European Journal of Trauma & Dissociation最新文献

{"title":"Post-traumatic and dissociative symptoms as significant predictors of depression: Results from an international follow-up survey study","authors":"Guangzhe Frank Yuan,&nbsp;Marc Eric S. Reyes,&nbsp;Edo S. Jaya,&nbsp;Firdaus Mukhtar,&nbsp;Amos En Zhe Lian,&nbsp;Görkem Derin,&nbsp;Peejay D. Bengwasan,&nbsp;Georgekutty Kochuchakkalackal Kuriala,&nbsp;Kadir Uludag,&nbsp;Steffi Hartanto,&nbsp;Nimaz Indryastuti Dewantary,&nbsp;Riangga Novrianto,&nbsp;Stanley Kam Ki Lam","doi":"10.1016/j.ejtd.2026.100743","DOIUrl":"10.1016/j.ejtd.2026.100743","url":null,"abstract":"<div><h3>Background</h3><div>Depression is a leading global public health concern, with trauma and trauma-related symptoms increasingly recognized as important contributors to its onset and maintenance. It remains unclear which specific post-traumatic and dissociative symptoms most strongly predict subsequent depressive symptoms.</div></div><div><h3>Objectives</h3><div>This longitudinal study addressed this gap by examining the predictive role of complex PTSD and dissociative symptoms on depressive symptoms over six months.</div></div><div><h3>Methods</h3><div>Participants were 293 female mental health service users recruited internationally. They completed surveys at baseline and six-month follow-up. Measures included the Patient Health Questionnaire-9 (PHQ-9) for depressive symptoms, the International Trauma Questionnaire (ITQ) for ICD-11 complex PTSD symptoms, and the Multiscale Dissociation Inventory (MDI) for dissociative symptoms.</div></div><div><h3>Results</h3><div>Controlling for baseline depression, age, education, and location, hierarchical multiple regression analysis revealed that baseline re-experiencing symptoms (β = 0.135, p = .019) and depersonalization (β = 0.187, p = .034) significantly and positively predicted follow-up depressive symptoms. Nevertheless, baseline avoidance was negatively associated with depressive symptoms (β = -0.304, p = .043) at follow-up.</div></div><div><h3>Conclusions</h3><div>These findings suggest that the trauma model of depression requires more research and replication. Re-experiencing, depersonalization, and avoidance might be important symptom-level targets for preventing and treating depression, but future research should replicate these patterns in larger and more diverse samples, examine the mechanisms linking trauma-related symptoms to depressive trajectories, and evaluate whether trauma-focused interventions reduce depressive symptoms in individuals with prominent re-experiencing and depersonalization.</div></div>","PeriodicalId":29932,"journal":{"name":"European Journal of Trauma & Dissociation","volume":"10 3","pages":"Article 100743"},"PeriodicalIF":1.9,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148949997","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Definitions of response, remission, non-response and treatment resistance in pharmacological randomized controlled trials for posttraumatic stress disorder: A methodological systematic review","authors":"Hildegard Brandner,&nbsp;Andreas S. Lappas,&nbsp;Guy Lohse,&nbsp;Tim Czurgel,&nbsp;Jan Voss,&nbsp;Iwo Fober,&nbsp;Frederic Bock,&nbsp;Maximilian Huhn,&nbsp;Myrto Samara","doi":"10.1016/j.ejtd.2026.100746","DOIUrl":"10.1016/j.ejtd.2026.100746","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Background&lt;/h3&gt;&lt;div&gt;Outcome definitions such as response, remission, non-response, and treatment resistance are central to the evaluation of pharmacological trials in posttraumatic stress disorder (PTSD). Yet, definitional heterogeneity complicates evidence synthesis and clinical translation.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Objective&lt;/h3&gt;&lt;div&gt;This methodological systematic review identified and classified how these outcome constructs have been defined and used in randomized controlled trials (RCTs) of pharmacological treatments for PTSD and examined variation in these definitions according to study characteristics, including publication period, intervention class, population type, instrument version, role within the trial, and treatment approach.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Methods&lt;/h3&gt;&lt;div&gt;A systematic search was conducted without language restrictions in MEDLINE, CENTRAL, Embase, and PsycINFO, from inception to 1st August 2026, following a preregistered protocol (PROSPERO CRD420251074957). Eligible studies were RCTs evaluating pharmacological interventions for PTSD that reported at least one definition of treatment response, remission, non-response, or treatment resistance. At least two reviewers independently screened studies, extracted data and assessed Risk of Bias using the Cochrane RoB-1 tool.