The Systematic Review of Dissociative Identity Disorder on Adult 2011-2018
Main Article Content
Abstract
Objectives: To study focusing on dissociative identity disorder (DID) with the emphasis on the disorder, etiology, assessment and diagnosis, and treatment. Materials and methods: Research include a systematic literature review on DID in adults that were published from 2011 to 2018 under five databases, namely Embase, PubMed, ScienceDirect, Scopus, and PsycINFO, using the PICo framework for the review. Moreover, the duplicate articles were excluded according to inclusive-and-exclusive criteria. The quality
of the articles was assessed using JBI's critical appraisal tools and the data was extracted using research synthesis. Results: The total of 28 articles were included, revealing six key areas: 1) the negative impact of diagnosis on patients and their daily lives, 2) assessment for diagnosis, understanding, and differentiating DID patients from the mimic group, 3) variables related to DID, 4) comparisons between DID and other psychiatric disorders, 5) specific causes of the disorder, focusing on brain morphology, and
6) psychotherapeutic treatment, including International Society for The Study of Trauma and Dissociation (ISSTD) psychotherapy, dynamic deconstructive psychotherapy (DDP), and occupational therapy. Conclusion: This study discovers the most current research topics related to DID. Regarding the etiology of the disorder, there is an increasing emphasis on brain morphology that provide more scientific
explanations which can lead to better further studies. It is now known that assessment and diagnosis commonly involve the use of SCID-D where the treatment aims to reduce dissociation, helping patients to improve the quality of their daily lives.
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เรื่องที่ลงตีพิมพ์ในวารสารจิตวิทยาคลินิกแล้วถือเป็นลิขสิทธิ์การเผยแพร่โดยวารสารจิตวิทยาคลินิกแต่เพียงผู้เดียว การตีพิมพ์หรือเผยแพร่ซ้ำในที่อื่นต้องได้รับอนุญาตจากกองบรรณาธิการวารสารฯ
References
American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). American Psychiatric Association.
Barlow, M. R. (2011). Memory for complex emotional material in dissociative identity disorder. Journal of Trauma & Dissociation: The Official Journal of The International Society for The Study of Dissociation (ISSD), 12(1), 53-66.
https://doi.org/10.1080/15299732.2010.496144
Barlow, M. R., Cromer, L. D., Caron, H. P., & Freyd, J. J. (2012). Comparison of normative and diagnosed dissociation on attachment to companion animals and stuffed animals. Psychological Trauma: Theory, Research, Practice, and Policy, 4(5), 501-506.https://doi.org/10.1037/a0028134
Boysen, G. A., & VanBergen, A. (2013). A review of published research on adult dissociative identity disorder: 2000-2010. The Journal of Nervous and Mental Disease, 201(1), 5-11.https://doi.org/10.1097/NMD.0b013e31827aaf81
Boysen, G. A., & VanBergen, A. (2014). Simulation of multiple personalities: A review of research comparing diagnosed and simulated dissociative identity disorder. Clinical Psychology Review, 34(1), 14-28.
Brand, B. L., & Chasson, G. S. (2015). Distinguishing simulated from genuine dissociative identity disorder on the MMPI-2. Psychological Trauma: Theory, Research, Practice and Policy, 7(1), 93-101. https://doi.org/10.1037/a0035181
Brand, B. L., Tursich, M., Tzall, D., & Loewenstein, R. J. (2014). Utility of the SIRS-2 in distinguishing genuine from simulated dissociative identity disorder. Psychological Trauma: Theory,Research, Practice, and Policy, 6(4), 308-317.
https://doi.org/10.1037/a0036064
Brand, B. L., Webermann, A. R., Snyder, B. L., & Kaliush, P. R. (2018). Detecting clinical and simulated dissociative identity disorder with the test of memory malingering. Psychological Trauma: Theory, Research, Practice and Policy,
(5), 513-520. https://doi.org/10.1037/tra0000405
Butcher, J. N., Graham, J. R., Tellegen, A., & Kaemmer, B. (1989). Manual for the restandardized Minnesotaultiphasic personality inventory: MMPI-2. University of Minnesota Press.
Carlson E. A. (1998). A prospective longitudinal study of attachment disorganization/disorientation. Child Development, 69(4), 1107-1128.
