Dissociative Depression Among Women with Fibromyalgia or Rheumatoid Arthritis

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dc.authoridKilic, Ozge/0000-0001-9764-343X|Şar, Vedat/0000-0002-5392-9644|aksoy poyraz, cana/0000-0001-9026-0444
dc.authorwosidKilic, Ozge/O-5470-2014
dc.authorwosidŞar, Vedat/AAH-6284-2019
dc.authorwosidSar, Vedat/B-9832-2009
dc.contributor.authorKilic, Ozge
dc.contributor.authorSar, Vedat
dc.contributor.authorTaycan, Okan
dc.contributor.authorAksoy-Poyraz, Cana
dc.contributor.authorErol, Turgut C.
dc.contributor.authorTecer, Ozlem
dc.contributor.authorEmul, Murat H.
dc.date.accessioned2024-07-18T20:45:26Z
dc.date.available2024-07-18T20:45:26Z
dc.date.issued2014
dc.departmentİstanbul Bilgi Üniversitesien_US
dc.description.abstractThe aim of this study was to inquire about the possible relations of childhood trauma, anger, and dissociation to depression among women with fibromyalgia or rheumatoid arthritis. Fifty female patients diagnosed as having fibromyalgia (n = 30) or rheumatoid arthritis (n = 20) participated in the study. The Childhood Trauma Questionnaire, Somatoform Dissociation Questionnaire (SDQ), Dissociation Questionnaire (DIS-Q), Beck Depression Inventory (BDI), Spielberger State-Trait Anger Expression Inventory, and Dissociative Disorders Interview Schedule were administered to all participants. Women with a lifetime diagnosis of depressive disorder had higher scores for somatoform and psychoform dissociation than the nondepressive patients. However, childhood trauma scores did not differ between the 2 groups. In regression analysis, current severity of depression (BDI) was predicted by psychoform dissociation (DIS-Q) and lower education, and lifetime diagnosis of major depression was predicted by somatoform dissociation (SDQ). Whereas childhood emotional neglect predicted somatoform dissociation, psychoform dissociation was predicted by childhood sexual abuse. Mental processing of anger seems to be 1 of the dimensions of psychodynamics in trauma-related depressive conditions. In the context of the perceived threat of loss of control due to expressed anger and mental disintegration, somatoform dissociation seems to contribute to overmodulation of emotions in dissociative depression. Among patients suffering from physical illness with possible psychosomatic dimensions, assessment of somatoform dissociation in addition to psychoform dissociation may be helpful to understand diverse psychopathological trajectories emerging in the aftermath of childhood adversities. The recently proposed category of dissociative depression (Sar, 2011) seems to be a promising concept for future research on psychosomatic aspects of traumatic stress.en_US
dc.identifier.doi10.1080/15299732.2013.844218
dc.identifier.endpage302en_US
dc.identifier.issn1529-9732
dc.identifier.issn1529-9740
dc.identifier.issue3en_US
dc.identifier.pmid24228798en_US
dc.identifier.scopus2-s2.0-84900027252en_US
dc.identifier.scopusqualityQ1en_US
dc.identifier.startpage285en_US
dc.identifier.urihttps://doi.org/10.1080/15299732.2013.844218
dc.identifier.urihttps://hdl.handle.net/11411/7547
dc.identifier.volume15en_US
dc.identifier.wosWOS:000335860600004en_US
dc.identifier.wosqualityQ3en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherRoutledge Journals, Taylor & Francis Ltden_US
dc.relation.ispartofJournal of Trauma & Dissociationen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectBorderline Personalityen_US
dc.subjectDepressionen_US
dc.subjectDissociationen_US
dc.subjectTraumaen_US
dc.subjectPtsden_US
dc.subjectAdverse Childhood Experiencesen_US
dc.subjectSomatoform Dissociationen_US
dc.subjectTraumaen_US
dc.subjectAbuseen_US
dc.subjectSelfen_US
dc.subjectSymptomsen_US
dc.subjectReliabilityen_US
dc.subjectValidityen_US
dc.subjectInsightsen_US
dc.subjectAnxietyen_US
dc.titleDissociative Depression Among Women with Fibromyalgia or Rheumatoid Arthritisen_US
dc.typeArticleen_US

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