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Results&lt;/h3&gt;&lt;div&gt;Definitions of response and remission varied considerably across the 111 included RCTs, with some variation reflecting changes in assessment instruments and diagnostic systems over time. The most frequently used response criterion was a CGI I/C rating of 1 or 2, indicating “very much improved” or “much improved”. A ≥ 30% reduction in CAPS score was repeatedly used across DSM-III-, DSM-IV-, and DSM-5-based CAPS versions, although alternative percentage thresholds, absolute score decreases, and composite definitions were common. Remission definitions differed more clearly by instrument generation: earlier CAPS generations predominantly used absolute CAPS endpoint thresholds, particularly scores around 20, whereas DSM-5 studies more often incorporated loss of PTSD diagnostic status. Treatment resistance or non-response was typically defined by prior treatment failure, but adequacy criteria, defined as minimum requirements regarding treatment type, dose, and duration of prior interventions, were rarely specified and varied substantially. After exclusion of studies using treatment-resistance only descriptively, adequacy criteria were specified more frequently, but heterogeneity in the number and type of required treatment failures persisted.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Conclusions&lt;/h3&gt;&lt;div&gt;Definitions of response, remission, non-response and treatment resistance varied widely across pharmacological PTSD RCTs. This variability complicates comparisons across studies, may alter pooled responder estimates and contribute to between-study heterogeneity, hindering efforts to synthesize evidence. Standardized, consensus-based definitions are nee","PeriodicalId":29932,"journal":{"name":"European Journal of Trauma & Dissociation","volume":"10 3","pages":"Article 100746"},"PeriodicalIF":1.9,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148949996","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Childhood trauma and outcome in time-limited emotion-focused and cognitive behavioral treatment for depression","authors":"Hanna Aardal ,&nbsp;Elisabeth Schanche ,&nbsp;Helge Molde ,&nbsp;Jan Reidar Stiegler","doi":"10.1016/j.ejtd.2026.100649","DOIUrl":"10.1016/j.ejtd.2026.100649","url":null,"abstract":"<div><h3>Objective</h3><div>This study aimed to determine whether adverse childhood experiences (ACEs) predict treatment outcome for clients with major depressive disorder in a Norwegian public mental health program.</div></div><div><h3>Participants</h3><div>One hundred adults diagnosed with major depression who completed 9 to 18 sessions of either Cognitive Behavioral Therapy (CBT; n=48) or Emotion-focused Therapy (EFT; n=52).</div></div><div><h3>Method</h3><div>ACE exposure before the age of 18 was assessed using the Adverse Childhood Experiences Scale (ACE). Participants were categorized into three groups: Low ACE (0-1 ACEs), Moderate ACE (2-3 ACEs), and High ACE (≥4 ACEs). The relationship between ACE score, treatment type, and treatment outcome—measured by changes in the Beck Depression Inventory-II—was analyzed using Generalized Additive Modeling.</div></div><div><h3>Results</h3><div>High ACE exposure was associated with more severe baseline symptoms. By session nine and at the 12-month follow-up, there was no significant difference in symptom severity between the groups.</div></div><div><h3>Conclusion</h3><div>Greater exposure to ACEs was associated with more severe symptoms at the start of therapy. Both CBT and EFT, in a short-term format, appeared effective regardless of the number of adverse childhood experiences, with no significant differences between treatment conditions.</div></div>","PeriodicalId":29932,"journal":{"name":"European Journal of Trauma & Dissociation","volume":"10 1","pages":"Article 100649"},"PeriodicalIF":1.9,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147395707","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Le trouble de stress post-traumatique complexe chez un sujet d’âge mûr: De la complexité clinique aux enjeux diagnostiques et thérapeutiques","authors":"Madiyiri Karim Pouabizan ,&nbsp;Serigne Modou Ndiaye ,&nbsp;Diambéré Séga Dembélé ,&nbsp;Serigne Souaïbou Ba ,&nbsp;Natalie Barba","doi":"10.1016/j.ejtd.2026.100633","DOIUrl":"10.1016/j.ejtd.2026.100633","url":null,"abstract":"<div><div>Le trouble de stress post-traumatique (TSPT) complexe résulte d’expositions prolongées ou répétées à des événements traumatiques. Il associe les symptômes du TSPT classique (reviviscences, évitement, hypervigilance) à des perturbations durables de la régulation émotionnelle, de l’image de soi et des relations interpersonnelles. Le TSPT complexe se caractérise par une grande hétérogénéité clinique et partage de nombreux symptômes avec d’autres troubles psychiatriques, fréquemment comorbides. Les violences, répétées, sont reconnues comme des facteurs de risque majeurs de TSPT complexe. L’évolution prolongée des symptômes de cette pathologie pourrait constituer un modèle clinique pertinent pour le repérage tardif du TSPT complexe. L’objectif de notre travail était de montrer, à travers une observation clinique, comment l’hétérogénéité symptomatique, l’anamnèse traumatique et le parcours thérapeutique peuvent contribuer à des confusions diagnostiques prolongées et une prise en charge inadaptée. La problématique guidant ce travail était la suivante: comment un diagnostic de TSPT complexe peut-il émerger après des années de souffrance psychique polymorphe ?