Chalavi, S., Vissia, E. M., Giesen, M. E., Nijenhuis, E. R., Draijer, N., Barker, G. J., Veltman, D. J., & Reinders, A. A. (2015a). Similar cortical but not subcortical gray matter abnormalities in women with posttraumatic stress disorder with versus without dissociative identity disorder. Psychiatry Research, 231(3), 308-319. https://doi.org/10.1016/j.pscychresns.2015.01.014
Chalavi, S., Vissia, E. M., Giesen, M. E., Nijenhuis, E. R., Draijer, N., Cole, J. H., Dazzan, P., Pariante, C. M., Madsen, S. K., Rajagopalan, P., Thompson, P. M., Toga, A. W., Veltman, D. J., & Reinders, A. A. (2015b). Abnormal hippocampal morphology in dissociative identity disorder and posttraumatic stress disorder correlates with childhood trauma and dissociative symptoms. Human Brain Mapping, 36(5), 1692-1704. https://doi.org/10.1002/hbm.22730
Chlebowski, S. M., & Gregory, R. J. (2012). Three cases of dissociative identity disorder and cooccurring borderline personality disorder treated with dynamic deconstructive psychotherapy. American Journal of Psychotherapy, 66(2), 165-180.https://doi.org/10.1176/appi.psychotherapy.2012.66.2.165
Conklin, C. Z., & Westen, D. (2005). Borderline personality disorder in clinical practice. The American Journal of Psychiatry, 162(5), 867-875. https://doi.org/10.1176/appi.ajp.162.5.867
DePrince, A. P., Huntjens, R. J., & Dorahy, M. J. (2015). Alienation appraisals distinguish adults diagnosed with DID from PTSD. Psychological Trauma: Theory, Research, Practice and Policy, 7(6), 578-582. https://doi.org/10.1037/tra0000069
Dyer, K. F., Dorahy, M. J., Corry, M., Black, R.,Matheson, L., Coles, H., Curran, D., Seager, L., & Middleton, W. (2017). Comparing shame in clinical and nonclinical populations: Preliminary findings. Psychological Trauma: Theory,
Research, Practice and Policy, 9(2), 173-180.https://doi.org/10.1037/tra0000158
Floris, J., & McPherson, S. (2015). Fighting the whole system: Dissociative identity disorder, labeling theory, and iatrogenic doubting. Journal of Trauma & Dissociation: The Official Journal of The International Society for the
Study of Dissociation (ISSD), 16(4), 476-493.https://doi.org/10.1080/15299732.2014.990075
Foote, B., Smolin, Y., Neft, D. I., & Lipschitz, D.(2008). Dissociative disorders and suicidality in psychiatric outpatients. The Journal of Nervous and Mental Disease, 196(1), 29-36.
Forrest, K. A. (2001). Toward an etiology of dissociative identity disorder: A neurodevelopmental approach. Consciousness and Cognition, 10(3), 259-293. https://doi.org/10.1006/ccog.2001.0493
Hartmann, E., & Benum, K. (2017). Rorschach assessment of two distinctive personality states of a person with dissociative identity disorder. Journal of Personality Assessment, 101(2), 213-228. https://doi.org/10.1080/002
2017.1391273
Howell, E. F. (2011). Understanding and treating dissociative identity disorder: A relational approach (Vol. 49). Routledge.
Huntjens, R. J., Wessel, I., Hermans, D., & van Minnen, A. (2014). Autobiographical memory specificity in dissociative identity disorder. Journal of Abnormal Psychology, 123(2), 419.
Huttenlocher, P. R. (1990). Morphometric study of human cerebral cortex development. Neuropsychologia, 28(6), 517-527.https://doi.org/10.1016/0028-3932(90)90031-i
International Society for the Study of Trauma and Dissociation (2011). Guidelines for treating dissociative identity disorder in adults, third revision. Journal of Trauma & Dissociation: The Official Journal of The International
Society for The Study of Dissociation (ISSD),12(2), 115-187. https://doi.org/10.1080/15299732.2011.537247
Joanna Briggs Institute. (2019). Critical appraisal tools. Joanna Briggs. https://joannabriggs.org/critical-appraisal-tools. Keyes, D. (1981). The minds of Billy Milligan. Random House.
