Dissociative psychosis or dissociative schizophrenia? Comparison of two phenomena
Abstract Background In recent years, researchers have reported crucial advances in the understanding of “Dissociative psychosis” and “Dissociative schizophrenia”. While clinical studies in this area have been sustained for well, it remains to be established for some aspects that a clear and valid re...
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2025-01-01
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| Online Access: | https://doi.org/10.1186/s12888-025-06477-0 |
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| author | Mahir Akbudak Hasan Belli Hasan Gökçay Uğur Takım |
| author_facet | Mahir Akbudak Hasan Belli Hasan Gökçay Uğur Takım |
| author_sort | Mahir Akbudak |
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| description | Abstract Background In recent years, researchers have reported crucial advances in the understanding of “Dissociative psychosis” and “Dissociative schizophrenia”. While clinical studies in this area have been sustained for well, it remains to be established for some aspects that a clear and valid relationship exists between dissociation, childhood traumatic experiences, and schizophrenia or psychotic spectrum disorders. Methods: To test such hypotheses, we divided the patients into two groups; the first group consisted of patients with psychotic disorders not otherwise specified (PNOS), and the second group consisted of schizophrenic patients. Further, we have investigated the symptoms of dissociation, its relation to childhood traumatic experiences, and psychotic symptoms. The study included 81 patients diagnosed with schizophrenia according to DSM-5 diagnostic criteria and 81 patients diagnosed with PNOS. Researchers assessed participants using the Dissociation Questionnaire (DIS-Q), the Childhood Trauma Questionnaire (CTQ, and the Positive and Negative Syndrome Scale (PANSS). Results: The present study showed that patients with PNOS have higher dissociation and childhood traumatic experiences scores than the schizophrenic group and that the patients with the PNOS group yielded elevated physical abuse, emotional abuse, emotional neglect, sexual abuse, and bodily neglect scores as compared to the schizophrenic group. However, the PNOS group exhibited significantly lower PANSS total, PANSS negative, and PANSS general psychopathology scores compared to the schizophrenia group. DIS-Q and total CTQ level were also significant predictors of PNOS. Conclusion: Our results of statistical comparisons have supported the existence of the clinical manifestation known as dissociative psychosis, not dissociative schizophrenia. |
| format | Article |
| id | doaj-art-84e41d89a12543ad948175d7891c5186 |
| institution | Kabale University |
| issn | 1471-244X |
| language | English |
| publishDate | 2025-01-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Psychiatry |
| spelling | doaj-art-84e41d89a12543ad948175d7891c51862025-01-26T12:46:47ZengBMCBMC Psychiatry1471-244X2025-01-012511610.1186/s12888-025-06477-0Dissociative psychosis or dissociative schizophrenia? Comparison of two phenomenaMahir Akbudak0Hasan Belli1Hasan Gökçay2Uğur Takım3Department of Psychiatry, University of Health Sciences, Mardin Training and Research HospitalDepartment of Psychiatry, University of Health Sciences, Bagcilar Training and Research HospitalDepartment of Psychiatry, Sarkisla State HospitalDepartment of Psychiatry, University of Health Sciences, Erzurum City HospitalAbstract Background In recent years, researchers have reported crucial advances in the understanding of “Dissociative psychosis” and “Dissociative schizophrenia”. While clinical studies in this area have been sustained for well, it remains to be established for some aspects that a clear and valid relationship exists between dissociation, childhood traumatic experiences, and schizophrenia or psychotic spectrum disorders. Methods: To test such hypotheses, we divided the patients into two groups; the first group consisted of patients with psychotic disorders not otherwise specified (PNOS), and the second group consisted of schizophrenic patients. Further, we have investigated the symptoms of dissociation, its relation to childhood traumatic experiences, and psychotic symptoms. The study included 81 patients diagnosed with schizophrenia according to DSM-5 diagnostic criteria and 81 patients diagnosed with PNOS. Researchers assessed participants using the Dissociation Questionnaire (DIS-Q), the Childhood Trauma Questionnaire (CTQ, and the Positive and Negative Syndrome Scale (PANSS). Results: The present study showed that patients with PNOS have higher dissociation and childhood traumatic experiences scores than the schizophrenic group and that the patients with the PNOS group yielded elevated physical abuse, emotional abuse, emotional neglect, sexual abuse, and bodily neglect scores as compared to the schizophrenic group. However, the PNOS group exhibited significantly lower PANSS total, PANSS negative, and PANSS general psychopathology scores compared to the schizophrenia group. DIS-Q and total CTQ level were also significant predictors of PNOS. Conclusion: Our results of statistical comparisons have supported the existence of the clinical manifestation known as dissociative psychosis, not dissociative schizophrenia.https://doi.org/10.1186/s12888-025-06477-0SchizophreniaOther psychotic disordersDissociationChildhood traumatic experiencesPositive and negative syndrome |
| spellingShingle | Mahir Akbudak Hasan Belli Hasan Gökçay Uğur Takım Dissociative psychosis or dissociative schizophrenia? Comparison of two phenomena BMC Psychiatry Schizophrenia Other psychotic disorders Dissociation Childhood traumatic experiences Positive and negative syndrome |
| title | Dissociative psychosis or dissociative schizophrenia? Comparison of two phenomena |
| title_full | Dissociative psychosis or dissociative schizophrenia? Comparison of two phenomena |
| title_fullStr | Dissociative psychosis or dissociative schizophrenia? Comparison of two phenomena |
| title_full_unstemmed | Dissociative psychosis or dissociative schizophrenia? Comparison of two phenomena |
| title_short | Dissociative psychosis or dissociative schizophrenia? Comparison of two phenomena |
| title_sort | dissociative psychosis or dissociative schizophrenia comparison of two phenomena |
| topic | Schizophrenia Other psychotic disorders Dissociation Childhood traumatic experiences Positive and negative syndrome |
| url | https://doi.org/10.1186/s12888-025-06477-0 |
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