</div><div>Notre patient était hospitalisé pour une aggravation d’un tableau anxieux, une insomnie, une tristesse de l’humeur et des hallucinations acoustico-verbales stéréotypées, associés à une clinophilie et un retrait social. L’anamnèse révélait une exposition répétée à des violences scolaires à l’adolescence, sur un terrain familial marqué par un divorce parental précoce et des déménagements multiples. Au décours, sa souffrance s’était traduite par diverses manifestations cliniques atypiques du trouble de stress post traumatique, incluant un tableau dépressif, anxieux, des symptômes psychotiques, des conduites addictives et des difficultés relationnelles et socio-professionnelles. Les antécédents psychiatriques comportaient plusieurs hospitalisations pour des motifs parfois différents et les antécédents médicaux incluaient le diagnostic d’un syndrome d’apnée du sommeil. Sa souffrance était explicite mais n’avait pas conduit à une prise en charge adaptée pendant plusieurs années. Les comorbidités psychiatriques masquaient le TSPT complexe sous-jacent. La réévaluation thérapeutique avec une révision des traitements médicamenteux et l’instauration d’une psychothérapie adaptée avaient permis une amélioration clinique notable.</div></div>","PeriodicalId":29932,"journal":{"name":"European Journal of Trauma & Dissociation","volume":"10 1","pages":"Article 100633"},"PeriodicalIF":1.9,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146037874","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Interpersonal guilt and dissociation: The indirect effect of adverse parenting experiences and moderating role of anger","authors":"Jessica Leonardi ,&nbsp;Francesco Gazzillo ,&nbsp;David Kealy","doi":"10.1016/j.ejtd.2026.100645","DOIUrl":"10.1016/j.ejtd.2026.100645","url":null,"abstract":"<div><div>Background Dissociation, a complex construct characterized by disruptions across multiple domains of mental functioning, is closely intertwined with psychopathology, emotion dysregulation, and early adverse experiences. Interpersonal guilt, a form of guilt rooted in relational experiences, is a factor that may contribute to dissociative processes, particularly under overwhelming circumstances. Yet, the interplay between interpersonal guilt and dissociation remains underexplored, alongside the roles of early adverse parenting experiences and the influence of intense emotions such as anger in shaping this relationship.</div><div>Objective To investigate the association between interpersonal guilt and dissociation. We further examined the indirect effect of early adverse parenting experiences on dissociation through the mediating role of interpersonal guilt, with this mediation moderated by anger.</div><div>Methods An online sample of 275 participants completed validated self-report measures assessing interpersonal guilt, dissociation, anger and early adverse parenting experiences. Hypothesized relationships were tested using correlation and regression analyses, including mediation and moderated mediation.</div><div>Results Burdening guilt and self-hate were the interpersonal guilt types most strongly associated with dissociation, with burdening guilt showing a unique association when controlling for the other forms of guilt. Furthermore, burdening guilt mediated the relationship between early adverse parenting experiences and dissociation, and this pathway was amplified under moderate to high levels of anger, underlying anger’s moderating role.</div><div>Conclusions Findings highlight the central role of burdening guilt in shaping vulnerability to dissociation. Early adverse parenting experiences may foster the development of burdening-guilt–related pathogenic beliefs, which in turn could increase susceptibility to dissociation. This vulnerability may be further exacerbated under conditions of heightened anger, emphasizing the moderating role of intense emotions. Clinically, assessing and addressing interpersonal guilt and anger regulation may inform interventions for individuals with dissociative tendencies, particularly those with histories of adverse parenting.