Depersonalisation disorder: clinical features of 204 cases

Depersonalisation disorder is a poorly understood and underresearched syndrome. To carry out a large and comprehensive clinical and psychopathological survey of a series of patients who made contact with a research clinic. A total of 204 consecutive eligible referrals were included: 124 had a full p...

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Veröffentlicht in:British journal of psychiatry 2003-05, Vol.182 (5), p.428-433
Hauptverfasser: Baker, Dawn, Hunter, Elaine, Lawrence, Emma, Medford, Nicholas, Patel, Maxine, Senior, Carl, Sierra, Mauricio, Lambert, Michelle V., Phillips, Mary L., David, Anthony S.
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container_end_page 433
container_issue 5
container_start_page 428
container_title British journal of psychiatry
container_volume 182
creator Baker, Dawn
Hunter, Elaine
Lawrence, Emma
Medford, Nicholas
Patel, Maxine
Senior, Carl
Sierra, Mauricio
Lambert, Michelle V.
Phillips, Mary L.
David, Anthony S.
description Depersonalisation disorder is a poorly understood and underresearched syndrome. To carry out a large and comprehensive clinical and psychopathological survey of a series of patients who made contact with a research clinic. A total of 204 consecutive eligible referrals were included: 124 had a full psychiatric examination using items of the Present State Examination to define depersonalisation/derealisation and 80 had either a telephone interview (n=22) or filled out a number of self-report questionnaires. Cases assessed were diagnosed according to DSM-IV criteria. The mean age of onset was 22.8 years; early onset was associated with greater severity. There was a slight male preponderance. The disorder tended to be chronic and persistent. Seventy-one per cent met DSM-IV criteria for primary depersonalisation disorder. Depersonalisation symptom scores correlated with both anxiety and depression and a past history of these disorders was commonly reported. 'Dissociative amnesia' was not prominent. Depersonalisation disorder is a recognisable clinical entity but appears to have significant comorbidity with anxiety and depression. Research into its aetiology and treatment is warranted.
doi_str_mv 10.1192/bjp.182.5.428
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To carry out a large and comprehensive clinical and psychopathological survey of a series of patients who made contact with a research clinic. A total of 204 consecutive eligible referrals were included: 124 had a full psychiatric examination using items of the Present State Examination to define depersonalisation/derealisation and 80 had either a telephone interview (n=22) or filled out a number of self-report questionnaires. Cases assessed were diagnosed according to DSM-IV criteria. The mean age of onset was 22.8 years; early onset was associated with greater severity. There was a slight male preponderance. The disorder tended to be chronic and persistent. Seventy-one per cent met DSM-IV criteria for primary depersonalisation disorder. Depersonalisation symptom scores correlated with both anxiety and depression and a past history of these disorders was commonly reported. 'Dissociative amnesia' was not prominent. Depersonalisation disorder is a recognisable clinical entity but appears to have significant comorbidity with anxiety and depression. Research into its aetiology and treatment is warranted.</abstract><cop>Cambridge, UK</cop><pub>Cambridge University Press</pub><pmid>12724246</pmid><doi>10.1192/bjp.182.5.428</doi><tpages>6</tpages><oa>free_for_read</oa></addata></record>
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source Applied Social Sciences Index & Abstracts (ASSIA); MEDLINE; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; Alma/SFX Local Collection; Cambridge University Press Journals Complete
subjects Adolescent
Adult
Age
Age of Onset
Aged
Amnesia
Analysis of Variance
Anxiety
Anxiety - epidemiology
Child
Child, Preschool
Chronic Disease
Cohort Studies
Comorbidity
Depersonalization
Depersonalization - epidemiology
Depersonalization - etiology
Depersonalization - psychology
Depression - epidemiology
Diagnosis, Differential
Dissociative amnesia
Divorce
Etiology
Female
Females
Humans
Male
Males
Medical referrals
Mental depression
Middle Aged
Psychiatric Status Rating Scales
Psychiatry
Questionnaires
Risk Factors
Self report
title Depersonalisation disorder: clinical features of 204 cases
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