140. The impact of social media engagement on self-integration in individuals with dissociative identity disorder

Abstract Background Dissociative Identity Disorder (DID) is a severe trauma-related mental disorder characterized by fragmented identity, memory loss, and a split in self-perception. With the widespread use of social media, DID patients often use online platforms to obtain information about their condition, seek peer support, or express themselves. However, existing research has insufficient exploration of the correlation between social media participation and clinical interventions for DID patients. Therefore, this study aims to systematically investigate the impact of social media engagement on the self-integration of DID patients, providing a theoretical basis for developing targeted rehabilitation support strategies. Methods The study selected 120 patients who were clearly diagnosed with DID and had used social media for ≥3 months. They were divided into three groups of 40 each based on different modes of social media engagement: active participation group A, passive participation group B, and control group C. All three groups maintained their original routine treatments. Group A received guidance on social media use, Group B continued passive browsing without interactive use, and Group C had restricted social media use during the intervention. The intervention period lasted six months. Assessments were conducted at baseline and after six months using the Dissociative Experiences Scale (DES), Social Media Usage scale (SMU), and Social Support Rating Scale (SSRS), and the data were analyzed using repeated measures ANOVA. Results The baseline values and the mean and p-values of each indicator after 6 months are shown in Table 1. As shown in Table 1, after 6 months, the DES score of group A decreased from 69.3 ± 7.8 to 41.5 ± 6.3 (p