwan University, Taipei, Taiwan; Department of Psychiatry, National Taiwan University Hospital, Taipei, Taiwan.
authors.forename: Hai-Gwo
authors.initials: HG
authors.lastname: Hwu
authors.affiliation: The Colin A. Ross Institute for Psychological Trauma, Richardson, TX, USA.
authors.forename: Colin A
authors.initials: CA
authors.lastname: Ross
mesh_terms: D000208:Acute Disease; D000328:Adult; D039721:Diagnostic and Statistical Manual of Mental Disorders; D004213:Dissociative Disorders / Q000175:diagnosis / Q000453:epidemiology* / Q000523:psychology*; D005260:Female; D006801:Humans; D007297:Inpatients / Q000523:psychology*; D008297:Male; D008875:Middle Aged; D015995:Prevalence; D011569:Psychiatric Status Rating Scales; D013313:Stress Disorders, Post-Traumatic / Q000175:diagnosis / Q000453:epidemiology / Q000523:psychology; D013624:Taiwan / Q000453:epidemiology; D055815:Young Adult
keywords: Dissociation; First rank symptoms; Psychological trauma