Frequency of anxiety and depression in dissociative trance (possession) disorder

Background: The possession of a person by God or spirit is an age-old one. The ICD-10 has recorded the presence of a possession and trance disorder before formal featuring it in the 10th edition as a category of dissociative (conversion) disorders. The current study sought to determine the frequency of anxiety and depression among the patients presented in tertiary care hospitals with dissociative trance (possession) disorder, along with gender differences. Patients and methods: This cross-sectional study was conducted at l Department of Psychiatry, Sir Ganga Ram Hospital Lahore over one year: December 2019 till December 2020. A sample of 350 patients, who met the ICD-10 criteria of dissociative trance (Possession) disorder, was recruited in the study through purposive sampling technique. Demographic information sheet and Urdu version of the Hospital Anxiety and Depression (HAD) rating scale were used as assessment measures. The data were stored and analyzed in SPSS version 20. Descriptive analysis i.e., means, standard deviations, percentages, and frequencies, and inferential statistics i.e., independent sample t-test, were performed to explore objectives. Results: The results indicate that 13.2 % of patients with dissociative trance disorder scored in the normal range of depression, 20.7% fall in borderline depression while abnormal, and 66.1% in abnormal cases of depression was found in 66.1% of patients. For anxiety, results demonstrate that 28.2% of patients fall in the category of normal anxiety, 3 31.5% in borderline anxiety, and 40.3% fall in the case of abnormal anxiety. Differences for the gender of patients in depression and anxiety scores were evaluated by independent sample t-test and significant differences were found in depression and anxiety scores of male and female patients with dissociative trance disorder (p-value<0.05). Female patients scored high on depression (19.84±6.68) and anxiety (16.02±5.54) scale than male patients’ scores for depression (27.47±5.06) and anxiety (19.35±4.95). Conclusion: There is a definite frequency of depression and anxiety among patients with, dissociative trance disorder while females are high in the scores. This can help to decrease the comorbidity associated with dissociative trance disorder, reduce the disease burden and ensure a better outcome of treatment

DISSOCIATIVE TRANCE DISORDER MECHANISM AMONG UNIVERSITY STUDENTS

This research aims to examine the mechanism of dissociative trance disorder among university students in Purwokerto. The research focuses on the mechanism of dissociative trance disorder among university students in Purwokerto. The research method is qualitative with a case study approach. There are 4 participants and 4 secondary informants in this research. Those who have experienced dissociative trance disorder become primary informants while those who have close relationships with the primary informants become secondary informants. The data were analyzed by using an interactive model, involving data collection, data reduction, data display, and drawing a conclusion. The research result revealed that there are 4 informants who go through the mechanism in the process of dissociative trance disorder occurrence. The mechanism includes four stages, namely the physical symptoms stage, the pre-loss of consciousness stage, the loss of consciousness stage, and the conscious stage.

Case Report: Trance in Mental Retardation

BACKGROUND: Mental retardation (MR) is a developmental condition that is associated with significant intellectual and adaptive behavioral limitations, whereas dissociative trance disorder (DTD) is a dissociative condition characterized by a temporary altered state of consciousness formed by one’s culture. Comorbidity between these two disorders has rarely been reported. CASE REPORT: We found a case of MR in a 32-year-old woman, Mrs. S, with a DTD who killed her five children during her trance. CONCLUSION: It was found that there is a relationship between psychosocial stressor factors, trauma, underlying psychiatric conditions, culture, and communication that influence trance conditions. Further research is needed to study and understand more about these disorders and comorbidities.

Mekanisme Dissociative Trance Disorder pada Mahasiswa

Penelitian ini bertujuan untuk mengkaji mekanisme dissociative trance disorder pada mahasiswa di Purwokerto. Fokus penelitian pada mekanisme dissociative trance disorder pada mahasiswa di Purwokerto. Metode yang digunakan dalam penelitian ini yaitu metode kualitatif dengan pendekatan studi kasus. Informan dalam penelitian ini terdiri dari 4 partisipan dan 4 informan sekunder yaitu individu yang pernah mengalami dissociative trance disorder sebagai informan primer dan individu yang memiliki hubungan kedekatan dengan informan primer dijadikan informan sekunder. Data dalam penelitian di analisis menggunakan model interaktif meliputi pengumpulan data, reduksi data, peyajian data, dan penarikan kesimpulan. Hasil penelitian menunjukkan dari empat informan melalui mekanisme dalam proses terjadinya Dissociative Trance Disorder. Mekanisme tersebut meliputi empat tahapan yaitu tahap simptom fisik, tahap pra kehilangan kesadaran, tahap kehilangan kesadaran, dan tahap sadar.

