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https://www.readbyqxmd.com/read/29734991/violent-parasomnia-with-recurrent-biting-and-surgical-interventions-case-report-and-differential-diagnosis
#1
Nilam Danish, Imran S Khawaja, Carlos H Schenck
A case is reported of recurrent, injurious self-biting during sleep, requiring surgical interventions, in a 55-year-old obese man with a 20-year history of violent complex parasomnia, with greatly increased frequency and severity of episodes induced by work stress during the preceding 3 years. After clinical evaluation and overnight, hospital-based video-polysomnography, the cause of the chronic injurious parasomnia was deemed to be a non-rapid eye movement (NREM) sleep parasomnia comorbid with severe obstructive sleep apnea...
April 30, 2018: Journal of Clinical Sleep Medicine: JCSM: Official Publication of the American Academy of Sleep Medicine
https://www.readbyqxmd.com/read/29694935/does-dissociation-mediate-the-relationship-between-childhood-trauma-and-hallucinations-delusions-in-first-episode-psychosis
#2
Pamela Sun, Mario Alvarez-Jimenez, Katrina Simpson, Katherine Lawrence, Natalie Peach, Sarah Bendall
BACKGROUND: Childhood trauma has been linked to the presence of delusions and hallucinations in psychosis, although the mechanisms underlying this relationship require elucidation. Dissociation, characterized by disruptions to the integrative functioning of several core mental domains, has emerged as a potential mechanism. There is a paucity of research using a clinician-rated measure of dissociation to test the indirect effect of dissociation on the relationship between childhood trauma and psychotic symptoms...
April 11, 2018: Comprehensive Psychiatry
https://www.readbyqxmd.com/read/29589801/psychometric-properties-of-the-pathological-dissociation-measures-among-chinese-a-pilot-study-using-online-methods
#3
Hong Wang Fung, Tat Ming Choi, Chitat Chan, Colin A Ross
PURPOSE: Pathological dissociation (PD) is an easily overlooked phenomenon in the mental health field. Standardized assessment is important for identifying dissociative symptoms and disorders. However, the use of PD measures in Chinese cultures needs investigation. This pilot study investigated the psychometric properties of three PD measures among Hong Kong Chinese. METHODS: The psychometric properties of the Dissociative Experiences Scale-Taxon, the 5-item Somatoform Dissociation Questionnaire, and the Self-Report Version of the Dissociative Disorders Interview Schedule (SR-DDIS) were evaluated using online methods in Hong Kong...
March 28, 2018: Journal of Evidence-informed Social Work
https://www.readbyqxmd.com/read/29565750/reconsidering-the-autohypnotic-model-of-the-dissociative-disorders
#4
Paul F Dell
The dissociative disorders field and the hypnosis field currently reject the autohypnotic model of the dissociative disorders, largely because many correlational studies have shown hypnotizability and dissociation to be minimally related (r = .12). Curiously, it is also widely accepted that dissociative patients are highly hypnotizable. If dissociative patients are highly hypnotizable because only highly hypnotizable individuals can develop a dissociative disorder - as the author proposes - then the methodology of correlational studies of hypnotizability and dissociation in random clinical and community samples would necessarily be constitutively unable to detect, and statistically unable to reflect, that fact...
March 22, 2018: Journal of Trauma & Dissociation
https://www.readbyqxmd.com/read/29403129/psychological-dissection-of-patients-having-dissociative-disorder-a-cross-sectional-study
#5
Lohit Somashekar Reddy, N M Patil, Raghavendra B Nayak, Sameeran S Chate, Saba Ansari
Background: Patients present with dissociative disorders as a decompensation to underlying stressful situation. It is clinically important to evaluate the presence, type, and temporal relation of the stressors resulting in dissociation. Further knowing the sociodemographic and psychological profile of the dissociative patient helps in better management. Materials and Methods: The study included 55 dissociative patients aged between 5 to 45 years. Psychiatric diagnosis was made using ICD-10 DCR...
