European Journal of Trauma & Dissociation最新文献

{"title":"Prevalence and factors associated with post-traumatic stress disorder among firefighters exposed to terrorism in Burkina Faso","authors":"Boubacar BAGUE ,&nbsp;Zeinabou CISSE ,&nbsp;Mahamane Mobarak SALIFOU ABDOU ,&nbsp;Désiré NANEMA ,&nbsp;Oumar SOURABIE ,&nbsp;Konsam Cédric Christel SAWADOGO ,&nbsp;Nadège OUEDRAOGO ,&nbsp;Nazinigouba OUEDRAOGO","doi":"10.1016/j.ejtd.2025.100613","DOIUrl":"10.1016/j.ejtd.2025.100613","url":null,"abstract":"<div><h3>Introduction</h3><div>In the context of persistent insecurity linked to terrorism, firefighters in Burkina Faso are exposed to recurrent traumatic events. However, data on their mental health, particularly with regard to post-traumatic stress disorder (PTSD), remain limited. The aim of this study is to determine the prevalence of PTSD and associated factors among firefighters in Burkina Faso</div></div><div><h3>Methodology</h3><div>A cross-sectional study was conducted from 9 February 2023 to 3 April 2023 among 217 firefighters. The screening tool used was the PCLS scale (threshold score ≥44). Logistic regression was used to identify factors associated with PTSD (significance level: p ≤ 0.05).</div></div><div><h3>Results</h3><div>The overall prevalence of PTSD was 17.05 % according to the PCLS. The most frequently reported events were terrorist attacks (36.40 %) and serious accidents (27.64 %). Female gender, family support, exposure to a terrorist attack, transport accidents and sexual assault were significantly associated with PTSD.</div></div><div><h3>Conclusion</h3><div>PTSD affects a significant proportion of Ouagadougou's firefighters. Specific prevention, screening and treatment measures need to be implemented to strengthen their psychological resilience.</div></div>","PeriodicalId":29932,"journal":{"name":"European Journal of Trauma & Dissociation","volume":"9 4","pages":"Article 100613"},"PeriodicalIF":1.9,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145519750","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":"Pre-traumatic stress and environmental hazard in a bradyseism volcanic area. Psychometric properties of the Pre-traumatic stress reactions Checklist (PreCL) and concurrent underline mechanisms of pre-traumatic stress","authors":"Alessia Caffieri ,&nbsp;Raffaella Esposito,&nbsp;Giorgia Margherita","doi":"10.1016/j.ejtd.2025.100604","DOIUrl":"10.1016/j.ejtd.2025.100604","url":null,"abstract":"<div><h3>Background</h3><div>Pre-traumatic stress is characterized by intrusiveness, avoidance, hyper-arousal and alterations of behaviors and cognitions related to future traumatic events that may actually occur. The main tool to self-assess pre-traumatic stress is the <em>Pre-traumatic stress reactions Checklist (PreCL).</em> To date, no study has assessed the psychometric properties of <em>PreCL</em>. In addition, no study has studied the pre-traumatic stress in population under the threat of natural catastrophes and the concurrent underlined mechanisms of these reactions.</div></div><div><h3>Objective</h3><div>This study aims to analyze the psychometric properties of PreCL, and the underlying mechanisms of pre-traumatic stress reactions in a group of participants living in the Campi Flegrei (Italy), a densely populated area which is cyclically affected by bradyseism and at high risk of volcanic eruptions.</div></div><div><h3>Methods</h3><div>Recruitment involved 432 participants. Exploratory and Confirmatory Factor Analysis (EFA/CFA) was used to assess and re-define the factorial structure of PreCL. Structural equation model was used to test the mediation effect of intensity and frequency of worry about bradyseism on the relationship between the intolerance of uncertainty’s dimensions and the pre-traumatic stress factors.</div></div><div><h3>Results</h3><div>From the EFA/CFA, a two-independent factor structure emerged: <em>Pre-traumatic reactive responses</em> (PreCL-R) and <em>Pre-traumatic alterations of mood and cognitions</em> (PreCL-A). The frequency of worry about bradyseism fully mediated the relationship between the prospective intolerance of uncertainty and PreCL-R, while the intensity of worry partially mediates between inhibitory intolerance of uncertainty and PreCL-R. No mediation effect was found for PreCL-A.</div></div><div><h3>Conclusion</h3><div>This study provides a stable structure of PreCL supporting its use in future research, and insights into the relationship between pre-traumatic reactions, current worry, and intolerance of uncertainty —findings that are relevant for both research and clinical practice.