Laddis, A., & Dell, P. F. (2012). Dissociation and psychosis in dissociative identity disorder and schizophrenia. Journal of Trauma & Dissociation: The Official Journal of The International Society for The Study of Dissociation (ISSD), 13(4),
-413. https://doi.org/10.1080/15299732.2012.664967
Laddis, A., Dell, P. F., & Korzekwa, M. (2017). Comparing the symptoms and mechanisms of "dissociation" in dissociative identity disorder and borderline personality disorder. Journal of Trauma & Dissociation: The Official Journal of The International Society for The Study of Dissociation (ISSD), 18(2), 139-173. https://doi.org/10.1080/15299732.2016.1194358
Meyer, G. J., & Eblin, J. J. (2012). An overview of the Rorschach performance assessment system (R-PAS). Psychological Injury and Law, 5, 107-121.
Moher, D., Liberati, A., Tetzlaff, J., Altman, D. G., & The PRISMA Group. (2009). Preferred reporting items for systematic reviews and meta-analyses: The PRISMA statement. PLoS Med. 6(7),e1000097.
Mueller-Pfeiffer, C., Rufibach, K., Perron, N., Wyss, D., Kuenzler, C., Prezewowsky, C., Pitman, R. K., & Rufer, M. (2012). Global functioning and disability in dissociative disorders. Psychiatry Research, 200(2-3), 475-481. https://doi.org/
1016/j.psychres.2012.04.028
Ogawa, J. R., Sroufe, L. A., Weinfield, N. S., Carlson, E. A., & Egeland, B. (1997). Development and the fragmented self: Longitudinal study of dissociative symptomatology in a nonclinical sample. Development and Psychopathology,
(4), 855-879. https://doi.org/10.1017/s0954579497001478
Pollock, B. E., Macfie, J., & Elledge, L. C. (2017). Evidence for phase-based psychotherapy as a treatment for dissociative identity disorder comorbid with major depressive disorder and alcohol dependence. Journal of Trauma &
Dissociation: The Official Journal of The International Society for The Study of Dissociation (ISSD), 18(4), 595-609.
https://doi.org/10.1080/15299732.2016.1241853
Precin, P. (2011). Return to work: A case of PTSD, dissociative identity disorder, and satanic ritual abuse. Work (Reading, Mass.), 38(1), 57-66.https://doi.org/10.3233/WOR-20111104
Reinders, A. A., Chalavi, S., Schlumpf, Y. R., Vissia, E. M., Nijenhuis, E., Jäncke, L., Veltman, D. J., & Ecker, C. (2018). Neurodevelopmental origins of abnormal cortical morphology in dissociative identity disorder. Acta Psychiatrica Scandinavica, 137(2), 157-170. https://doi.org/10.1111/acps.12839
Reinders, A. A., Willemsen, A. T., den Boer, J. A., Vos, H. P., Veltman, D. J., & Loewenstein, R. J. (2014). Opposite brain emotion-regulation patterns in identity states of dissociative identity disorder: A PET study and neurobiological
model. Psychiatry Research, 223(3), 236-243.https://doi.org/10.1016/j.pscychresns.2014.05.005
Reinders, A. A., Willemsen, A. T., Vissia, E. M., Vos, H. P., den Boer, J. A., & Nijenhuis, E. R. (2016). The psychobiology of authentic and simulated dissociative personality states: The full monty. The Journal of Nervous and Mental Disease,
(6), 445-457. https://doi.org/10.1097/NMD.0000000000000522
Reinders, A. A., Willemsen, A. T., Vos, H. P., den Boer, J. A., & Nijenhuis, E. R. (2012). Fact or factitious? A psychobiological study of authentic and simulated dissociative identity states. PloS ONE, 7(6), e39279. https://doi.org/10.1371/journal.pone.0039279
Reisinger, B. A., & Gleaves, D. H. (2023). Comparing social stigma of dissociative identity disorder, schizophrenia, and depressive disorders. Journal of Trauma & Dissociation, 24(2), 171-184.
Rodewald, F., Wilhelm-Göling, C., Emrich, H. M., Reddemann, L., & Gast, U. (2011). Axis-I comorbidity in female patients with dissociative identity disorder and dissociative identity disorder not otherwise specified. The
Journal of Nervous and Mental Disease, 199(2), 122-131. https://doi.org/10.1097/NMD. 0b013e318208314e
Rogers, R., Sewell, K. W., & Gillard, N. D. (2010). Structured interview of report symptoms-2 (SIRS-2) and professional manual. Psychological Assessment Resources.
