Sociodemographic and clinical characteristics of patients with dissociative disorders in an Arabian society.
Author: Bener A, Saad AG, Micallef R, Ghuloum S, Sabri S.
Source:
Medical Principles and Practice, 15(5), 362-367.
OBJECTIVE: The aim of the study was to determine the sociodemographic and
clinical characteristics of patients with dissociative disorders among
psychiatric patients in the population of the United Arab Emirates. SUBJECTS AND
METHODS: Six hundred inpatients with dissociative disorders were approached
during the period 1997-2003, and 468 agreed to participate in the study. These
patients were recruited from Al-Ain and Tawam Teaching Hospitals and Al-Jahili
Primary Health Care Centers in Al-Ain, United Arab Emirates. The study is based
on a questionnaire that included sociodemographic and clinical variables.
Dissociative disorders were diagnosed according to the classification set forth
in the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV) and the
International Classification of Diseases (ICD-10) of the World Health
Organization. RESULTS: Of the 468 patients studied, the majority (67.9%) were
young, under the age of 25 years; 55% were UAE nationals, 59.4% female and 40.6%
male. Disorganized movement was significantly lower among females (34.2%) than
males (44.2%, p < 0.03). Disapproving of the key relative behaviour was higher in
females (24.1%) compared to males (13.2%); comorbid anxiety was higher in females
(37.4%) vs. males (25.3%). Disturbed relationships were more common in females
(40.3%) while precipitating factors, such as intolerable stressful events, were
significantly higher in males (42.6%, p < 0.01). Furthermore, males (20.5%) had a
significantly higher history of similar episodes and other psychiatric illnesses
(7.5%) than females. Finally, females (41%) showed more statistically significant
improvements compared to males (29.5%, p < 0.001). CONCLUSION: Patients under 25
years of age suffered more from dissociative disorders with no correlation to
educational level as a predisposing factor. The most common symptoms were fits or
unorganized movements.
Publication Types:
Multicenter Study