Abstract
Dissociative identity disorder or DID is a mental health condition that has garnered more recognition in the past few years primarily due to sources such as television, comic books, and social media. DID has an estimated prevalence of 1.5% within the psychiatric world population; however, studies within the United States place this estimate closer to 1%, making it an exceedingly rare syndrome. Current evidence suggests a 2–5% prevalence among psychiatric inpatients, 2–3% among outpatients, and a 1% prevalence in the general population. Patients diagnosed with DID have a prevalence estimate of comorbidity with PTSD of 79–100%, MDD from 83 to 96%, and borderline personality disorder with a prevalence range of 31–83%. No one such cause has been identified as a definitive source of DID. Retrospective studies have formulated an association between patients diagnosed with DID and a history of severe chronic childhood trauma (usually physical or sexual abuse), in most cases beginning before age 6. Studies have shown that of patients diagnosed with DID, 60–100% have experienced some form of sexual, physical, or general trauma before age 6, with an average median of 86%. Current debate exists over whether dissociative identity disorder exists as a standalone diagnosis or as separate from trauma and PTSD. Current areas of debate also include the origin of the disease. More focus has been brought to previous studies regarding the pathogenesis and origin of the syndromes, and it has been postulated that the disease may be born out of therapeutic focus. Further research regarding the incidence and prevalence of DID within the entire population and subsets are required for more precise estimates regarding dissociative identity disorder.
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References
Reategui A. Dissociative identity disorder: a literature review. Brigham Young Univ Undergrad J Psychol. 2019;31:22–7.
Lynn SJ, Berg J, Lilienfeld SO, Merckelbach H, Giesbrecht T, Accardi M, Cleere C. Chapter 14. Dissociative disorders. In: Hersen M, Beidel DC, editors. Adult psychopathology and diagnosis. Hoboken: Wiley; 2012. p. 497–538.
International Society for the Study of Trauma Dissociation. Guidelines for treating dissociative identity disorder in adults, third revision. J Trauma Dissociation. 2011;12(2):188–212.
Sar V, Önder C, Kilincaslan A, Zoroglu SS, Alyanak B. Dissociative identity disorder among adolescents: prevalence in a University Psychiatric Outpatient Unit. J Trauma Dissociation. 2014;15(4):402–19.
Maldonado JR, Spiegel D. Dissociative disorders—dissociative identity disorder (multiple personality disorder). In: Hales RE, Yudofsky SC, Gabbard GO, editors. The American Psychiatric Publishing textbook of psychiatry. 5th ed. Washington: American Psychiatric Association Publishing; 2008. p. 681–710.
Boysen GA. The scientific status of childhood dissociative identity disorder: a review of published research. Psychother Psychosom. 2011;80(6):329–34.
Sadock BJ, Sadock VA. Dissociative disorders—dissociative identity disorder. In: Kaplan & Sadock’s concise textbook of clinical psychiatry. 3rd ed. Philadelphia: Lippincott Williams & Wilkins; 2008. p. 299–300.
Thornhill JT. Psychiatry. 6th ed. Philadelphia: Wolters Kluwer Health; 2011. p. 169.
Kihlstrom JF. Dissociative disorders. Annu Rev Clin Psychol. 2005;1(1):227–53.
Ducharme EL. Best practices in working with complex trauma and dissociative identity disorder. Pract Innov. 2017;2(3):150–61.
Spiegel D, Loewenstein RJ, Lewis-Fernández R, et al. Dissociative disorders in DSM-5. Depress Anxiety. 2011;28:824.
Ross CA. Epidemiology of multiple personality disorder and dissociation. Psychiatr Clin North Am. 1991;14:503.
Sar V, Akyüz G, Doğan O. Prevalence of dissociative disorders among women in the general population. Psychiatry Res. 2007;149:169.
Knudsen SA, Draijer N, Haslerud J, et al. Prevalence of dissociative disorders in a Norwegian general psychiatric department. In: Van der Hart O, Boon S, Draijer N, editors. Fifth annual spring conference of the International Society for the Study of Dissociation. International Society for the Study of Dissociation, Amsterdam; 1995.
Lipsanen T, Korkeila J, Peltola P, et al. Dissociative disorders among psychiatric patients. Eur Psychiatry. 2004;19:53.
Tutkun H, Sar V, Yargiç LI, et al. Frequency of dissociative disorders among psychiatric inpatients in a Turkish University Clinic. Am J Psychiatry. 1998;155:800.
Gast U, Rodewald F, Nickel V, Emrich HM. Prevalence of dissociative disorders among psychiatric inpatients in a German University Clinic. J Nerv Ment Dis. 2001;189:249.
Friedl MC, Draijer N. Dissociative disorders in Dutch psychiatric inpatients. Am J Psychiatry. 2000;157:1012.
Horen SA, Leichner PP, Lawson JS. Prevalence of dissociative symptoms and disorders in an adult psychiatric inpatient population in Canada. Can J Psychiatry. 1995;40:185.
Spiegel D, Loewenstein RJ, Lewis-Fernández R, Sar V, Simeon D, Vermetten E, Cardeña E, Dell PF. Dissociative disorders in DSM-5 (PDF). Depress Anxiety. 2011;28(9):824–52.
