Adaptation of the Russian version of the Somatoform Dissociation Questionnaire-5 (SDQ-5)
https://doi.org/10.31363/2313-7053-2025-4-2-1116
Abstract
The Somatoform Dissociation Questionnaire-5 (SDQ-5) is a well-known instrument for assessing the sensorimotor traumatic experiences. Objective. The aim of this study was a psychometric analysis of the Russian version of the SDQ-5 on a sample from the general population and a sample of patients with eating disorders. Material and Methods. The data were collected in a sample from the general population (n = 587) and a sample of patients with eating disorders (n = 185). The main part of the questionnaire included measures for assessing somatoform dissociation, anxiety (Generalized Anxiety Disorder-7, GAD-7), depression (Patient Health Questionnaire-9, PHQ-9), somatization (Somatic Symptom Scale-8, SSS-8), and psychoform dissociation (Brief Dissociative Experiences Scale, DES-B). The variable part of the questionnaire contained measures for assessing adverse childhood experiences (Adverse Childhood Experiences Questionnaire, ACE) in a sample from the general population and dysmorphophobia (Body Dysmorphic Disorder-Dimensional Scale, BDD-D) in a sample of patients with eating disorders. Results. The factor validity and internal reliability of the adapted questionnaire were confirmed by the identification of one common factor of somatoform dissociation, which has adequate values of internal consistency. The convergent validity of the Russian version of the SDQ-5 has been proven by strong correlations of somatoform dissociation with anxiety, depression, somatization, and psychoform dissociation. The criterion validity of the adapted questionnaire was confirmed, on the one hand, by higher rates of somatoform dissociation in the sample of patients with eating disorders, on the other hand, by the relationships of somatoform dissociation with dysmorphophobia and adverse childhood experiences. Conclusion. The Russian version of the SDQ-5 is a psychometrically based questionnaire for the diagnosis of somatoform dissociation, which can be recommended for solving research tasks and for use in psychotherapy and psychological counseling for people with eating disorders.
Keywords
About the Authors
A. A. ZolotarevaRussian Federation
Alena A. Zolotareva
Moscow
E. V. Kazennaya
Russian Federation
Elena V. Kazennaya
Moscow
A. S. Ulyanova
Russian Federation
Anna S. Ulyanova
Moscow
N. V. Chernov
Russian Federation
Nikita V. Chernov
Moscow
G. P. Kostyuk
Russian Federation
Georgy P. Kostyuk
Moscow
References
1. Agarkov VA. Dissociation and borderline personality disorder. Konsul’tativnaya psikhologiya i psikhoterapiya. 2014;2:10-37. (In Russ.).
2. Bokhan NA, Ovchinnikov AA, Sultanova AN. Dissociation as a mechanism of psychological defense in adapting to a different cultural environment. Obozrenie psikhiatrii i meditsinskoi psikhologii imeni V.M. Bekhtereva. 2017;1:26-30. (In Russ.).
3. Zolotareva AA. Adaptation of the Russian version of the Generalized Anxiety Disorder-7. Konsul’tativnaya psikhologiya i psikhoterapiya. 2023;31(4):31-46. (In Russ.). https://doi.org/10.17759/cpp.2023310402
4. Zolotareva AA. Diagnosis of depression: Psychometric examination of the Russian version of the Patient Health Questionnaire (PHQ-9). Klinicheskaya i spetsial’naya psikhologiya. 2023;12(4):107-121. (In Russ.). https://doi.org/10.17759/cpse.2023120406
5. Zolotareva AA. Factor structure of the Russian version of the Somatic Symptom Scale-8 (SSS-8). Konsul’tativnaya psikhologiya i psikhoterapiya. 2022;30(3):8-20. (In Russ.). https://doi.org/10.17759/cpp.2022300302
6. Mendelevich VD, Nesterina MK. Dissociative suffering: Should we believe a patient’s word? Nevrologicheskii vestnik. 2025;57(1):34-45. (In Russ.). https://doi.org/10.17816/nb643488