</div></div>","PeriodicalId":29932,"journal":{"name":"European Journal of Trauma & Dissociation","volume":"9 4","pages":"Article 100604"},"PeriodicalIF":1.9,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145361686","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":"Représentations d’attachement et capacité de mentalisation d’enfants d’âge scolaire hébergés en contexte de protection de l’enfance et issus de la population générale","authors":"Karine Veilleux ,&nbsp;Miguel M. Terradas ,&nbsp;Guadalupe Puentes-Neuman ,&nbsp;Olivier Didier ,&nbsp;Maxime Labonté","doi":"10.1016/j.ejtd.2025.100608","DOIUrl":"10.1016/j.ejtd.2025.100608","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Introduction&lt;/h3&gt;&lt;div&gt;La maltraitance perpétrée par les principales figures de soins engendre des conséquences sévères sur l’attachement de l’enfant qui risque ainsi de présenter un attachement insécurisant ou désorganisé. Or, la capacité de mentalisation de l’enfant en souffrirait également comme un attachement sécurisant serait propice au développement sain de la mentalisation.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Objectifs&lt;/h3&gt;&lt;div&gt;La présente recherche exploratoire vise d’abord à détailler et comparer les représentations d’attachement et la capacité de mentalisation entre les deux groupes à l’étude. Elle cible également l’exploration des liens unissant ces mêmes variables en considérant l’ensemble des enfants indépendamment de leur groupe d’appartenance.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Méthode&lt;/h3&gt;&lt;div&gt;Les deux groupes sont respectivement composés de 35 enfants ayant vécu de la maltraitance et hébergés en contexte de protection de la jeunesse et de 38 enfants issus de la population générale, tous âgés de 7 à 12 ans. Les représentations d’attachement ont été évaluées à l’aide des Histoires d’attachement à compléter (HAC) et d’un entretien semi-structuré (&lt;em&gt;Child Attachement Interview&lt;/em&gt; [CAI]). Quant à elle, la capacité de mentalisation de l’enfant a été mesurée à partir des réponses de l’enfant à ce même entretien, grâce à l’échelle de cotation de la capacité de mentalisation.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Résultats&lt;/h3&gt;&lt;div&gt;Les résultats révèlent des différences significatives entre les deux groupes d’enfants quant à la sécurité d’attachement envers la mère et la capacité de mentalisation. La capacité de mentalisation corrèle significativement et dans le sens attendu avec les mesures des représentations d’attachement à l’étude, à l’exception de l’échelle des HAC concernant les représentations de la mère comme étant rejetante et les échelles du CAI concernant la colère préoccupée envers la mère.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Conclusion&lt;/h3&gt;&lt;div&gt;Les enfants maltraités ont des représentations d’attachement davantage insécurisantes et une plus faible capacité de mentalisation. Ces résultats enrichissent la compréhension des besoins et des difficultés vécus par les enfants hébergés quant à ces variables et permettent d’ajuster les interventions mises en place. La présence de certaines limites est constatée comme notamment la petite taille de l’échantillon, le fait que les deux groupes d’enfants se distinguent significativement au niveau de l’âge et du sexe de l’enfant et le fait que deux variables ont été mesurées par un même outil. Les implications et les forces de l’étude ainsi que les pistes de recherches futures sont détaillées dans l’article.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Introduction&lt;/h3&gt;&lt;div&gt;Abuse perpetrated by primary caregivers has severe consequences on the child's attachment, which may lead to insecure or disorganized attachment patterns. Moreover, the child's mentalizing capacity could also be affected, as a secure attachment would be associated with the development of mentaliza","PeriodicalId":29932,"journal":{"name":"European Journal of Trauma & Dissociation","volume":"9 4","pages":"Article 100608"},"PeriodicalIF":1.9,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145362266","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":"“I don’t really exist here”: A reflexive thematic analysis of dissociative symptoms described by adolescents and their parents and clinicians","authors":"Bronwyn Milkins ,&nbsp;Jeneva L. Ohan ,&nbsp;Maryam Boutrus ,&nbsp;Giulia Pace ,&nbsp;Helen Milroy","doi":"10.1016/j.ejtd.2025.100591","DOIUrl":"10.1016/j.ejtd.2025.100591","url":null,"abstract":"<div><h3>Background</h3><div>Dissociative symptoms are associated with a range of negative outcomes, yet little is understood about how adolescents experience dissociation in their daily lives.</div></div><div><h3>Objective</h3><div>This study aimed to describe adolescents’ dissociative symptoms from the perspective of adolescents, their parents, and their treating clinicians.</div></div><div><h3>Methods</h3><div>Semi-structured interviews were conducted with 13 participants about adolescents’ experiences of dissociation. Participants were 6 female adolescent patients (aged 14–17 years, <em>M</em> = 15.67) from a psychiatric outpatient service, 3 parents, and 4 clinicians. Reflexive thematic analysis was used to analyse interview data.