[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"assessment-dissociation-test":3,"all-assessments-nav":198,"related-assessments-query":878},{"id":4,"title":5,"body":6,"category":142,"categoryTitle":143,"clinicalCitations":144,"copyright":142,"description":157,"disclaimer":142,"downloadLink":142,"extension":158,"faqs":159,"featured":172,"i18nReady":172,"icon":142,"interpreter":173,"lastReviewed":189,"meta":190,"navigation":191,"path":192,"permissionsNote":142,"published":172,"recommendedFrequency":142,"relatedCodes":142,"relatedConditions":142,"reviewedBy":142,"seo":193,"slug":194,"stem":195,"summary":157,"takeaways":142,"timeline":142,"type":196,"usedToDiagnose":142,"__hash__":197},"assessments\u002Fassessments\u002Fdissociation-test.md","Dissociation Test (DES Guide)",{"type":7,"value":8,"toc":131},"minimark",[9,13,18,21,24,27,30,34,37,40,44,47,52,55,118,121,124,128],[10,11,12],"p",{},"Dissociation tests measure detachment from thoughts, feelings, or identity. The DES (Dissociative Experiences Scale) is the criterion-standard 28-item measure: mean score 0–100; ≥30 warrants clinical evaluation for dissociative disorder. Developed by Bernstein & Putnam (1986); the ≥30 screening threshold was validated by Carlson et al. (1993).",[14,15,17],"h2",{"id":16},"what-does-a-dissociation-test-measure","What Does a Dissociation Test Measure?",[10,19,20],{},"Dissociation is a psychological experience in which a person becomes\ndetached from their thoughts, feelings, memories, sense of identity, or surroundings.\nMild dissociation is common in everyday life (daydreaming, highway hypnosis, absorption\nin a book). Pathological dissociation, especially when frequent and distressing, is\nassociated with trauma exposure, PTSD, and dissociative disorders including dissociative\nidentity disorder (DID) and depersonalization\u002Fderealization disorder (DPDR).",[10,22,23],{},"A dissociation test quantifies the frequency of dissociative experiences\nacross three clusters: amnesia (gaps in memory or recall), depersonalization\nand derealization (feeling detached from one's body or surroundings), and\nabsorption and imaginative involvement (intense focus that limits awareness of\nsurroundings). The most widely used dissociation test is the\nDES (Dissociative Experiences Scale), a 28-item validated self-report\nmeasure developed by Bernstein and Putnam (1986).",[10,25,26],{},"Each DES item asks how often (0% to 100%, in 10% intervals) a person experiences a\nspecific dissociative phenomenon. The mean score across all 28 items is computed as the\ntotal score (0–100). In the Carlson et al. (1993) multicenter study of 1,051 subjects,\na mean score of 30 or higher yielded 76% sensitivity and 76–85% specificity for\ndissociative identity disorder, and was confirmed as an appropriate first-line screening\nthreshold warranting further clinical evaluation. The DES-T (Taxon) is an 8-item\nsubscale specifically linked to pathological dissociation.",[10,28,29],{},"The DES is in the public domain and free for clinical and research use.\nIt has been used in over 1,000 published studies and is endorsed by the International\nSociety for the Study of Trauma and Dissociation (ISSTD) as a first-line screening\nscale for dissociative disorders.",[14,31,33],{"id":32},"des-score-interpreter","DES Score Interpreter",[10,35,36],{},"If you have completed a DES assessment, enter your mean score (0–100) below.",[10,38,39],{},"Educational reference only. Cannot diagnose or replace clinical evaluation. Consult a mental health professional for formal evaluation of dissociative experiences.",[14,41,43],{"id":42},"des-score-interpretation","DES Score Interpretation",[10,45,46],{},"Carlson EB et al. (1993). Mean score = sum of all 28 item scores ÷ 28. Each item rated 0–100% in 10% steps. DES-T (Taxon) is