Dissociative Disorders in Pediatric Males from Industrial Worker Families: Clinical Presentation and Treatment Challenges - A Case Series

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Published

2026-06-26

DOI:

https://doi.org/10.54169/ijocp.v6i01.09

Keywords:

Dissociative disorders, Worker families, Pediatric males

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Issue

Vol. 6 No. 01 (2026): Indian Journal of Clinical Psychiatry

Section

Case Series

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Copyright (c) 2026 Kudrat Jain, Aashmeen Kaur, Manoj Kumar

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This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

Authors

  • Kudrat Jain Department of Psychiatry, ESIC Medical College & Hospital, Faridabad, Haryana, India
  • Aashmeen Kaur Department of Psychiatry, ESIC Medical College & Hospital, Faridabad, Haryana, India
  • Manoj Kumar Department of Psychiatry, ESIC Medical College & Hospital, Faridabad, Haryana, India

Abstract

Dissociative disorders disrupt consciousness, emotions, and behavior integration. Sociocultural factors, childhood experiences, and socioeconomic stressors influence their development in children and adolescents, especially in industrial and labor sectors. Dissociative disorders are more common in females, but boys may show atypical/externalizing symptoms, causing diagnostic delays and misattribution to other disorders. We present a case series of four male patients (9–12 years) at a tertiary psychiatric service in an industrial area. All cases showed mixed dissociative symptoms, complex stressors, and delayed psychiatric evaluation. Treatment was impacted by gender-role-based emotional suppression, mental health stigma, and limited family awareness. Findings highlight the need for culturally informed, developmentally appropriate, and gender-responsive strategies for pediatric males with dissociative presentations.

How to Cite

Jain, K., Kaur, A., & Kumar, M. (2026). Dissociative Disorders in Pediatric Males from Industrial Worker Families: Clinical Presentation and Treatment Challenges - A Case Series. Indian Journal of Clinical Psychiatry, 6(01), 56–60. https://doi.org/10.54169/ijocp.v6i01.09

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References

World Health Organization. International Classification of Diseases (ICD-10). Available from: https://apps.who.int/iris/bitstream/handle/10665/61855/MNH_NAT_8_7.1.pdf

Ram D, Mathew A. A scoping review of studies on dissociative and conversion disorders in India. Indian Journal of Psychiatry. 2025;67(6):574-590. Available from: doi.org/10.4103/indianjpsychiatry_876_24

Bammidi R, Ravipati LP, Bashar MA, Kumar KS. Clinical, sociodemographic profile and stressors in patients with conversion disorders: An exploratory study from southern India. Indian Psychiatry Journal. l2020;29(2):222-227. Available from: doi: 10.4103/ipj.ipj_100_20.

Leach LS, Dinh H, Cooklin A, Nicholson JM, Strazdins L. Australian parents’ work-family conflict: accumulated effects on children’s family environment and mental health. Social Psychiatry and Psychiatric Epidemiology. 2021;56(4):571-581. Available from: doi: 10.1007/s00127-020-01944-3.

Bhat M, Kakunje A, Mithur R. A study of clinical profile and stressors in patients presenting with dissociative disorder to a tertiary care teaching hospital. Indian Journal of Social Psychiatry. 2024;40(1):84-89. Available from : DOI: 10.4103/ijsp.ijsp_349_21

Anupama M, Shelar U, George J, Raja B. Conversion disorder in children: characteristics and gender differences. International Journal of Indian Psychology. 2016;3(2). Available from: DOI: 10.25215/0302.083

Chaplin TM. Gender and emotion expression: A developmental contextual perspective. Emotion Review. 2015;7(1):14-21. Available from: doi.org/10.1177/1754073914544408

Koerber MI, Mack JT, Seefeld L, et al. Psychosocial work stress and parent-child bonding during the COVID-19 pandemic: clarifying the role of parental symptoms of depression and aggressiveness. BMC Public Health. 2023;23:113. Available from: doi: 10.1186/s12889-022-14759-5.

Dalenberg CJ, Brand BL, Gleaves DH, et al. Evaluation of the evidence for the trauma and fantasy models of dissociation. Psychological Bulletin. 2012;138(3):550-588. Available from: doi: 10.1037/a0027447.

Teicher MH, Samson JA. Annual research review: Enduring neurobiological effects of childhood abuse and neglect. Journal of Child Psychology and Psychiatry. 2016;57(3):241-266. Available from: doi: 10.1111/jcpp.12507.

Nijenhuis ERS, van der Hart O, Steele K. Trauma-related structural dissociation of the personality. Acta Psychiatrica Scandinavica. 2002;105(3):174-183. Available from: https://doi.org/10.1007/BF03379560

Brown RJ, Dissociation and functional neurological symptoms. Journal of Neurology, Neurosurgery & Psychiatry. 2006;77(3):300-305. Available from: doi: 10.1016/B978-0-12-801772-2.00008-4.

Kuyk J, Spinhoven P, van Dyck R, The case for a dissociative interpretation of pseudoepileptic seizures. Journal of Nervous and Mental Disease. 1999;187(3):150-157. Available from: doi: 10.1097/00005053-199608000-00003.

Liotti G, Disorganization of attachment as a model for understanding dissociative psychopathology. Journal of Trauma & Dissociation. 2004;5(3):71-97. Available from:https://www.researchgate.net/publication/232516213_Disorganization_of_attachment_as_a_model_for_understanding_dissociative_psychopathology

Lyons-Ruth K, Dutra L, Schuder MR, Bianchi I. From infant attachment disorganization to adult dissociation. Psychiatric Clinics of North America. 2006;29(1):63-86. Available from: doi: 10.1016/j.psc.2005.10.011.

Bandura A. Social cognitive theory: An agentic perspective. Annual Review of Psychology. 2001;52:1-26. Available from: doi: 10.1146/annurev.psych.52.1.1.

Cicchetti D, Toth SL. A developmental psychopathology perspective on adolescent depression. Handbook of Depression in Adolescents. 1998. Available from: https://doi.org/10.1037/0003-066X.53.2.221

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