</div></div><div><h3>Results</h3><div>Dissociative experiences varied in frequency, duration, and type <em>(theme 1, Dissociation is Diverse: “It can vary a lot”)</em>. However, commonalities were also observed: intense emotions experienced during dissociation were described as qualitatively different from typical emotional dysregulation (<em>theme 2, Emotion Takes Over: “It’s like it just consumes me”)</em>. During dissociation, adolescents reported a pronounced detachment from the present moment (<em>theme 3, Disconnecting from the Present: “I don’t really exist here”</em> with subthemes of <em>Affective Disconnection</em> and <em>Bodily Disconnection)</em>. The dissociative state, not reality, felt real (<em>theme 4, Reality Feels Unreal: “I didn’t feel real”)</em>. Finally, a marked decline in memory and attention was described <em>(theme 5, Problems with Memory and Attention: “My brain stops working”).</em></div></div><div><h3>Conclusions</h3><div>This study is the first to examine adolescent dissociative experiences from the perspective of adolescents, their parents, and their clinicians. Adolescents’ dissociative symptoms mostly aligned with symptoms for dissociative disorders in the DSM-5-TR/ICD-11. However, identity disruption appeared absent, while the presence of fantasy elements was potentially unique and warrants replication and clarification through formal assessment. Findings can inform the refinement of symptom criteria in diagnostic guides and the development of adolescent-focused assessment tools. This may support earlier and more accurate identification of dissociation and enable tailored interventions to improve clinical outcomes for this population.</div></div>","PeriodicalId":29932,"journal":{"name":"European Journal of Trauma & Dissociation","volume":"9 4","pages":"Article 100591"},"PeriodicalIF":1.9,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144917033","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":"Integrating group and individual psychotherapy for complex PTSD: A pragmatic case study","authors":"Emilie Ubico ,&nbsp;Christelle Ziebel ,&nbsp;Baptiste Alleaume ,&nbsp;Caroline Vieilleribière ,&nbsp;Christelle Anglade ,&nbsp;Nathalie Duriez","doi":"10.1016/j.ejtd.2025.100593","DOIUrl":"10.1016/j.ejtd.2025.100593","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Introduction&lt;/h3&gt;&lt;div&gt;Young’s Schema therapy has shown effectiveness in treating individuals diagnosed with Complex Post-Traumatic Stress Disorder (C-PTSD) (Ubico et al., 2025). Dissociative symptoms are frequently observed in this clinical presentation. However, how do they evolve over the course of treatment? To address this, we have developed a psychotherapeutic program that integrates group and individual therapy, grounded in Contextual Schema Therapy (Roediger et al., 2018). This program also draws on key principles from psychotraumatology, particularly the theory of structural dissociation of the personality (Van der Hart et al., 2006). While these theoretical frameworks share certain conceptual foundations, they differ in how they understand dissociation and in the therapeutic strategies they propose. Still, given the well-documented influence of therapeutic alliance and group cohesion on treatment outcomes, the common factors model of psychotherapy may offer a valuable, integrative lens. This raises a central question: What mechanisms of change can be observed in an individual with Complex PTSD undergoing a combined group and individual psychotherapy program?&lt;!--&gt; &lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Methodology&lt;/h3&gt;&lt;div&gt;This study employs a mixed-methods design grounded in Fishman’s (2017) pragmatic case study methodology. Standardized instruments were administered at four time points: pre-treatment (T0), mid-group therapy (T1; after 10 sessions), post-group therapy (T2; after 20 sessions), and at a three-month follow-up (T3). Variables assessed encompassed complex post-traumatic stress symptoms, psychoform and somatoform dissociative symptoms, quality of life, and the therapeutic alliance. Group cohesion was evaluated at the conclusion of each of the twenty group sessions. The clinician-researcher also conducted monthly assessments utilizing the Dimensions of Therapeutic Movement Instrument (DTMI) for complex trauma. At the conclusion of therapy (T2), an independent clinical psychologist conducted a research interview to explore various dimensions of change. A thematic analysis (Braun &amp; Clarke, 2006) was conducted to identify emerging themes from the interview.