</div></div>","PeriodicalId":29932,"journal":{"name":"European Journal of Trauma & Dissociation","volume":"10 1","pages":"Article 100645"},"PeriodicalIF":1.9,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146188463","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"When dissociation is mistaken for possession: Implications for adolescent mental health in Indonesia","authors":"Erma Pratiwi Nufi","doi":"10.1016/j.ejtd.2025.100627","DOIUrl":"10.1016/j.ejtd.2025.100627","url":null,"abstract":"","PeriodicalId":29932,"journal":{"name":"European Journal of Trauma & Dissociation","volume":"10 1","pages":"Article 100627"},"PeriodicalIF":1.9,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145791058","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Healing collective trauma through the arts: A predominantly online, multimodal trial in Ukraine","authors":"Maryna Teslenko,&nbsp;Viktoriia Shevchuk,&nbsp;Lesia Klevaka","doi":"10.1016/j.ejtd.2026.100635","DOIUrl":"10.1016/j.ejtd.2026.100635","url":null,"abstract":"<div><div>Ukraine’s ongoing war has caused deep and widespread collective trauma, reflected not only in individual PTSD but also in moral distress, loss of shared dignity, and weakened social bonds. Arts therapy provides culturally familiar and non-verbal ways to support emotional regulation, but scientific evidence of its effectiveness in wartime settings is still limited. This article aims to substantiate and empirically verify a predominantly online, multimodal arts therapy program for treating collective trauma in Ukrainian communities. This study evaluated a 12-session multimodal arts therapy program for 192 adults across Ukraine using a pragmatic, predominantly online stepped-wedge cluster randomized trial. Primary outcomes were PTSD symptoms (PCL-5) and moral injury (MISS-M-SF); secondary measures included resilience (CD-RISC-10) and collective self-esteem subscales (CSES). A war-contextualized psychosemantic differential was analyzed with a Bayesian hierarchical mixture of factor analyzers (BH-MFA) to estimate probabilities of four latent response styles to collective trauma. Assessments were conducted at baseline, mid- and post-intervention, and at 3- and 6-month follow-ups. Compared with control periods, the intervention produced small to moderate reductions in PTSD and moral injury, increases in resilience, and selective gains in collective self-esteem. BH-MFA analyses indicated a reliable shift toward a normalizing-progressive (sublimating) response style without heightened aggression. A culturally adapted, online arts-therapy model is thus feasible and beneficial under wartime conditions, improving psychological symptoms and fostering adaptive collective coping.</div></div>","PeriodicalId":29932,"journal":{"name":"European Journal of Trauma & Dissociation","volume":"10 1","pages":"Article 100635"},"PeriodicalIF":1.9,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145977392","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Affective dysregulation, dissociation, and complex neural networks: Two exploratory mediation models","authors":"Bruno Faustino ,&nbsp;João Delgado ,&nbsp;Mariana Luís","doi":"10.1016/j.ejtd.2025.100619","DOIUrl":"10.1016/j.ejtd.2025.100619","url":null,"abstract":"<div><div>Affective dysregulation and dissociation are central transdiagnostic processes that contribute to the onset and maintenance of complex psychopathology. Drawing from both clinical and neuroscientific frameworks, this study tested two exploratory mediation models to investigate how psychological distress and well-being interact with dissociative symptoms and dysfunctions in large-scale neural networks. A sample of adults (<em>N</em> = 179) completed validated self-report measures assessing affective states, dissociation, and neural network dysfunction. In Model 1, dissociation emerged as a significant mediator of the relationship between distress and neural network dysfunction, particularly through depersonalization/derealization. Well-being exerted a direct protective effect on neural function, while distress exerted an indirect detrimental effect. In Model 2, neural networks, particularly the Default Mode Network (DMN) and Amygdaloid–Hippocampal Memory Network (AHMN), mediated the effects of affective states on dissociation. Distress predicted increased DMN dysfunction, which in turn predicted higher dissociation; well-being showed the opposite pattern. These results underscore the bidirectional interplay between affective dysregulation, dissociation, and brain network dysfunction. Clinically, the findings support targeting dissociation and fostering psychological well-being as strategies to enhance neural integration.</div></div>","PeriodicalId":29932,"journal":{"name":"European Journal of Trauma & Dissociation","volume":"10 1","pages":"Article 100619"},"PeriodicalIF":1.9,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145738197","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Main and Interactive effects of self-disgust and affect intensity in predicting the severity of mental contamination, contact contamination, and PTSD symptoms","authors":"Jordyn M. Tipsword ,&nbsp;Grace M. Seymour ,&nbsp;Christal L. Badour","doi":"10.1016/j.ejtd.2025.100624","DOIUrl":"10.1016/j.ejtd.2025.100624","url":null,"abstract":"<div><h3>Purpose</h3><div>Self-disgust has been linked to contact contamination (i.e., experiences of dirtiness caused by exposure to a contaminant), mental contamination (i.e., experiences of dirtiness that occur absent a contaminant), and PTSD symptoms in theoretical work. Separate lines of research have also linked higher affect intensity (i.e., the tendency to experience emotions strongly) to negative mental health outcomes, including more severe PTSD symptoms. However, empirical research examining associations between self-disgust and both contamination concerns and PTSD symptoms remains limited, and these associations may differ as a function of affect intensity.