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Titolo:
Pain-determined dissociation episodes
Autore:
Fishbain, DA; Cutler, RB; Rosomoff, HL; Rosomoff, RS;
Indirizzi:
Univ Miami, Sch Med, Dept Surg, Coral Gables, FL 33124 USA Univ Miami Coral Gables FL USA 33124 ept Surg, Coral Gables, FL 33124 USA Univ Miami, Sch Med, Dept Psychiat, Coral Gables, FL 33124 USA Univ MiamiCoral Gables FL USA 33124 Psychiat, Coral Gables, FL 33124 USA Univ Miami, Sch Med, Dept Neurol, Coral Gables, FL 33124 USA Univ Miami Coral Gables FL USA 33124 t Neurol, Coral Gables, FL 33124 USA Univ Miami, Sch Med, Dept Anesthesiol, Coral Gables, FL 33124 USA Univ Miami Coral Gables FL USA 33124 sthesiol, Coral Gables, FL 33124 USA Univ Miami, Comprehens Pain & Rehabil Ctr, Coral Gables, FL 33124 USA UnivMiami Coral Gables FL USA 33124 abil Ctr, Coral Gables, FL 33124 USA
Titolo Testata:
PAIN MEDICINE
fascicolo: 3, volume: 2, anno: 2001,
pagine: 216 - 224
SICI:
1526-2375(200109)2:3<216:PDE>2.0.ZU;2-8
Fonte:
ISI
Lingua:
ENG
Soggetto:
MULTIPLE PERSONALITY-DISORDER; SECONDARY GAIN CONCEPT; CHRONIC PELVIC PAIN; SOMATIZATION; VALIDITY; SYMPTOMS; ABUSE; WOMEN; SCALE;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
39
Recensione:
Indirizzi per estratti:
Indirizzo: Fishbain, DA 600 Alton Rd, Miami Beach, FL 33139 USA 600 Alton Rd Miami Beach FL USA 33139 mi Beach, FL 33139 USA
Citazione:
D.A. Fishbain et al., "Pain-determined dissociation episodes", PAIN MED, 2(3), 2001, pp. 216-224

Abstract

Objectives. Dissociation disorders are a group of conditions characterizedby a disruption of integrated function of consciousness, memory, or perception. The purpose of this report is to describe the impact of increased pain levels on the genesis of two types of dissociation disorders, dissociative fugue (DF) and dissociative identity disorder (DID), in patients with chronic pain (PWCP). Design/Patients/Inteiventions/Outcome Measures. From November 1992 to July2000, 2 DID and 4 DF patients were identified from 2,544 consecutive PWCP evaluated and/or treated at the University of Miami Comprehensive Pain and Rehabilitation Center. The salient features of these six dissociation PWCP are presented. All four DF PWCP completed a dissociation experience scale first at the time of identification of the dissociation disorder (with chronic pain) and one alleging their experiences with dissociation predevelopment of chronic pain. Results. Frequency percentage for dissociation for this population was 0.235%. For all four of the DF PWCP, dissociation episodes began after the onset of chronic pain. All six (100%) PWCP described or associated their episodes of dissociation to times when their pain would increase. Mean dissociation scale scores for the four DF PWCP were 1.4 +/- 1.11 pre-chronic pain and 20.53 +/- 16.82 at time of identification of the dissociative disorder (with chronic pain). Conclusions. The frequency percentage for dissociation within PWCP is small compared with psychiatric populations. There may be an etiological association between the development of dissociation episodes and the development of chronic pain and/or increases in chronic pain.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 05/04/20 alle ore 19:42:42