The Effect of Dissociative Symptoms on Anxiety, Depression and Functionality in Patients Diagnosed with Adjustment Disorder

Objective: The current study aimed to examine the impact of dissociative symptoms on anxiety, depression, and general functioning in individuals diagnosed with adjustment disorder. Method: This cross-sectional study was conducted on 58 patients diagnosed with adjustment disorder according to the diagnostic and statistical manual of mental disorders criteria. The patients voluntarily participated in the study and provided written informed consent. Socio-demographic and clinical data were collected through a customized data form. The dissociative experiences scale, Beck anxiety inventory (BAI), Beck depression inventory (BDI), and functioning assessment short test (FAST) were used. Results: Participants with dissociative experiences had significantly higher BAI, BDI, and FAST scores. Dissociative experiences were also positively correlated with depression (r=0.536, p<0.01) and anxiety (r=0.740, p<0.01), indicating increased levels of anxiety, depression, and functional impairment, and highlighting the negative impact of these symptoms on emotional health and daily functioning. Conclusion: Dissociative symptoms can significantly aggravate anxiety, depression, and functional impairment in individuals with adjustment disorder. Early detection and targeted treatment of dissociative symptoms are essential for improving both mental health and overall quality of life in these patients.