an 8-item subscale that specifically identifies pathological dissociation; Waller & Ross (1997) estimated that approximately 3.3% of the general population belongs to the pathological dissociative taxon captured by the DES-T.",[48,49,51],"h3",{"id":50},"types-of-dissociative-experiences","Types of Dissociative Experiences",[10,53,54],{},"The DES captures three distinct types of dissociative experience, corresponding to the scale's empirically derived subscales (Bernstein & Putnam, 1986; Dubester & Braun, 1995):",[56,57,58,74],"table",{},[59,60,61],"thead",{},[62,63,64,68,71],"tr",{},[65,66,67],"th",{},"Type",[65,69,70],{},"What It Involves",[65,72,73],{},"Example Experiences",[75,76,77,92,105],"tbody",{},[62,78,79,86,89],{},[80,81,82],"td",{},[83,84,85],"strong",{},"Amnesia",[80,87,88],{},"Gaps in autobiographical memory or awareness of recent events",[80,90,91],{},"Finding yourself somewhere with no memory of how you got there; discovering you did something you have no recollection of",[62,93,94,99,102],{},[80,95,96],{},[83,97,98],{},"Depersonalization \u002F Derealization",[80,100,101],{},"Feeling detached from one's body, thoughts, or surroundings",[80,103,104],{},"Watching yourself from outside your body; feeling that familiar places look strange or unreal",[62,106,107,112,115],{},[80,108,109],{},[83,110,111],{},"Absorption",[80,113,114],{},"Intense attentional focus that excludes awareness of other stimuli",[80,116,117],{},"Becoming so absorbed in a film or daydream that time disappears; not noticing pain or someone speaking to you",[10,119,120],{},"These three subscales show different patterns across diagnostic groups. Dubester & Braun (1995) reported subscale test-retest reliabilities of .95 (amnesia), .89 (depersonalization\u002Fderealization), and .82 (absorption) in a clinical sample, supporting the stability of each domain over time.",[10,122,123],{},"Pathological dissociation — primarily high amnesia scores — is most closely associated with severe trauma histories and dissociative disorders. Absorption, by contrast, also occurs at elevated levels in hypnotically talented non-clinical individuals and is not on its own a strong indicator of psychopathology.",[14,125,127],{"id":126},"trauma-dissociation-screening-in-hiboop","Trauma & Dissociation Screening in HiBoop",[10,129,130],{},"DES and PCL-5 alongside PHQ-9, GAD-7, and C-SSRS, longitudinal trauma and dissociation screening for your patient panel with automated scoring and outcome tracking.",{"title":132,"searchDepth":133,"depth":133,"links":134},"",3,[135,137,138,141],{"id":16,"depth":136,"text":17},2,{"id":32,"depth":136,"text":33},{"id":42,"depth":136,"text":43,"children":139},[140],{"id":50,"depth":133,"text":51},{"id":126,"depth":136,"text":127},null,"Trauma",[145,148,151,154],{"text":146,"link":147},"Bernstein EM, Putnam FW. Development, reliability, and validity of a dissociation scale. J Nerv Ment Dis. 1986;174(12):727-35.","https:\u002F\u002Fpubmed.ncbi.nlm.nih.gov\u002F3783140\u002F",{"text":149,"link":150},"Carlson EB, Putnam FW, Ross CA, et al. Validity of the Dissociative Experiences Scale in screening for multiple personality disorder: a multicenter study. Am J Psychiatry. 1993;150(7):1030-6.","https:\u002F\u002Fpubmed.ncbi.nlm.nih.gov\u002F8317572\u002F",{"text":152,"link":153},"Dubester KA, Braun BG. Psychometric properties of the Dissociative Experiences Scale. J Nerv Ment Dis. 1995;183(4):231-5.","https:\u002F\u002Fpubmed.ncbi.nlm.nih.gov\u002F7714511\u002F",{"text":155,"link":156},"Waller NG, Ross CA. The prevalence and biometric structure of pathological dissociation in the general population: taxometric and behavior genetic findings. J Abnorm Psychol. 