</div></div><div><h3>Method</h3><div>The current study evaluated main and interactive effects of self-disgust and affect intensity as predictors of contact contamination, mental contamination, and PTSD symptoms among 217 undergraduates with mixed trauma histories. Participants completed an online survey assessing lifetime trauma history, self-disgust, affect intensity, contact and mental contamination, PTSD symptoms, and depressive symptoms.</div></div><div><h3>Results</h3><div>After adjusting for sex assigned at birth and depressive symptoms, self-disgust predicted more severe contact contamination. Two unexpected interactions also revealed that self-disgust was only associated with more severe PTSD symptoms among individuals low in affect intensity and was more strongly positively associated with mental contamination among those low in affect intensity than those high in affect intensity.</div></div><div><h3>Conclusions</h3><div>Findings suggest that self-disgust may be relevant in understanding both trauma- and contamination-related concerns. Future research should explore mechanisms by which self-disgust contributes to these outcomes.</div></div>","PeriodicalId":29932,"journal":{"name":"European Journal of Trauma & Dissociation","volume":"10 1","pages":"Article 100624"},"PeriodicalIF":1.9,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145738196","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Jeunes contrevenants endeuillés: Combler le vide et le combattre","authors":"Catherine Laurier ,&nbsp;Tamara Machado da Silva ,&nbsp;Mélina Paré ,&nbsp;Deborah Ummel ,&nbsp;Vicky Jubinville","doi":"10.1016/j.ejtd.2026.100643","DOIUrl":"10.1016/j.ejtd.2026.100643","url":null,"abstract":"<div><h3>Introduction</h3><div>Au Canada, bien qu’ils ne représentent que 7 % de la population canadienne, les adolescents sont impliqués dans environ 13 % des infractions rapportées aux forces de l’ordre chaque année (Gouvernement du Canada, 2016). Au-delà des infractions, un facteur aggravant important à considérer est leur exposition antérieure ou concomitante à des situations de maltraitance ou de négligence, dès la petite enfance. Parallèlement, ces jeunes s’exposent à des situations qui peuvent entrainer d’autres traumatismes par leur mode de vie délinquant. Parmi ces expériences précoces et contemporaines, la perte d’une figure significative, par décès ou rupture relationnelle définitive, apparaît comme un facteur central. Ces expériences prennent des formes diverses telles que des décès traumatiques, des séparations précoces liées au parcours migratoire ou à l’abandon parental.</div></div><div><h3>Objectif</h3><div>L’objectif de l’étude est de mieux comprendre comment les jeunes contrevenants se représentent les traumas liés aux pertes relationnelles définitives et aux décès de leurs proches, et comment ils considèrent que ceci a pu influencer leur parcours de délinquance.</div></div><div><h3>Méthode</h3><div>Cet article porte sur l’analyse qualitative inductive de 13 entrevues semi-structurées individuelles inspirées du <em>Life-Story Interview</em> (McAdams, 2008) menées auprès de jeunes contrevenants âgés de 15 à 19 ans.</div></div><div><h3>Résultats</h3><div>Trois thèmes relatifs aux ruptures relationnelles définitives et aux décès ont émergés : (1) les expériences vécues; (2) les réactions des jeunes; et (3) leur perception de leur délinquance.</div></div><div><h3>Discussion</h3><div>Deux types de pertes relationnelles se chevauchent chez les jeunes contrevenants, exacerbant leur vulnérabilité relationnelle et émotionnelle: les décès et les ruptures relationnelles définitives concernant des personnes significatives faisant office de premières figures d’attachement (les parents, la famille élargie) et les décès de pairs issus du milieu délinquant prenant parfois la place de figures familiales de remplacement. Y sont associées deux types de réactions chez les jeunes rencontrés : d’une part, des réactions plus atténuées associées à des pertes précoces et, d’autre part, des réactions fortement négatives associées à des pertes liées à l’univers délinquant. Finalement, des pistes pour l’intervention auprès de ces jeunes vulnérables sont discutées.</div></div>","PeriodicalId":29932,"journal":{"name":"European Journal of Trauma & Dissociation","volume":"10 1","pages":"Article 100643"},"PeriodicalIF":1.9,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146188464","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}