January 2018: Indian Journal of Psychological Medicine
https://www.readbyqxmd.com/read/29353299/creation-of-the-txp-parenting-questionnaire-and-study-of-its-psychometric-properties
#6
Ana Benito, Gema Calvo, Matías Real-López, María José Gallego, Sonia Francés, Ángel Turbi, Gonzalo Haro
Parenting is linked to conduct disorders (CD) and substance related disorders (SRD) in adolescents, but with differences according to cultural context. A questionnaire with two versions (parenting questionnaire TXP-A for adolescents and TXP-C  for primary caregivers) was designed using the Delphi method to evaluate parenting practices related to CD and SRD in a Spanish population. It was validated in a community sample of 631 adolescents aged between 14 and 16 and their caregivers. Results suggest a 29-item TXP-A questionnaire with bifactorial structure: affection-communication and control-structure, with high internal (Cronbach’s alpha=0...
January 15, 2018: Adicciones
https://www.readbyqxmd.com/read/29297785/reconsidering-hypnosis-and-psychoanalysis-toward-creating-a-context-for-understanding
#7
Richard P Kluft
Sigmund Freud developed what became psychoanalysis in the context of his experiences with hypnosis and the treatment of the grand hysterics of his era, conditions largely classified among the dissociative disorders in contemporary systems of diagnosis. He rapidly constructed understandings of the human mind and human distress that replaced the concept of dissociation and a model of pathology that was passive (associated with reduced psychic cohesion), with the paradigm of an active defensive process he termed repression, and an understanding that psychological discomfort was the outcome of intrapsychic conflict...
January 2018: American Journal of Clinical Hypnosis
https://www.readbyqxmd.com/read/29295027/intimate-partner-violence-among-patients-with-dissociative-disorders
#8
Aliya R Webermann, Bethany L Brand, Shaina A Kumar
Childhood trauma is common among survivors and perpetrators of intimate partner violence (IPV). Although symptoms of posttraumatic stress disorder (PTSD) and dissociative disorders (DDs) are predictors of IPV victimization and perpetration, few studies explore IPV among those with DDs. The present study examined IPV and symptoms as predictors among participants in the Treatment of Patients With Dissociative Disorders (TOP DD) Network study, an educational intervention for individuals with DDs and their clinicians...
December 1, 2017: Journal of Interpersonal Violence
https://www.readbyqxmd.com/read/29173224/occupational-therapy-for-functional-neurological-disorders-a-scoping-review-and-agenda-for-research
#9
Paula Gardiner, Lindsey MacGregor, Alan Carson, Jon Stone
Functional neurological disorders (FND)-also called psychogenic, nonorganic, conversion, and dissociative disorders-constitute one of the commonest problems in neurological practice. An occupational therapist (OT) is commonly involved in management, but there is no specific literature or guidance for these professionals. Classification now emphasizes the importance of positive diagnosis of FND based on physical signs, more than psychological features. Studies of mechanism have produced new clinical and neurobiological ways of thinking about these disorders...
November 27, 2017: CNS Spectrums
https://www.readbyqxmd.com/read/29163860/assessing-therapeutic-change-in-patients-with-severe-dissociative-disorders-the-progress-in-treatment-questionnaire-therapist-and-patient-measures
#10
Hugo Schielke, Bethany Brand, Angelika Marsic
Background : Treatment research for dissociative identity disorder (DID) and closely related severe dissociative disorders (DD) is rare, and has been made more difficult by the lack of a reliable, valid measure for assessing treatment progress in these populations. Objective : This paper presents psychometric data for therapist and patient report measures developed to evaluate therapeutic progress and outcomes for individuals with DID and other DD: the Progress in Treatment Questionnaire - Therapist (PITQ-t; a therapist report measure) and the Progress in Treatment Questionnaire - Patient (PITQ-p; a patient self-report measure)...