7. Tarabrina N.V. Praktikum po psihologii posttravmaticheskogo stressa. SPb.: Piter, 2001. (In Russ.).
8. Carlson EB, Putnam FW, Ross CA, Torem M, Coons P, Dill DL, Loewenstein RJ, Braun BG. Validity of the Dissociative Experiences Scale in screening for multiple personality disorder: A multicenter study. Am J Psychiatry. 1993;150(7):1030-1036. https://doi.org/10.1176/ajp.150.7.1030
9. Cheung CTY, Cheng CM, Lee VWP, Lam SKK, He KL, Ling HW, Lee K, Ross CA, Fung HW. Could family well-being moderate the relationship between adverse childhood experiences and somatoform dissociation? A preliminary investigation. J Trauma Dissociation. 2024;25(2):153-167. https://doi.org/10.1080/15299732.2023.2233095
10. El-Hage W, Darves-Bornoz J-M, Allilaire J-F, Gaillard P. Posttraumatic somatoform dissociation in French psychiatric outpatients. J Trauma Dissociation. 2002;3(3):59-74. https://doi.org/10.1300/J229v03n03_04
11. Enander J, Ivanov VZ, Andersson E, Mataix-Cols D, Ljótsson B, Rück C. Therapist-guided, Internet-based cognitive-behavioural therapy for body dysmorphic disorder (BDD-NET): A feasibility study. BMJ Open. 2014;4(9):e005923. https://doi.org/10.1136/bmjopen-2014-005923
12. Escobar JI. Transcultural aspects of dissociative and somatoform disorders. Psychiatr Clin North Am. 1995;18(3):555-569.
13. Felitti VJ, Anda RF, Nordenberg D, Williamson DF, Spitz AM, Edwards V, Koss MP, Marks JS. Relationship of childhood abuse and household dysfunction to many of the leading causes of death in adults. The Adverse Childhood Experiencess (ACE) Study. Am J Prev Med. 1998;14(4):245-258. https://doi.org/10.1016/s0749-3797(98)00017-8
14. González-Vázquez AI, del Río-Casanova L, Seijo-Ameneiros N, Cabaleiro-Fernández P, Seoane-Pillado T, Justo-Alonso A, Santed-Germán MÁ. Validity and reliability of the Spanish version of the Somatoform Dissociation Questionnaire (SDQ-20). Psicothema. 2017;29(2):275-280. https://doi.org/10.7334/psicothema2016.346
15. Janet P. The major symptoms of hysteria. New York, NY: Macmillan, 1907.
16. LeBeau RT, Mischel ER, Simpson HB, Mataix-Cols D, Phillips KA, Stein DJ, Craske MG. Preliminary assessment of obsessive-compulsive spectrum disorder scales for DSM-5. J Obsessive Compuls Relat Disord. 2013;2(2):114-118. https://doi.org/10.1016/j.jocrd.2013.01.005
17. Longo P, Marzola E, Martini M, Amodeo L, Abbate-Daga G. Anorexia nervosa and somatoform dissociation: A neglected body-centered perspective. J Trauma Dissociation. 2023;24(1):141-156. https://doi.org/10.1080/15299732.2022.2119631
18. Luoni C, Agosti M, Crugnola S, Rossi G, Termine C. Psychopathology, dissociation and somatic symptoms in adolescents who were exposed to traumatic experiences. Front Psychol. 2018;9:2390. https://doi.org/10.3389/fpsyg.2018.02390
19. Möllmann A, Hunger A, Dusend C, van den Hout M, Buhlmann U. Gazing at facial features increases dissociation and decreases attractiveness ratings in non-clinical females - A potential explanation for a common ritual in body dysmorphic disorder. PLoS One. 2019;14(7):e0219791. https://doi.org/10.1371/journal.pone.0219791
20. Morera F, Stokes SM. Coefficient α as a measure of test score reliability: Review of 3 popular misconceptions. Am J Public Health. 2016;106(3):458-461. https://doi.org/10.2105/AJPH.2015.302993
21. Mueller-Pfeiffer C, Schumacher S, Martin-Soelch C, Pazhenkottil AP, Wirtz G, Fuhrhans C, Hindermann E, Assaloni H, Briner DP, Rufer M. The validity and reliability of the German version of the Somatoform Dissociation Questionnaire (SDQ-20). J Trauma Dissociation. 2010;11(3):337-357. https://doi.org/10.1080/15299731003793450
22. Nijenhuis ERS. Somatoform dissociation: Major symptoms of dissociative disorders. J Trauma Dissociation. 2000;1(4):7-32. https://doi.org/10.1300/J229v01n04_02
23. Nijenhuis ERS. The scoring and interpretation of the SDQ-20 and SDQ-5. Activ Nerv Super. 2010;52(1):24-28. https://doi.org/10.1007/BF03379561
24. Nijenhuis ER, Spinhoven P, van Dyck R, van der Hart O, Vanderlinden J. Psychometric characteristics of the somatoform dissociation questionnaire: A replication study. Psychother Psychosom. 1998;67(1):17-23. https://doi.org/10.1159/000012254.
25. Nijenhuis ERS, van der Hart O. Dissociation in trauma: A new definition and comparison with previous formulations. J Trauma Dissociation. 2011;12:416-445. https://doi.org/10.1080/15299732.2011.570592
26. Nijenhuis ER, van Dyck R, Spinhoven P, van der Hart O, Chatrou M, Vanderlinden J, Moene F. Somatoform dissociation discriminates among diagnostic categories over and above general psychopathology. Aust N Z J Psychiatry. 1999;33(4):511-520. https://doi.org/10.1080/j.1440-1614.1999.00601.x
27. Nilsson D, Lejonclou A, Holmqvist R. Psychoform and somatoform dissociation among individuals with eating disorders. Nord J Psychiatry. 2020;74(1):1-8. https://doi.org/10.1080/08039488.2019.1664631
28. Nilsson D, Lejonclou A, Svedin CG, Jonsson M, Holmqvist R. Somatoform dissociation among Swedish adolescents and young adults: The psychometric properties of the Swedish versions of the SDQ-20 and SDQ-5. Nord J Psychiatry. 2015;69(2):152-160. https://doi.org/10.3109/08039488.2014.949851
29. Pietkiewicz IJ, Helka AM, Tomalski R. Validity and reliability of the Polish online and pen-and-paper versions of the Somatoform Dissociation Questionnaires (SDQ-20 and PSDQ-5). Eur J Trauma Dissociation. 2019;3(1):23-31. https://doi.org/10.1016/j.ejtd.2018.05.002
30. Pullin MA, Webster RA, Hanstock TL. Psychoform and somatoform in a clinical sample of Australian adolescents. J Trauma Dissociation. 2014;15(1):66-78. https://doi.org/10.1080/15299732.2013.828149
31. Rogers P. Best practices for your confirmatory factor analysis: A JASP and lavaan tutorial. Behav Res Methods. 2024;56(7):6634-6654. https://doi.org/10.3758/s13428-024-02375-7
32. Santo HMA, Pio-Abreu JL. Dissociative disorders and other psychopathological groups: exploring the differences through the Somatoform Dissociation Questionnaire (SDQ-20). Braz J Psychiatry. 2007;29(4):354-358. https://doi.org/10.1590/s1516-44462006005000039
33. Şar V. Dissociation across cultures: A transdiagnostic guide for clinical management. Alpha Psychiatry. 2022;23(3):95-103. https://doi.org/10.5152/alphapsychiatry.2022.21556
34. Stechler N, Henton I. “If only he were blind”: Shame, trauma, and dissociation among women with body dysmorphic disorder in physically intimate relationships. Int J Qual Stud Health Well-being. 2022;17(1):2015871. https://doi.org/10.1080/17482631.2021.2015871
35. Tsar V, Kundakci T, Kiziltan E, Bakim B, Bozkurt O. Differentiating dissociative disorders from other diagnostic groups through somatoform dissociation in Turkey. J Trauma Dissociation. 2001;1(4):67-80. https://doi.org/10.1300/J229v01n04_04
36. van der Boom KJ, van den Hout MA, Huntjens RJC. Psychoform and somatoform dissociation, traumatic experiences, and fantasy proneness in somatoform disorders. Pers Individ Differ. 2010;48(4):447-451. https://doi.org/10.1016/j.paid.2009.11.018
37. Waller G, Babbs M, Wright F, Potterton C, Meyer C, Leung N. Somatoform dissociation in eating-disordered patients. Behav Res Ther. 2003;41(5):619-627. https://doi.org/10.1016/s0005-7967(03)00019-6
Review
For citations:
Zolotareva A.A., Kazennaya E.V., Ulyanova A.S., Chernov N.V., Kostyuk G.P. Adaptation of the Russian version of the Somatoform Dissociation Questionnaire-5 (SDQ-5). V.M. BEKHTEREV REVIEW OF PSYCHIATRY AND MEDICAL PSYCHOLOGY. (In Russ.) https://doi.org/10.31363/2313-7053-2025-4-2-1116






















