Dissociative Identity Disorder (Multiple Personality Disorder)

text A A A



There are no convincing studies of the absolute prevalence of DID. The initial systematic report on the epidemiology of DID estimated a prevalence in the general population of 0.01% (Coons 1984). The estimated prevalence is approximately 3% of psychiatric inpatients (Ross 1991; Ross et al. 1991b). Studies conducted in the general population suggest a prevalence higher than initially reported by Coons (1984) but lower (about 1%) than the one described in psychiatric settings and specialized treatment units (Ross 1991; Vanderlinden et al. 1991). Loewenstein (1994) reported that the prevalence in North America is about 1%, compared with a prevalence of 10% for all dissociative disorders as a group. Loewenstein's findings were replicated by Rifkin et al. (1998), who studied 100 randomly selected women, ages 16–50 years, who had been admitted to an acute psychiatric hospital and found that 1% of the subjects had DID. There is evidence that dissociative disorders are often underdiagnosed (D. Spiegel 2006). Foote et al. (2006) carefully assessed 231 consecutive admissions to an inner-city mental health clinic and interviewed 82 of those willing to cooperate with the study. Twenty-nine percent of this sample met DSM-IV (American Psychiatric Association 1994) criteria for a dissociative disorder (8 with dissociative amnesia, 7 with dissociative disorder not otherwise specified, 5 with DID, and 4 with depersonalization disorder). Only 5% of this sample had previously been diagnosed with a dissociative disorder. Furthermore, the study provided additional evidence linking both physical and sexual abuse to dissociative symptoms, determining an odds ratio of 5.86 for physical abuse and 7.87 for sexual abuse. In a recent study of community adults, the prevalence of dissociative identity disorder was 1.5% (J. G. Johnson et al. 2006).

Your session has timed out. Please sign back in to continue.
Sign In Your Session has timed out. Please sign back in to continue.
Sign In to Access Full Content
Sign in via Athens (What is this?)
Athens is a service for single sign-on which enables access to all of an institution's subscriptions on- or off-site.
Not a subscriber?

Subscribe Now/Learn More

PsychiatryOnline subscription options offer access to the DSM-5 library, books, journals, CME, and patient resources. This all-in-one virtual library provides psychiatrists and mental health professionals with key resources for diagnosis, treatment, research, and professional development.

Need more help? PsychiatryOnline Customer Service may be reached by emailing PsychiatryOnline@psych.org or by calling 800-368-5777 (in the U.S.) or 703-907-7322 (outside the U.S.).

Table Reference Number
TABLE 15–7. DSM-IV-TR diagnostic criteria for dissociative identity disorder
Table Reference Number
TABLE 15–8. "Rules of engagement" in the treatment of dissociative identity disorder
Table Reference Number
TABLE 15–9. Guidelines for the use of hypnosis in memory work


Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s "Cited By" API will populate this tab (http://www.crossref.org/citedby.html).
Related Content
Gabbard's Treatments of Psychiatric Disorders, 4th Edition > Chapter 34.  >
The American Psychiatric Publishing Textbook of Psychiatry, 6th Edition > Chapter 15.  >
Psychiatric News
PubMed Articles
  • Print
  • PDF
  • E-mail
  • Chapter Alerts
  • Get Citation