The contemporary view on dissociative identity disorder: pathogenesis, diagnosis, and treatment

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Abstract

dissociative identity disorder (DID) is a mental illness from the group of dissociative disorders, characterized by the presence of two or more personality states that control a person's behavior, which is accompanied by disruptions in memory processes and the integration of consciousness. In 70–80% of patients with DID, significant difficulties in professional, domestic, and social adaptation are observed, often leading to disability. This complex and understudied disorder has both social and clinical significance, highlighting the need to clarify diagnostic methods, explore the neurobiological mechanisms of the disorder, develop effective therapeutic approaches, as well as measures of social support and adaptation of patients with DID. The aim of the study: study and generalization of current scientific knowledge on the topic of DID. Objectives of the study: analyze the pathogenetic mechanisms of DID; study modern diagnostic approaches using international classifications (DSM-5, ICD-11); analyze therapeutic strategies for treatment and social rehabilitation of patients with DID; identify diagnostic and therapeutic challenges and propose solutions; assess the problems and prospects in research; determine recommendations for further research and clinical practice.

About the authors

N. S Olshevskaya

Crimean Federal University named after V.I. Vernadsky; Order of the Red Banner of Labor Medical Institute named after S.I. Georgievsky

Email: mi-office@cfuv.ru

T. A Sokolova

Crimean Federal University named after V.I. Vernadsky; Order of the Red Banner of Labor Medical Institute named after S.I. Georgievsky

Email: sokolova.ka4a@mail.ru

D. S Avabde

Crimean Federal University named after V.I. Vernadsky; Order of the Red Banner of Labor Medical Institute named after S.I. Georgievsky

Email: awabdeh_di@mail.ru

A. A Atoeva

Crimean Federal University named after V.I. Vernadsky; Order of the Red Banner of Labor Medical Institute named after S.I. Georgievsky

A. N Osmanova

Crimean Federal University named after V.I. Vernadsky; Order of the Red Banner of Labor Medical Institute named after S.I. Georgievsky

Email: alimeosman@mail.ru

References

  1. Saxena M., Tote S., Sapkale B. Multiple personality disorder or dissociative identity disorder: etiology, diagnosis and treatment // Cureus. 2023. № 15 (11): e49057. doi: 10.7759/cureus.49057
  2. Soldati L., Hasler R., Recordon N. и др. Gender Dysphoria and Dissociative Identity Disorder: A Case Report and Review of Literature // Sex Med. 2022. № 10 (5). С. 100553. doi: 10.1016/j.esxm.2022.100553
  3. Lee1 S.H., Kang N.R., Moon D.S. Dissociative Identity Disorder in an Adolescent with Nine Alternate Personality Traits: A Case Study // J Korean Academy of Child and Adolescent Psychiatry. 2022. № 33 (3). С. 73 – 81.
  4. Robinson M.A., Purcell J.B., Ward L. и др. Advancing Research on and Treatment of Dissociative Identity Disorder With People With Lived Experience // Am J Psychother. 2024. № 77 (3). С. 141 – 145.
  5. Stubner S., Volkl G., Soyka M. Т.Г. Differential diagnosis of dissociative identity disorder (multiple personality disorder) // Nervenarzt. 1998 № 69 (5). С. 440 – 445. doi: 10.1007/s001150050294
  6. Connors K.J. Dissociative and complex trauma disorders in health and mental health contexts… // J Trauma Dissociation. 2018 № 19(1). P. 1 – 8.
  7. Blihar D., Delgado E., Buryak M. и др. A Systematic Review of the Neuroanatomy of Dissociative Identity Disorder // European Journal of Trauma & Dissociation. 2020. № 4 (3). P. 100148. doi: 10.1016/j.ejtd.2020.100148
  8. Modesti M.N., Rapisarda L., Kapriotti G. и др. Functional Neuroimaging in Dissociative Disorders: A Systematic Review // J. Pers. Med. 2022. № 12 (9). P. 1405. doi: 10.3390/jpm12091405
  9. Reinders A.A.T.S., Marquand A.F., Schlumpf Y.R. et al. Aiding the diagnosis of dissociative identity disorder: pattern recognition study of brain biomarkers // Br J Psychiatry. 2019. № 215 (3). С. 536 – 544.
  10. Launay S., Geelhand de Merxem R., Hanak C. Dissociative Identity Disorder: Between History and Culture // Psychiatr Danub. 2023. (Прилож. 2). С. 196 – 201.
  11. Sar V. The psychiatric comorbidity of dissociative identity disorder: an integrated look // Shattered but Unbroken: Voices of Triumph and Testimony. London: Karnac Press, London, 2016. С. 181 – 210.
  12. Rajkumar R.P. The Molecular Genetics of Dissociative Symptomatology: A Transdiagnostic Literature Review // Genes (Basel). 2022. № 13 (5). С. 843.
  13. Перехов А.Я., Сидоров А.А., Булейко А.А. и др. Диссоциативные расстройства: тренды современной диагностики // МКБ-11: гимн или реквием психиатрии?: материалы российской научной конференции. Ростов-на-Дону: ООО "Экспо-Медиа", 2022. С. 119 – 125.
  14. American Psychiatric Association: Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition. Arlington, VA.: «American Psychiatric Association», 2013. С. 291-296.
  15. МКБ-11. Глава 06. Психические и поведенческие расстройства и нарушения нейропсихического развития. Статистическая классификация. М.: «КДУ», «Университетская книга», 2021. С. 151 – 152.
  16. Goldstein L.H., Robinson E.J., Mellers J.D.C. Cognitive behavioural therapy for adults with dissociative seizures (CODES): a pragmatic, multicentre, randomised controlled trial // Lancet Psychiatry. 2020. № 7 (6). С. 491 – 505.
  17. Anselmetti C., Fourneret P., Gauld C. Dissociative Identity Disorder in Adolescents… // Med Sci (Paris). 2023. № 39 (4). С. 377 – 379.
  18. Fine C.G. Cognitive behavioral hypnotherapy for dissociative disorders // Am J Clin Hypn. 2012. № 54 (4). С. 52 – 331.
  19. Kluft R.P. The use of hypnosis with dissociative disorders // Psychiatr Med. 1992. № 10 (4). С. 31 – 46.
  20. Purcell J.B., Brand B., Browne H.A et al. Treatment of dissociative identity disorder... // Expert Rev Neurother. 2024. № 24 (3). С. 273 – 289.
  21. Gentile J.P., Dillon K.S., Gillig P.M. Psychotherapy and pharmacotherapy for patients with dissociative identity disorder // Innov Clin Neurosci. 2013. № 10 (2). С. 9 – 22.
  22. Дякина Н.В. Проблемы диагностики диссоциативного расстройства личности… // Клиническая психология …: сб. докладов II Всероссийской межведомственной научно-практической конференции. Нижний Новгород: Национальный исследовательский Нижегородский государственный университет им. Н.И. Лобачевского, 2023. С. 122 – 129.
  23. Chien W.T, Fung H.W. The Challenges in Diagnosis and Treatment of Dissociative Disorders // Alpha Psychiatry. 2022. № 23 (2). P. 45 – 46.
  24. Beker J.C., Dorahy M.J., Moir J. et al. Inter-identity amnesia and memory transfer in dissociative identity disorder: A systematic review with a meta-analysis // Clinical Psychology Review. Т. 114. 2024. P. 102514.
  25. Soderberg A., Lindgren B.M., Looi G.M.E. и др. Psychiatric inpatient care for persons with dissociative identity disorder: a scoping review protocol // BMJ Open. 2024. № 14 (2). P. e079207. doi: 10.1136/bmjopen-2023-079207

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