Pengalaman Klien dengan Kesurupan

Banyak diberitakan oleh media masatentang munculnya kasus kesurupan masal atau yang sering dikenal dengan mass dissociative trance disorder, kasus tersebut kerap sekali terjadi pada siswa dan siswi yang sedang mengenyam pendidikan ditingkat SD, SLTP, SLTA, bahkan sampai tingkat Perguruan Tinggi. Munculnya fenomena tersebut tentunya menjadi pertanyaan besar bagi masyarakat luas dan lebih khusus lagi bagi para akademisi, mengapa fenomena tersebut bisa terjadi?, apa yang mereka rasakan sehingga bisa mengalami kesurupan?. Penelitian ini bertujuan untuk mengungkap fenomena kesurupan secara mendalam dengan uangkapan langsung dari individu yang pernah mengalami kesurupan di Universitas Islam Sultan Agung Semarang melalui studi fenomenologi deskriptif, untuk mendapatkan gambaran bagaimana pengalaman seseorang yang pernah mengalami kesurupan. Penelitian studi fenomenologi dengan metode kualitatif, yaitu menggali informasi sedalam-dalamnya tentang pengalaman seseorang yang meliputi sikap, keyakinan, kepercayaan, dan perilaku dari sudut pandang individu tersebut.Analisa menggunakan Georgi. Hasil penelitian mengungkapkan adanya 4 tema penelitian yaitu, definisi kesurupan, penyebab kesurupan, efek kesurupan, cara menyembuhkan kesurupan. Kata kunci : pengalaman, klien, kesurupan CLIENT EXPERIENCE WITH DISSOCIATIVE TRANCE DISORDER ABSTRACTLately there has been a lot of news from the media about the emergence of mass dissociative trance cases, this case often happens to students who are educating at the elementary, junior high, high school, and even to the university level. The emergence of this phenomenon is certainly a big question for the wider community and more specifically for academics, why does this phenomenon occur? What do they feel so that they can experience trance?. This study aims to uncover the phenomenon of possession in depth with direct capture from individuals who have experienced possession at Sultan Agung Islamic University in Semarang through descriptive phenomenological studies, to get a picture of how the experience of someone who has experienced possession. The study of phenomenological studies with qualitative methods, which dig deep information about a person's experience which includes attitudes, beliefs, beliefs, and behavior from the point of view of the individual. The analysis uses Georgi. The results revealed 4 research themes, namely the definition of possession, the cause of possession, possession effect, how to cure possession. Keywords: experience, clients, possessed

Post-Dissociative Trance Disorder: Traditional Culture of Nini Pagar from Tigabinanga

BACKGROUND: Dissociative Trance Disorder is uncommon, particularly in the eastern part of the world. Complexity and uniqueness of the symptoms, triggers, as well as the management strategy of this disease, make it an exceptional burden for the family. CASE REPORT: We reported a 17-year-old woman of a Karo descent who was admitted to Tiga Binanga Primary Health Center by her family due to frequent depressive mood, secluding herself, loss of interest, and frequent fatigue. The complaints persisted for about three weeks. The patient had a confirmed history of dissociative trance disorder known as trance or kesurupan in the local language. This condition is often linked to the local cultural tradition of Nini Pagar performed by the patient. There was neither a history of delusional thoughts, illusions, nor hallucinations. However, the eidetic image was evident. CONCLUSION: Nini Pagar, in this case, induces trans dissociative disorder and feature of this post dissociative trance disorder is moderate depression. We found that the eidetic image with sensorium is clear (compos mentis). Psychotherapy and pharmacotherapy were helping.

Shared Psychotic Disorder (Folie À Deux): A Rare Case with Dissociative Trance Disorder That Can Be Induced

BACKGROUND: Shared psychotic disorder was first introduced in the 19th century in France with the name Folie à deux. Since then, the concept of Folie à deux has been developed and produces several subtypes in France. In DSM, this disorder is called Shared Psychotic Disorder, and in ICD-10, it is called Induced Delusional Disorder. However, some of the classic subtypes of Folie à deux are not included in the above categories. CASE REPORT: We found a case of shared psychotic disorder between a 38-year-old male inducer, a Batak tribe with two female recipients, 34 and 36 years from the Batak tribe. They were found to share the same delusions and hallucinations, and inducers could make recipients into trance conditions. These three individuals did not get along with the surrounding community and often carried out activities and perform rituals together. CONCLUSION: Overall, our case has some unique features of folie à deux. In this case, there is a trance condition that can be induced that have not been reported in the literature or case reports related to Folie à deux.

IDENTIFIKASI FAKTOR-FAKTOR DISSOCIATIVE TRANCE DISORDER (KESURUPAN) PADA MAHASISWI FAKULTAS ILMU KESEHATAN Di RUSUNAWA Pondok Al-Manar Universitas Muhammadiyah Ponorogo

Kejadian Dissociative Trance Disorder yang banyak terjadi pada mahasiswi saat mengikuti kegiatan pondok pesantren al-manar kemungkinan disebabkan oleh banyak faktor penyebab. Penelitian ini bertujuan mengetahui apakah faktor Dissociative Trance Disorder pada mahasiswi yaitu situasi eksternal (sugestif, suasana, waktu khusus), situasi internal (tubuh lemah, melamun) serta kepribadian dan keyakinan (tertutup, cara berfikir hitam putih, pencemas, dependen, keyakinan).Desain penelitian yang digunakan adalah desain penelitian deskriptif. Teknik sampling yang digunakan adalah total sampling, dengan sampel berjumlah 32 responden, teknik pengumpulan data dengan kuesioner dan teknik analisa menggunakan rumus prosentase (%).Hasil penelitian 32 responden secara keseluruhan setiap faktor dominan didapatkan bahwa faktor situasi atau antensenden waktu khusus yaitu 26 mahasiswi (81,25%) dan faktor kepribadian dan keyakinan pencemas yaitu 25 mahasiswi (78,13 %).Berdasarkan hasil penelitian ini faktor situasi atau antensenden waktu khusus yaitu menjadi faktor dominan dari situasi maka diharapkan lebih aktif melakukan aktifitas saat malam hari, untuk faktor kepribadian dan keyakinan pencemas menjadi faktor dominan yang berpengaruh maka perubahan pemikiran tentang kegiatan yang padat menjadi sesuatu yang menyenangkan. Bagi peneliti selanjutnya diharapkan dapat melanjutkan penelitian dengan melakukan observasi secara langsung.