Prevalencia y correlatos clinicos del subtipo disociativo del trastorno de estrés postraumatico en una clinica ambulatoria en Corea del Sur

Translated title of the contribution: Prevalence and clinical correlates of dissociative subtype of posttraumatic stress disorder at an outpatient trauma clinic in South Korea

Daeho Kim, Dongjoo Kim, Hyunji Lee, Yubin Cho, Ji Young Min, Seok Hyeon Kim

Research output: Contribution to journalArticlepeer-review

4 Scopus citations

Abstract

Background: Previous studies on of the dissociative subtype of posttraumatic stress disorder (d-PTSD) have relied on specialized statistical methods (i.e. profile or class analyses) for diagnosis than clinical rating available to clinicians. Objective: This study investigated the prevalence and covariates of d-PTSD diagnosed by a semi-structured interview in a cohort of outpatients with DSM-IV PTSD in a specialized trauma clinic in South Korea. Method: Data from 249 patients with civilian PTSD were examined, including demographics, clinical variables, Clinical Global Impression (CGI) Scale, and Clinician-Administered PTSD Scale (CAPS-IV). We defined d-PTSD as the presence of either depersonalization or derealization according to additional dissociative items of the CAPS. About one third (n = 82, 32.9%) of patients were designated as having d-PTSD. Results: Compared to the other patients with PTSD, those with d-PTSD were younger, had more severe PTSD symptoms, frequent interpersonal trauma, and a higher number of comorbid disorders. When these variables and their interactions were entered into a logistic regression model, younger age, severe PTSD symptoms and two or more comorbid conditions remained for the final model. We did not find a significant difference in improvement over the course of treatment between two groups. Conclusions: This study highlights the high prevalence of d-PTSD in a clinical population. Associated features of d-PTSD were similar to those reported in the Euro-American literature. Further studies are needed to better understand mechanisms and treatment options for d-PTSD.

Translated title of the contributionPrevalence and clinical correlates of dissociative subtype of posttraumatic stress disorder at an outpatient trauma clinic in South Korea
Original languageSpanish
Article number1657372
JournalEuropean Journal of Psychotraumatology
Volume10
Issue number1
DOIs
StatePublished - 2019 Jan 1

Keywords

  • PTSD
  • Trauma
  • comorbidity
  • dissociation
  • dissociative subtype
  • prevalence

Fingerprint

Dive into the research topics of 'Prevalence and clinical correlates of dissociative subtype of posttraumatic stress disorder at an outpatient trauma clinic in South Korea'. Together they form a unique fingerprint.

Cite this