2017: European Journal of Psychotraumatology
https://www.readbyqxmd.com/read/29038681/treatment-of-dissociative-disorders-and-reported-changes-in-inpatient-and-outpatient-cost-estimates
#11
Amie C Myrick, Aliya R Webermann, Willemien Langeland, Frank W Putnam, Bethany L Brand
Background: Interpersonal trauma and trauma-related disorders cost society billions of dollars each year. Because of chronic and severe trauma histories, dissociative disorder (DD) patients spend many years in the mental health system, yet there is limited knowledge about the economic burden associated with DDs. Objective: The current study sought to determine how receiving specialized treatment would relate to estimated costs of inpatient and outpatient mental health services. Method: Patients' and individual therapists' reports of inpatient hospitalization days and outpatient treatment sessions were converted into US dollars...
2017: European Journal of Psychotraumatology
https://www.readbyqxmd.com/read/28946763/dissociation-in-psychiatric-disorders-a-meta-analysis-of-studies-using-the-dissociative-experiences-scale
#12
Lisa Lyssenko, Christian Schmahl, Laura Bockhacker, Ruben Vonderlin, Martin Bohus, Nikolaus Kleindienst
OBJECTIVE: Dissociation is a complex, ubiquitous construct in psychopathology. Symptoms of dissociation are present in a variety of mental disorders and have been connected to higher burden of illness and poorer treatment response, and not only in disorders with high levels of dissociation. This meta-analysis offers a systematic and evidence-based study of the prevalence and distribution of dissociation, as assessed by the Dissociative Experiences Scale, within different categories of mental disorders, and it updates an earlier meta-analysis...
January 1, 2018: American Journal of Psychiatry
https://www.readbyqxmd.com/read/28915146/engendered-responses-to-and-interventions-for-shame-in-dissociative-disorders-a-survey-and-experimental-investigation
#13
Martin J Dorahy, Julia Gorgas, Lenaire Seager, Warwick Middleton
This study examined shame and responses to it in adult dissociative disorder (DD; n = 24) and comparison psychiatric (n = 14) samples. To investigate how helpful different therapeutic responses are after shame disclosures in therapy, participants heard two vignettes from "mock" patients disclosing a) shame and b) surprise. Participants rated the helpfulness of five potential responses. Interventions covered withdrawing from the affect (withdrawal focused) to feeling it (feeling focused), with other interventions on cognitions (cognitive focused), management strategies (management focused), and previous experiences (history focused)...
November 2017: Journal of Nervous and Mental Disease
https://www.readbyqxmd.com/read/28899586/dissociative-sensibility-disorders-a-retrospective-case-series-and-systematic-literature-review
#14
REVIEW
Peter Weber, Rahel Erlacher
CONTEXT: Dissociative disorders present a huge challenge in clinical settings. In contrast to other dissociative symptoms, dissociative sensibility disorders are rarely focused on. OBJECTIVE: To identify the clinical characteristics and outcomes of dissociative sensibility disorders in children and adolescents, and to review the use of diagnostic procedures. DATA SOURCES: For the review, a literature search used Pubmed, Embase, Web of Science, and PubPsych (to 02/2015) and the reference lists of the studies identified...
January 2018: European Journal of Paediatric Neurology: EJPN
https://www.readbyqxmd.com/read/28871346/-differential-diagnosis-of-dissociative-seizures
#15
REVIEW
A Joos, K Baumann, C E Scheidt, C Lahmann, R König, H-J Busch, A Schulze-Bonhage
Patient history taking and semiology provide seminal clues to the diagnosis of dissociative seizures. Openness and alertness of the treating physician are essential. Video-electroencephalogram(EEG)-based analyses of the events are crucial to establish the correct diagnosis, particularly in complex cases. The patient-doctor relationship is of particular importance in order to successfully motivate the patient for psychotherapeutic treatment. Coexisting psychiatric morbidity as well as other functional somatic symptoms must be actively explored...
October 2017: Der Nervenarzt
https://www.readbyqxmd.com/read/28796557/revisiting-the-concept-of-severe-mental-illness-severity-indicators-and-healthcare-spending-in-psychotic-depressive-and-dissociative-disorders
#16
Ana Isabel Gonzalez Vazquez, Natalia Seijo Ameneiros, Juan Carlos Díaz Del Valle, Ester Lopez Fernandez, Miguel Angel Santed Germán
BACKGROUND: The concept of severe mental illness (SMI) has been related to bipolar or psychotic diagnosis, or to some cases of depressive disorders. Other mental health problems such as personality disorders or posttraumatic dissociative conditions, which can sometimes lead to relevant functional impairments, remain separate from the SMI construct. AIMS: This study aimed to evaluate the clinical severity as well as healthcare spending on dissociative disorders (DDs)...
