AI Article Synopsis
- The study aimed to explore the relationship between experiences of sexual and physical abuse and dissociation in patients with conversion disorder and chronic pelvic pain, while considering the role of general psychopathology.
- Data was collected from four different patient groups, totaling 219 individuals, which included those with chronic pelvic pain and non-epileptic seizures, focusing on their dissociation levels.
- Results showed no strong overall link between abuse and dissociation; however, physical abuse was linked to somatoform dissociation when controlling for psychopathology, suggesting the need for more nuanced future research on recent traumatic experiences rather than just historical abuse.
Article Abstract
Objective: The purpose of this study was to: a) assess the link between sexual and/or physical abuse and dissociation in conversion disorder and chronic pelvic pain patients; and b) assess whether this effect is independent of level of general psychopathology.
Method: This report examines data from four separate samples. Fifty-two patients with chronic pelvic pain, 61 patients with non-epileptic seizures, and two samples of patients (102 and 54) with predominantly motor or sensory types of conversion disorder were studied.
Results: Using point-biserial correlations no compelling evidence for a consistent and positive association of sexual and/or physical abuse with dissociation was found. After statistically controlling for level of psychopathology using multiple regression analyses, in most of the cases the association of abuse with dissociation was no longer statistically significant. Only physical abuse predicted level of somatoform dissociation over and above level of psychopathology.
Conclusion: In future clinical studies of dissociation in patients with conversion disorder and chronic pelvic pain more complex models may be needed with less exclusive reliance on historical antecedents such as childhood abuse and more emphasis on recent potentially traumatizing experiences or co-morbid psychiatric disorders.
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| http://dx.doi.org/10.2190/YDK2-C66W-CL6L-N5TK | DOI Listing |
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