Relationship of Behavioral and Cognitive Abilities in Subjects with Pathological Dissociation: An Exploratory Study

Published

2024-03-22

DOI:

https://doi.org/10.55229/ijbs.v27i1.07

Keywords:

dissociation, cognitive functions, behaviour, emotion, neuropsychological test, mindfulness, awareness

Dimensions Badge

Authors

  • Roshan Sutar All India Institute of Medical Sciences Bhopal, Bhopal, Madhya Pradesh, India
  • Vasudha Hande National Institute of Mental Health and Neuro Sciences, Bengaluru, Karnataka, India.
  • Shantala hegde National Institute of Mental Health and Neuro Sciences, Bengaluru, Karnataka, India.
  • Santosh K Chaturvedi Jagadguru Kripalu Chikitsalaya, Vrindavan and Barsana, Uttar Pradesh, India.

Abstract

Dissociation is a disruption in the coordinated functioning of consciousness, memory, identity, emotion, perception, motor control, and behavior. We aimed to investigate the phenomenon of dissociation and its relationship with neuro-cognitive processes. A cross-sectional study involving adult participants from a Tertiary Neuropsychiatry Center was divided into two groups based on dissociative experience scale (DES) scores followed by mindfulness attention awareness scale (MAAS), and a battery of neuropsychological tests to measure attention, concentration, memory, and other executive functions. Nine participants (22.2% females) with a mean age of 28.2 ± 7.5 years were grouped into extreme pathological dissociation (N = 4), and mild dissociation (N = 5). The total DES scores were significantly higher in subjects with extreme pathological dissociation (24.46 ± 7.3) as compared to those with mild dissociation (9.93 ± 2.58). The Stroop effect [160.4 ± 49 (p = 0.05)] and digit vigilance errors (16 ± 11.1 (p = 0.019) were significantly higher in the mild dissociation group. Further research is required to understand the presence of altered information processing speed and attention in mild dissociation

How to Cite

Sutar, R., Hande, V., hegde, S., & Chaturvedi, S. K. (2024). Relationship of Behavioral and Cognitive Abilities in Subjects with Pathological Dissociation: An Exploratory Study. Indian Journal of Behavioural Sciences, 27(01), 44–50. https://doi.org/10.55229/ijbs.v27i1.07

Downloads

Download data is not yet available.

References

Sutar R, Chaturvedi SK. Symptom profile and diagnostic utility of depersonalization-derealization disorder: A retrospective critical review from India. Indian J Psychiatry. 2020;62:91–4.

Sutar R, Rai NK. Paroxysmal Kinesigenic Dyskinesia Masquerading as Dissociative Disorder: A Case Report on Pseudo-Dissociation. Neurol India. 2022;70:390.

Salter M. Presidential Editorial: The Facts and Fantasies of Dissociation. J Trauma Dissociation. 2023;24:1–7.

Carlson EB, Waelde LC, Palmieri PA, Macia KS, Smith SR, McDade-Montez E. Development and Validation of the Dissociative Symptoms Scale. Assessment. 2018;25:84–98.

Brown KW, West AM, Loverich TM, Biegel GM. Assessing adolescent mindfulness: Validation of an Adapted Mindful Attention Awareness Scale in adolescent normative and psychiatric populations. Psychol Assess. 2011;23:1023–33.

Sharma MK, Chaturvedi SK. Development and validation of NIMHANS screening tool for psychological problems in Indian context. Asian J Psychiatry. 2014;10:33–8.

Valentine T, Block C, Eversole K, Boxley L, Dawson E. Wechsler Adult Intelligence Scale-IV (WAIS-IV). In: The Wiley Encyclopedia of Personality and Individual Differences [Internet]. John Wiley & Sons, Ltd; 2020 [cited 2023 Sep 1]. p. 457–63. Available from: https://onlinelibrary.wiley.com/doi/abs/10.1002/9781118970843.ch146

Gopukumar K. RSL. NIMHANS neuropsychology battery 2004 Manual: mannual. Bangalore: NIMHANS; 2004. 267 p. (NIMHANS publication ; no. 60).

Sutar R, Sahu S. Pharmacotherapy for dissociative disorders: A systematic review. Psychiatry Res. 2019;281:112529.

Freyd JJ, Martorello SR, Alvarado JS, Hayes AE, Christman JC. Cognitive environments and dissociative tendencies: performance on the standard Stroop task for high versus low dissociators. Appl Cogn Psychol. 1998;12:S91–103.

BOB P. Dissociation and Neuroscience: History and New Perspectives. Int J Neurosci. 2003;113:903–14.

ÖZDEMİR O, GÜZEL ÖZDEMİR P, BOYSAN M, YILMAZ E. The Relationships Between Dissociation, Attention, and Memory Dysfunction. Nöro Psikiyatri Arş. 2015;52:36–41.

Veltman DJ, Ruiter MBD, Rombouts S a. RB, Lazeron RHC, Barkhof F, Dyck RV, et al. Neurophysiological correlates of increased verbal working memory in high-dissociative participants: a functional MRI study. Psychol Med. 2005;35:175–85.

Candel I, Merckelbach H, Kuijpers M. Dissociative experiences are related to commissions in emotional memory. Behav Res Ther. 2003;41:719–25.

Guralnik O, Schmeidler J, Simeon D. Feeling Unreal: Cognitive Processes in Depersonalization. Am J Psychiatry. 2000;157:103–9.