August 10, 2017: Journal of Mental Health
https://www.readbyqxmd.com/read/28780279/personality-disorders-and-somatization-in-functional-and-organic-movement-disorders
#17
Giovanni Defazio, Adriana Pastore, Roberta Pellicciari, Grazia Pierri, Angelo F Gigante, Giada Fabio, Maria Superbo, Francesco Margari
Psychiatric disturbances and somatizations are both criteria which support the diagnosis of functional movement disorders. It is unclear, however, whether these factors are helpful in differentiating functional and organic movement disorders. To address this issue, the Structured Clinical Interview for DSM-IV Axis I and II psychiatric disorders, the State-Trait Anxiety Inventory, the Beck Depression Inventory and the "somatization section" of the Dissociative Disorders Interview Schedule were administered to 31 functional movement disorder patients diagnosed, according to Fahn and Williams criteria and 31 sex- and age-matched control outpatients, with adult-onset dystonia...
July 31, 2017: Psychiatry Research
https://www.readbyqxmd.com/read/28777175/non-rapid-eye-movement-sleep-and-overlap-parasomnias
#18
Muna Irfan, Carlos H Schenck, Michael J Howell
PURPOSE OF REVIEW: This article reviews the spectrum of non-rapid eye movement (non-REM) sleep parasomnias, including sleepwalking, confusional arousals, and sleep terrors, which represent the range of phenotypic disorders of arousal from non-REM sleep that occurs in children and adults. RECENT FINDINGS: The International Classification of Sleep Disorders, Third Edition (ICSD-3) classifies parasomnias according to the sleep stage they emerge from: REM, non-REM, or other...
August 2017: Continuum: Lifelong Learning in Neurology
https://www.readbyqxmd.com/read/28693577/somatoform-dissociation-and-posttraumatic-stress-syndrome-two-sides-of-the-same-medal-a-comparison-of-symptom-profiles-trauma-history-and-altered-affect-regulation-between-patients-with-functional-neurological-symptoms-and-patients-with-ptsd
#19
COMPARATIVE STUDY
Johanna Kienle, Brigitte Rockstroh, Martin Bohus, Johanna Fiess, Silke Huffziger, Astrid Steffen-Klatt
BACKGROUND: History of traumatic experience is common in dissociative disorder (DD), and similarity of symptoms and characteristics between DD and posttraumatic stress disorder (PTSD) encouraged to consider DD as trauma-related disorder. However, conceptualization of DD as a trauma-related syndrome would critically affect diagnosis and treatment strategies. The present study addressed overlap and disparity of DD and PTSD by directly comparing correspondence of symptoms, adverse/traumatic experience, and altered affect regulation between patients diagnosed with dissociative disorder (characterized by negative functional neurological symptoms) and patients diagnosed with PTSD...
July 11, 2017: BMC Psychiatry
https://www.readbyqxmd.com/read/28680542/six-year-follow-up-of-the-treatment-of-patients-with-dissociative-disorders-study
#20
Amie C Myrick, Aliya R Webermann, Richard J Loewenstein, Ruth Lanius, Frank W Putnam, Bethany L Brand
Objective : Literature on the treatment of dissociative disorders (DDs) suggests that these individuals require long-term and specialized treatment to achieve stabilization and functionality. There is considerable empirical support for specialized phasic, dissociation-focused treatment in reducing a myriad of psychological symptoms and self-harm in this population. However, until recently, there has been a paucity of longitudinal treatment research on DD patients. Method : In the present six-year follow-up study, 61 therapists who participated in the initial phase of the Treatment of Patients with Dissociative Disorders (TOP DD) study answered questionnaires about their study patient's stressors, quality of life, global functioning, victimization, and safety...
2017: European Journal of Psychotraumatology
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