TITLE

The Effect of Depression on Self-Harm and Treatment Outcome in Patients With Severe Dissociative Disorders

AUTHOR(S)
Engelberg, Jeremy C.; Brand, Bethany L.
PUB. DATE
September 2012
SOURCE
Psi Chi Journal of Psychological Research;Fall2012, Vol. 17 Issue 3, p115
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
The first purpose of this study was to investigate whether patients diagnosed with dissociative identity disorder (DID) with severe depression attempt suicide or self-harm more than patients with less severe depression. The second purpose was to determine whether depression severity had an effect on treatment outcome in patients with DID. This study used data gathered by researchers conducting the Treatment of Patients with Dissociative Disorders (TOP DD) study (Brand, Classen, Lanius etal., 2009; Brand et al., 2012). Patients completed self-report measures assessing a broad range of their adaptive and dysfunctional behaviors and symptoms. Analyses showed that depression severity had a statistically significant positive correlation with self-harm (r= .24, p< .001) and suicide attempts (r= .15, p= .02). Over 30 months of treatment, more severe depression was associated with less improvement of impulsive actions (R²= .039, p= .045), greater reduction in suicide attempts (p = .04), and greater involvement in social activities (R² = .053, p = .02). These findings suggest that patients diagnosed with DID who suffer from severe depression may be as likely to improve in many outcomes as those who are less severely depressed
ACCESSION #
84199405

 

Related Articles

  • Poster 22: The Huntington Self-Assessment Instrument (HSAI): A Comprehensive and Specific Tool to Measure the Burden of Huntington's Disease Tedroff, J.; Dorey, J.; Lamure, M.; Graf von der Schulenburg, J.-M.; Toumi, M. // Neurotherapeutics;Jan2010, Vol. 7 Issue 1, p145 

    Background: Currently, data regarding the burden of Huntington''s disease (HD) are scarce, and no specific self-reporting assessment instruments are available. There is a clear need for the design of self-reporting techniques that address patient reported outcomes (PRO), caregiver burden (CGB),...

  • EORTC QLQ-C30 assessment in Turkish patients with hematological malignancies. Pamuk, Gülsüm; Harmandar, Ferda; Ermantaş, Nilay; Harmandar, Orbay; Turgut, Burhan; Demir, Muzaffer; Vural, Özden // Annals of Hematology;Apr2008, Vol. 87 Issue 4, p305 

    We aimed to evaluate the prevalences of self-reported anxiety and depression symptoms in hematological malignancy patients and to determine the association between the presence of these disorders and the results of the European Organization for Research and Treatment of Cancer Quality of Life...

  • Effects of the preoperative anxiety and depression on the postoperative pain in rhinoplasty and septoplasty patients. E., Altuntas E.; O., Kavakcı; N., Kugu; S., Muderris // HealthMed;2012, Vol. 6 Issue 8, p2658 

    Objective: Anxiety and depressive disorders can be widespread among patients who are being treated in surgical clinics and they can affect operation outcomes. The aim of this study was to investigate the relationship between the level of their anxiety and depression in the preoperative period...

  • The Impact of Coping Flexibility on the Risk of Depressive Symptoms. Kato, Tsukasa // PLoS ONE;May2015, Vol. 10 Issue 5, p1 

    Objective: According to the dual-process theory, coping flexibility is defined as the ability to produce and implement a new coping strategy in place of an ineffective coping strategy. Specifically, coping flexibility includes two processes: evaluation coping and adaptive coping. Evaluation...

  • A brief guide to... outcome measures.  // Healthcare Counselling & Psychotherapy Journal;Jul2011, Vol. 11 Issue 3, p34 

    The article discusses several tools, including the Clinical Outcomes in Routine Evaluation Outcome Measure, the Hospital Anxiety and Depression Scale and the Shorter Psychotherapy and Counselling Evaluation, that are used in Great Britain to evaluate the outcome of clients who have received...

  • The Relationship between Training and Mental Health among Caregivers of Individuals with Polytrauma. Stevens, Lillian Flores; Pickett, Treven C.; Wilder Schaaf, Kathryn P.; Taylor, Brent C.; Gravely, Amy; Van Houtven, Courtney Harold; Friedemann-Sánchez, Greta; Griffin, Joan M. // Behavioural Neurology;12/7/2015, p1 

    This was a hypothesis-generating exploration of relationships between caregiver training during TBI/polytrauma rehabilitation and caregiver mental health. In this cross-sectional study, 507 informal caregivers to US service members with TBI who received inpatient rehabilitation care in a...

  • Adolescent Health-Risk Behavior and Community Disorder. Wiehe, Sarah E.; Kwan, Mei-Po; Wilson, Jeff; Fortenberry, J. Dennis // PLoS ONE;Nov2013, Vol. 8 Issue 11, p1 

    Background: Various forms of community disorder are associated with health outcomes but little is known about how dynamic context where an adolescent spends time relates to her health-related behaviors. Objective: Assess whether exposure to contexts associated with crime (as a marker of...

  • Cognitive behaviour therapy: a case study. Price, Jessica // Mental Health Practice;Jun2012, Vol. 15 Issue 9, p26 

    People who are prone to depression have a tendency to hold negative core beliefs about themselves, others and the future. They may develop assumptions, rules and compensatory strategies to protect themselves from these difficult beliefs. When these no longer work, depression may occur. Cognitive...

  • DoloTest in General Practice Study: Sensitivity and Specificity Screening for Depression. Kristiansen, Kim; Lyngholm-Kjaerby, Pernille; Moe, Claus // International Journal of Family Medicine;2012, p1 

    Background. Coexistence of pain and depression has significant impact on the patient's quality of life and treatment outcome. DoloTest is a pain and HRQoL assessment tool developed to provide shared understanding between the clinician and the patient of the condition by a visual profile. Aim. To...

Share

Read the Article

Courtesy of VIRGINIA BEACH PUBLIC LIBRARY AND SYSTEM

Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics