The Role of Psychoactive Drugs in the Onset of Dissociative Identity Disorder: A Comparative Study of Alcohol and Drug Abusers

Psychoactive substances influence mood, cognition, and personality, with emerging synthetic drugs presenting new challenges. This study examines the impact of psychoactive drug use on the development of dissociative identity disorder (DID), comparing alcohol and drug abusers. A total of 120 participants (60 alcohol abusers, 60 drug abusers) from Suman Ellen Trust in Bangalore were assessed using standardized psychological instruments, including the Addiction Severity Index, Dissociative Disorders Interview Schedule, Drug Abuse Screening Test, and Dissociative Experiences Scale. A mixed-methods approach was employed, incorporating both quantitative (ANOVA, Pearson correlation) and qualitative (thematic analysis) methodologies to analyze dissociative symptoms and substance use patterns. Findings revealed a significant difference in DID prevalence between alcohol and drug abusers (F = 55.88, p < .01), with drug abuse showing a strong positive correlation with dissociative symptoms (r = 0.790, p < .01). The study highlights the need for integrated clinical approaches addressing both substance use disorders and dissociative pathology. Future research should focus on longitudinal studies to clarify causal mechanisms and develop targeted intervention strategies.