1997;106(4):499-510.","https:\u002F\u002Fpubmed.ncbi.nlm.nih.gov\u002F9358680\u002F","Guide to dissociation screening and DES score interpretation. DES mean score 0–100; ≥30 warrants clinical evaluation for dissociative disorder. Covers amnesia, depersonalization, and absorption. Bernstein & Putnam (1986).","md",[160,163,166,169],{"question":161,"answer":162},"What does a DES score of 30 or higher mean?","A mean DES score of 30 or higher is a widely used clinical screening threshold indicating that further evaluation for a dissociative disorder is warranted. It does not constitute a diagnosis. In the Carlson et al. (1993) multicenter study, this cutoff yielded 76% sensitivity and 76–85% specificity for dissociative identity disorder.",{"question":164,"answer":165},"Is the DES self-report or clinician-administered?","The DES is a self-report questionnaire. Respondents rate how often (0% to 100%, in 10% increments) they experience each of 28 dissociative phenomena. It typically takes 10–15 minutes to complete and requires no clinician involvement for administration, though interpretation should involve a trained clinician.",{"question":167,"answer":168},"Can the DES diagnose dissociative identity disorder?","No. The DES is a screening instrument, not a diagnostic tool. A high score indicates that a structured clinical interview — such as the SCID-D — is appropriate. In the Carlson et al. (1993) multicenter study, only about 17% of those scoring ≥30 actually had dissociative identity disorder, highlighting the importance of confirmatory interview-based assessment.",{"question":170,"answer":171},"What are the three subscales of the DES?","The DES yields three subscale scores: amnesia (lapses in memory or recall), depersonalization\u002Fderealization (feeling detached from one's body or surroundings), and absorption (intense attentional focus that limits awareness of other stimuli). Dubester & Braun (1995) reported test-retest reliabilities of .95, .89, and .82 for these three subscales, respectively.",false,{"heading":33,"scaleLabel":174,"min":175,"max":176,"start":177,"note":178,"source":179,"bands":180},"Total score (mean)",0,100,30,"28 items each rated 0–100% in 10% steps; score is the mean of all 28 items (not a sum). Higher scores indicate more frequent dissociative experiences.","Carlson EB et al., Am J Psychiatry 1993;150(7):1030-6. Screening cutoff per multicenter validation study. Educational reference only — not a diagnostic tool.",[181,185],{"min":177,"label":182,"level":183,"note":184},"Warrants clinical evaluation","error","Scores ≥30 are associated with significant dissociative pathology. A score at this level warrants a structured clinical evaluation by a qualified mental health professional.",{"min":175,"label":186,"level":187,"note":188},"Below screening threshold","success","Scores below 30 are less likely to indicate a dissociative disorder. Some mild, non-distressing dissociative experiences are normal in everyday life.","2026-06-03",{},true,"\u002Fassessments\u002Fdissociation-test",{"title":5,"description":157},"dissociation-test","assessments\u002Fdissociation-test","assessment","1_DORttWQDOaIio4wMQpHamXnkYGmXkeNskH96Yo9yo",[199,204,209,213,217,222,227,231,236,241,246,251,256,261,265,269,274,279,284,288,292,297,302,307,311,315,319,324,328,333,338,343,348,353,357,361,366,370,374,378,382,386,391,396,400,405,410,415,420,425,429,433,438,442,446,451,455,460,464,465,469,473,477,482,487,491,496,501,505,509,513,517,522,526,530,534,538,542,547,552,556,560,564,568,572,577,581,585,589,594,598,603,608,612,616,620,624,628,633,638,642,646,650,654,658,662,666,670,674,679,683,687,691,695,699,704,708,713,717,721,726,730,734,738,742,746,751,755,759,764,768,772,776,780,784,788,792,797,802,807,812,816,820,824,828,832,836,840,844,849,853,857,861,865,869,874],{"title":200,"slug":201,"path":202,"categoryTitle":203},"ACE 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