مقالات پذیرفته شده در هفتمین کنگره بین المللی زیست پزشکی
Dissociative Identity Disorder: Clinical Implications and Treatment Options
Dissociative Identity Disorder: Clinical Implications and Treatment Options
Aida Bozorgzadeh,1,*
1. Farzanegan 2 high school, National Organization for Development of Exceptional Talents (NODET), Hamedan, Iran
Introduction: Dissociative Identity Disorder (DID) is a complex psychiatric condition characterized by the presence of two or more distinct identities or personality states within an individual. This disorder poses significant challenges for both clinicians and patients due to its intricate symptomatology and the potential impact on daily functioning. Understanding the clinical implications and treatment options for DID is crucial for providing effective care to affected individuals. In this study, we will explore the current diagnostic criteria, incidence and prevalence rates, causes, symptoms, impacts, and treatment approaches for DID.
Methods: To gather relevant information for this paper, an extensive literature review was conducted using various academic databases such as PubMed, PsycINFO, and Google Scholar. Keywords such as "dissociative identity disorder," "clinical implications," and "treatment options" were utilized to identify relevant articles, case studies, and research papers. Only peer-reviewed sources published within the last 10 years were considered for inclusion.
Results: The current diagnostic criteria for DID are outlined in the Diagnostic and Statistical Manual of Mental Disorders, 5th edition (DSM-5). According to the DSM-5, the essential features of DID include the presence of two or more distinct identities or personality states, recurrent gaps in the recall of everyday events, and significant distress or impairment in functioning. The disorder is relatively rare, with an estimated prevalence rate of approximately 1-1.5% in the general population.
The exact causes of DID are still not fully understood. However, it is believed to develop as a response to severe childhood trauma, particularly instances of repetitive physical, sexual, or emotional abuse. The fragmentation of identity is thought to be a coping mechanism that allows individuals to escape from overwhelming or traumatic experiences.
Symptoms of DID can vary widely among individuals, but common features include amnesia, depersonalization, derealization, identity confusion, and identity alteration. These symptoms can significantly impact an individual's daily life, relationships, and overall well-being.
Treatment for DID involves a multimodal approach that typically includes psychotherapy, pharmacotherapy, and supportive interventions. Psychotherapy, specifically long-term psychotherapy and specialized therapies such as cognitive-behavioral therapy for trauma-related disorders, has shown promising results in helping individuals with DID integrate their identities and develop healthier coping mechanisms.
Conclusion: Dissociative Identity Disorder presents complex clinical implications due to its unique symptomatology and impact on individuals' lives. It is crucial for healthcare professionals to be familiar with the current diagnostic criteria, incidence rates, causes, symptoms, and impacts of DID to provide accurate assessments and appropriate treatment interventions. The multimodal treatment approach, involving psychotherapy, pharmacotherapy, and supportive interventions, has shown promising outcomes in improving the quality of life for individuals with DID. Further research and understanding of this disorder are necessary to enhance clinical practices and improve treatment outcomes.