Ross, C. A. (2007). Borderline personality disorder and dissociation. Journal of Trauma & Dissociation: The Official Journal of The International Society for The Study of Dissociation (ISSD), 8(1), 71-80. https://doi.org/10.1300/J229v08
n01_05
Ross, C. A., & Norton, G. R. (1989). Suicide and parasuicide in multiple personality disorder. Psychiatry, 52(3), 365-371.
Sadock, B. J., and Sadock, V. A. (2007). Kaplan & Sadock's synopsis of psychiatry: Behavioral sciences/clinical psychiatry (10th ed.). Lippincott, Williams and Wilkins.
Sapolsky, R. M. (1993). Potential behavioral modification of glucocorticoid damage to the hippocampus. Behavioural Brain Research, 57(2), 175-182. https://doi.org/10.1016/0166-4328(93)90133-b
Schlumpf, Y. R., Nijenhuis, E. R., Chalavi, S., Weder, E. V., Zimmermann, E., Luechinger, R., La Marca, R., Reinders, A. A., & Jäncke, L. (2013). Dissociative part-dependent biopsychosocial reactions to backward masked angry and
neutral faces: An fMRI study of dissociative identity disorder. NeuroImage: Clinical, 3, 54-64. https://doi.org/10.1016/j.nicl.2013.07.002
Schlumpf, Y. R., Reinders, A. A., Nijenhuis, E. R., Luechinger, R., van Osch, M. J., & Jäncke, L. (2014). Dissociative part-dependent restingstate activity in dissociative identity disorder: A controlled FMRI perfusion study. PloS ONE,
(6), e98795. https://doi.org/10.1371/journal.pone.0098795
Snyder, B. L. (2018). Women with dissociative identity disorder who experience intimate partner violence. Journal of Psychosocial Nursing and Mental Health Services, 56(5) 26-32. https://doi.org/10.3928/02793695-20180212-06
Steinberg, M., & Hall, P. (1997). The SCID-D diagnostic interview and treatment planning in dissociative disorders. Bulletin of The Menninger Clinic, 61(1), 108-120.
Tanner, J., Wyss, D., Perron, N., Rufer, M., & Mueller-Pfeiffer, C. (2017). Frequency and characteristics of suicide attempts in dissociative identity disorders: A 12-month follow-up study in psychiatric outpatients in Switzerland. European Journal of Trauma & Dissociation, 1(4), 235-239. https://doi.org/10.1016/j.ejtd.2017.06.005
Teicher, M. H., Anderson, C. M., & Polcari, A. (2012). Childhood maltreatment is associated with reduced volume in the hippocampal subfields CA3, dentate gyrus, and subiculum. Proceedings of the National Academy of Sciences of the United States of America,109(9), E563-E572. https://doi.org/10.1073/pnas.1115396109
Thongpibul, K., & Asawathaweeboon, B. (2019). Comparative study of the Rorschach inkblot test interpretation between the Klopfer system and the Rorschach performance assessment system (R-PAS). J Psychiatr Assoc
Thailand, 64(2), 139-148. (in Thai).
van Heugten-van der Kloet, D., Giesbrecht, T., & Merckelbach, H. (2015). Sleep loss increases dissociation and affects memory for emotional stimuli. Journal of Behavior Therapy and Experimental Psychiatry, 47, 9-17.
van Heugten-van der Kloet, D., Huntjens, R., Giesbrecht, T., & Merckelbach, H. (2014). Selfreported sleep disturbances in patients with dissociative identity disorder and posttraumatic stress disorder and how they relate to cognitive failures and fantasy proneness. Frontiers in Psychiatry, 5, 19. https://doi.org/10.3389/fpsyt.2014.00019
Vermetten, E., Schmahl, C., Lindner, S., Loewenstein, R. J., & Bremner, J. D. (2006). Hippocampal and amygdala volumes in dissociative identity disorder. The American Journal of Psychiatry, 163(4), 630-636. https://doi.org/10.1176/ajp.2006.163.4.630