Ross CA. History, phenomenology, and epidemiology of dissociation. In: Michelson LK, Ray WJ, editors. Handbook of dissociation. New York: Plenum Press; 1996.
Saxe GN, van der Kolk BA, Berkowitz R, et al. Dissociative disorders in psychiatric inpatients. Am J Psychiatry. 1993;150:1037.
Rifkin A, Ghisalbert D, Dimatou S, et al. Dissociative identity disorder in psychiatric inpatients. Am J Psychiatry. 1998;155:844.
Latz TT, Kramer SI, Hughes DL. Multiple personality disorder among female inpatients in a state hospital. Am J Psychiatry. 1995;152:1343.
Yu J, Ross CA, Keyes BB, et al. Dissociative disorders among Chinese inpatients diagnosed with schizophrenia. J Trauma Dissociation. 2010;11:358.
Graves SM. Dissociative disorders and dissociative symptoms at a community mental health center. Dissociation. 1989;2:119.
Reinders AATS, Veltman DJ. Dissociative identity disorder: out of the shadows at last? Br J Psychiatry. 2021;219(2):413–4. https://doi.org/10.1192/bjp.2020.168.
Dorahy MJ, Brand BL, Sar V, Krüger C, Stavropoulos P, Martínez-Taboas A, Lewis-Fernández R, Middleton W. Dissociative identity disorder: an empirical overview. Aust N Z J Psychiatry. 2014;48(5):402–17.
Thompson PM, Jahanshad N, Ching CRK, Salminen LE, Thomopoulos SI, Bright J, Baune BT, Bertolín S, Bralten J, Bruin WB, Bülow R, Chen J, Chye Y, Dannlowski U, de Kovel CGF, Donohoe G, Eyler LT, Faraone SV, Favre P, Filippi CA, Frodl T, Garijo D, Gil Y, Grabe HJ, Grasby KL, Hajek T, Han LKM, Hatton SN, Hilbert K, Ho TC, Holleran L, Homuth G, Hosten N, Houenou J, Ivanov I, Jia T, Kelly S, Klein M, Kwon JS, Laansma MA, Leerssen J, Lueken U, Nunes A, Neill JO, Opel N, Piras F, Piras F, Postema MC, Pozzi E, Shatokhina N, Soriano-Mas C, Spalletta G, Sun D, Teumer A, Tilot AK, Tozzi L, van der Merwe C, Van Someren EJW, van Wingen GA, Völzke H, Walton E, Wang L, Winkler AM, Wittfeld K, Wright MJ, Yun JY, Zhang G, Zhang-James Y, Adhikari BM, Agartz I, Aghajani M, Aleman A, Althoff RR, Altmann A, Andreassen OA, Baron DA, Bartnik-Olson BL, Marie Bas-Hoogendam J, Baskin-Sommers AR, Bearden CE, Berner LA, Boedhoe PSW, Brouwer RM, Buitelaar JK, Caeyenberghs K, Cecil CAM, Cohen RA, Cole JH, Conrod PJ, De Brito SA, de Zwarte SMC, Dennis EL, Desrivieres S, Dima D, Ehrlich S, Esopenko C, Fairchild G, Fisher SE, Fouche JP, Francks C, Frangou S, Franke B, Garavan HP, Glahn DC, Groenewold NA, Gurholt TP, Gutman BA, Hahn T, Harding IH, Hernaus D, Hibar DP, Hillary FG, Hoogman M, Hulshoff Pol HE, Jalbrzikowski M, Karkashadze GA, Klapwijk ET, Knickmeyer RC, Kochunov P, Koerte IK, Kong XZ, Liew SL, Lin AP, Logue MW, Luders E, Macciardi F, Mackey S, Mayer AR, McDonald CR, McMahon AB, Medland SE, Modinos G, Morey RA, Mueller SC, Mukherjee P, Namazova-Baranova L, Nir TM, Olsen A, Paschou P, Pine DS, Pizzagalli F, Rentería ME, Rohrer JD, Sämann PG, Schmaal L, Schumann G, Shiroishi MS, Sisodiya SM, Smit DJA, Sønderby IE, Stein DJ, Stein JL, Tahmasian M, Tate DF, Turner JA, van den Heuvel OA, van der Wee NJA, van der Werf YD, van Erp TGM, van Haren NEM, van Rooij D, van Velzen LS, Veer IM, Veltman DJ, Villalon-Reina JE, Walter H, Whelan CD, Wilde EA, Zarei M, Zelman V, ENIGMA Consortium. ENIGMA and global neuroscience: a decade of large-scale studies of the brain in health and disease across more than 40 countries. Transl Psychiatry. 2020;10(1):100.
Brand BL, Lanius RA. Chronic complex dissociative disorders and borderline personality disorder: disorders of emotion dysregulation? Borderline Personal Disord Emot Dysregul. 2014;1:13.
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Hawayek, J. (2023). Epidemiology of Dissociative Identity Disorder. In: Tohid, H., Rutkofsky, I.H. (eds) Dissociative Identity Disorder. Springer, Cham. https://doi.org/10.1007/978-3-031-39854-4_7
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