Biomed Pap Med Fac Univ Palacky Olomouc Czech Repub. 2010, 154(2):179-183 | DOI: 10.5507/bp.2010.028

OBSESSIVE COMPULSIVE DISORDER AND DISSOCIATION – COMPARISON WITH HEALTHY CONTROLS

Jan Praskoa,b,c,d, Michal Raszkac,d, Tomas Divekya,b, Ales Grambala,b, Dana Kamaradovaa,b, Jana Koprivovac,d, Klara Latalovaa,b, Petr Pastuchab,e, Zuzana Sigmundovaa,b
a Department of Psychiatry, Faculty of Medicine and Dentistry, University Palacky and University Hospital, I. P. Pavlova 6, Olomouc, Czech Republic
b Faculty of Medicine and Dentistry, University Palacky Olomouc
c Prague Psychiatric Centre
d Centre of Neuropsychiatric Studies
e Outpatient Department of Psychiatry, Valasske Mezirici

The aim of our study is to examine if the dissociation can influence the intensity of psychopathology in patients suffering from obsessive compulsive disorder and to compare the levels of dissociation in the groups of the patients and healthy subjects.

Method: Fifty five patients suffering from obsessive compulsive disorder and 123 healthy controls were included into the study. The patients were psychiatrically assessed. The diagnosis was made using ICD-10 research criteria confirmed with structured interview MINI. The subjective intensity of anxiety and depressive symptoms was evaluated using Beck Anxiety Inventory and Beck Depression Inventory. The intensity of obsessions and compulsions was evaluated using Yale Brown Obsessive Compulsive Scale. All participants were assessed with the Dissociative Experiences Scale (DES).

Results: Level of the psychological dissociation assessed with the DES was correlated with the severity of subjective anxiety (p<0.0001), depression (p<0.0001), and with the severity of obsessive-compulsive symptoms (p<0.005). Patients have significantly lower mean score on the DES than healthy controls (p<0.0001).

Conclusion: Our results suggest that the level of psychological dissociation in OCD patients is lower than in healthy controls, and is associated with the severity of anxiety, depression and obsessive compulsive symptoms.

Keywords: Obsessive, Compulsive, Disorder, Dissociation, Anxiety, Depression

Received: January 24, 2009; Accepted: June 17, 2010; Published: June 1, 2010  Show citation

ACS AIP APA ASA Harvard Chicago Chicago Notes IEEE ISO690 MLA NLM Turabian Vancouver
Prasko, J., Raszka, M., Diveky, T., Grambal, A., Kamaradova, D., Koprivova, J., ... Sigmundova, Z. (2010). OBSESSIVE COMPULSIVE DISORDER AND DISSOCIATION – COMPARISON WITH HEALTHY CONTROLS. Biomedical papers, 154(2), 179-183. doi: 10.5507/bp.2010.028
Share...
Download citation
  • BibTeX (.bib)
  • Bookends (.ris)
  • EasyBib (.ris)
  • EndNote (.enw)
  • EndNote 8 (.xml)
  • ISI WoS (.isi)
  • Medlars (.medlars)
  • Mendeley (.ris)
  • MODS (.xml)
  • Papers (.ris)
  • RefWorks (.txt)
  • RefManager (.ris)
  • RIS (.ris)
  • MS Word (.xml)
  • Zotero (.ris)
    • Open full article

    References

    1. Karno M, Golding JM, Sorenson SB. The epidemiology of obsessive- compulsive disorder in five US-comunities. Arch Gen Psychiatry 1988; 45:10941099. Go to original source... Go to PubMed...
    2. Kaplan A, Hollander E. A review of pharmacologic treatments for obsessive compulsive disorder. Psychiatric Services 2003; 54(8):11111118. Go to original source... Go to PubMed...
    3. Goff DC, Olin JA, Jenike MA, Baer L, Buttolph ML. Dissociative symptoms in patients with obsessive-compulsive disorder. J Nerv Ment Dis 1992; 180(5):33237. Go to original source... Go to PubMed...
    4. Bartlett AE and Drummond LM. Hysterical conversion and dissociation arising as a complication of behavioural psychotherapy treatment of obsessive-compulsive neurosis. Br J Med Psychol 1990; 63(2):109115. Go to original source... Go to PubMed...
    5. Bernstein EM and Putnam FW. Development, reliability, and validity of a dissociation scale. J Nerv Ment Dis 1986; 174(12):72735. Go to original source... Go to PubMed...
    6. Raszka M, Prasko J, Koprivova J, Novak T, Adamcova K. Psychological dissociation in obsessive-compulsive disorder is associated with anxiety level but not with severity of obsessive-compulsive symptoms. Neuroendocrinol Lett 2009; 30(5):624628.
    7. Spitzer C, Barnow S, Freyberger HJ, Grabe HJ (2007): Dissociation predicts symptom-related treatment outcome in short-term inpatient psychotherapy. Aus N Z J Psychiatry 2007; 41:682687. Go to original source... Go to PubMed...
    8. Rufer M, Fricke S, Held D, Cremer J, Hand I. Dissociation and symptom dimensions of obsessive-compulsive disorder : A replication study. Eur Arch Psychiatry Clin Neurosci 2006; 256(3):146 50. Go to original source... Go to PubMed...
    9. Prasko J, Raszka M, Adamcova K, Grambal A, Koprivova J, Kudrnovska H, Latalova K, Vyskocilova J. Predicting the therapeutic response to cognitive behavioural therapy in patients with pharmacoresistant obsessive-compulsive disorder. Neuroendocrinol Lett 2009; 30(5):615623.
    10. Beck AT, Epstein N, Brown G, Steer RA. An Inventory for Measuring Clinical Anxiety: Psychometric Properties. J Consult Clin Psychol 1988; 56(6):89397. Go to original source... Go to PubMed...
    11. Beck AT, Steer RA, Ball R, Ranieri W. Comparison of Beck Depression Inventories -IA and -II in psychiatric outpatients. J Pers Assess 1996; 67(3):58897. Go to original source... Go to PubMed...
    12. Goodman WK, Rasmussen SA, Price LH et al. (1986). Yale-Brown Obsessive-Compulsive Scale (Y-BOCS). New Haven, CT, Yale University, Department of Psychiatry.
    13. Carlson EB, Putnam FW. An update on the Dissociative Experience Scale: An update on the Dissociative. Dissociation 1993; 6:1627. Go to original source...
    14. Ptacek R, Bob P, Paclt I, Pavlat J, Jasova D, Zvolsky P et al. Psychobiology of dissociation and its clinical assessment. Neuro Endocrinol Lett 2007; 28: 191198.
    15. Hunter EC, Sierra M, David AS. The epidemiology of depersonalisation and derealisation. A systematic review. Soc Psychiatry Psychiatr Epidemiol 2004; 39:918. Go to original source...
    16. Rufer M, Held D, Cremer J et al. Dissociation as a predictor of cognitive behavior therapy outcome in patients with obsessivecompulsive disorder. Psychother Psychosom 2006; 75(1):4046. Go to original source... Go to PubMed...
    17. Fontenelle LF, Dominigues AM, Souza WS, Mendlowicz MV, de Menezes GB, Figueira IL et al. History of trauma and dissociative symptoms among patients with obsessive-compulsive disorder and social anxiety disorder. Psychiatr Q 2007; 78:241250. Go to original source... Go to PubMed...

    Return to the content