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Assessment of dissociation in Bosnian treatment-seeking refugees in Denmark

Palic, Sabina, Carlsson, Jessica, Armour, Cherie and Elklit, Ask (2015) Assessment of dissociation in Bosnian treatment-seeking refugees in Denmark. Nordic Journal of Psychiatry, 69 (4). pp. 307-314. [Journal article]

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URL: http://dx.doi.org/10.3109/08039488.2014.977344

DOI: doi:10.3109/08039488.2014.977344

Abstract

BACKGROUND:Dissociative experiences are common in traumatized individuals, and can sometimes be mistaken for psychosis. It is difficult to identify pathological dissociation in the treatment of traumatized refugees, because there is a lack of systematic clinical descriptions of dissociative phenomena in refugees. Furthermore, we are currently unaware of how dissociation measures perform in this clinical group.AIMS:To describe the phenomenology of dissociative symptoms in Bosnian treatment-seeking refugees in Denmark.METHOD:As a part of a larger study, dissociation was assessed systematically in 86 Bosnian treatment-seeking refugees using a semi-structured clinical interview (Structured Interview for Disorders of Extreme Stress-dissociation subscale; SIDES-D) and a self-report scale (Dissociative Experiences Scale; DES).RESULTS:The SIDES-D indicated twice as high prevalence of pathological dissociation as the DES. According to the DES, 30% of the refugees had pathological dissociation 15 years after their resettlement. On the SIDES-D, depersonalization and derealization experiences were the most common. Also, questions about depersonalization and derealization at times elicited reporting of visual and perceptual hallucinations, which were unrelated to traumatic re-experiencing. Questions about personality alteration elicited spontaneous reports of a phenomenon of "split" pre- and post-war identity in the refugee group. Whether this in fact is a dissociative phenomenon, characteristic of severe traumatization in adulthood, needs further examination.CONCLUSIONS:Knowledge of dissociative symptoms in traumatized refugees is important in clinical settings to prevent misclassification and to better target psychotherapeutic interventions. Much development in the measurement of dissociation in refugees is needed.

Item Type:Journal article
Keywords:Assessment; DES; Dissociation; Refugees; SIDES
Faculties and Schools:Faculty of Life and Health Sciences
Faculty of Life and Health Sciences > School of Psychology
Research Institutes and Groups:Psychology Research Institute > Population Health Sciences and Mental Health Services
Psychology Research Institute
ID Code:33152
Deposited By: Prof Cherie Armour
Deposited On:08 Mar 2016 16:31
Last Modified:08 Mar 2016 16:31

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