Dissociative Disorders in People living with Chronic pain

Key things to know What the evidence shows
How common is it? Not established diagnosed DD
Is it more common among people living with chronic pain? Dissociation occurs in pain populations but no clean pooled DD prevalence
Are people living with chronic pain at higher risk? Yes for dissociative symptoms; DD-specific magnitude NE
How much higher is the risk? NE
How often can it be missed? Very High
Does it show up differently among people living with chronic pain? Strong Yes
How might it look different? Detachment from body, altered sensory experience and trauma-linked dissociation can coexist with pain; pain-related cognitive fog ≠ dissociative amnesia
What commonly occurs alongside it? PTSD; depression; anxiety; somatic symptoms
What can it be confused with? Pain-related cognitive fog; medication effects; PTSD; FND
Common screening tool DES-II — Dissociative Experiences Scale-II
Separate screening tool for people living with chronic pain None established
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