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Results&lt;/h3&gt;&lt;div&gt;The trajectory of the combined psychotherapy is delineated in detail. By the conclusion of treatment, a substantial reduction in complex post-traumatic symptoms, along with psychoform and somatoform dissociative symptoms, was observed, with these improvements sustained at follow-up. Quality of life also demonstrated notable enhancement. Regarding common therapeutic factors, the therapeutic alliance progressively strengthened throughout the course of treatment. ​In contrast, group cohesion declined sharply at the tenth session but subsequently improved and stabilized following the resolution of a rupture within the group. The research interview highlighted several therapeutic gains, including symptom reduction, the contribution of group therapy, t","PeriodicalId":29932,"journal":{"name":"European Journal of Trauma & Dissociation","volume":"9 4","pages":"Article 100593"},"PeriodicalIF":1.9,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145096067","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":"Brief intensive EMDR therapy with rotating therapists: Experiences of adults with mild intellectual disability or borderline intellectual functioning, PTSD, and severe behavioural problems","authors":"Anne Versluis ,&nbsp;Nienke Peters-Scheffer ,&nbsp;Carlo Schuengel ,&nbsp;Liesbeth Mevissen ,&nbsp;Ad de Jongh ,&nbsp;Robert Didden","doi":"10.1016/j.ejtd.2025.100610","DOIUrl":"10.1016/j.ejtd.2025.100610","url":null,"abstract":"<div><h3>Background</h3><div>This study explored the experiences of individuals with mild intellectual disability (MID: IQ 50–70) or borderline intellectual functioning (BIF: IQ 70–85), post-traumatic stress disorder (PTSD), and severe behavioural problems, with brief Intensive EMDR therapy delivered by a team of rotating therapists.</div></div><div><h3>Purpose</h3><div>Preliminary research indicates that Intensive EMDR therapy with a team of rotating therapists is effective in treating PTSD in individuals with MID-BIF. To optimise treatment outcomes, it is important to understand how they experience this treatment format.</div></div><div><h3>Methods</h3><div>In-depth semi-structured interviews were conducted with three adults with MID-BIF and severe behavioural problems, before and after therapy. Interviews with three professional caregivers (before and after therapy), three EMDR therapists (after therapy), and field notes were used to contextualise the experiences of the participants.</div></div><div><h3>Results</h3><div>Interpretative phenomenological analysis (IPA) revealed that participants started Intensive EMDR therapy with rotating therapists holding high expectations. One participant discontinued early, two completed treatment, and all reported positive experiences with both the intensive format and therapist rotation model. The intensity was seen to support continuity and engagement, particularly compared to weekly therapy sessions. Minimal involvement of the (professional) support systems was also observed.</div></div><div><h3>Conclusions</h3><div>Participants with MID-BIF and severe behavioural problems generally reported positive experiences with brief Intensive EMDR therapy delivered by a team of rotating therapists.</div></div>","PeriodicalId":29932,"journal":{"name":"European Journal of Trauma & Dissociation","volume":"9 4","pages":"Article 100610"},"PeriodicalIF":1.9,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145465935","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":"Between stigma and gaps in care: The impact of media discourses on the treatment situation of individuals with DID in Switzerland","authors":"Jan Gysi,&nbsp;Anonymous","doi":"10.1016/j.ejtd.2025.100595","DOIUrl":"10.1016/j.ejtd.2025.100595","url":null,"abstract":"<div><h3>Background</h3><div>Despite Switzerland’s legal obligation to provide specialised services for survivors of violence, substantial treatment gaps remain for individuals with complex trauma-related disorders, particularly those diagnosed with dissociative identity disorder (DID). This study examines the impact of negative and sensationalistic media coverage in the Swiss-German context (2021–2024) on their access to care.</div></div><div><h3>Method</h3><div>An anonymous online survey (<em>n</em> = 201) collected self-reported data on therapy discontinuation, waiting times, and psychiatric hospital admissions. Statistical analyses explored associations between a DID diagnosis and perceived changes in service provision.</div></div><div><h3>Results</h3><div>Participants with DID reported significantly higher rates of therapy discontinuation by providers, refusal of admission to clinics, and prolonged waiting times compared to other diagnostic groups. Many also perceived a deterioration in care that coincided with increased media attention and public debate.</div></div><div><h3>Conclusion</h3><div>The findings highlight persistent structural deficits in the mental health care of individuals with DID in Switzerland. These gaps appear to have been exacerbated by stigmatising media narratives. Addressing these issues requires improved professional training, trauma-informed public discourse, and the meaningful inclusion of experts by experience in both research and service development.</div></div>","PeriodicalId":29932,"journal":{"name":"European Journal of Trauma & Dissociation","volume":"9 4","pages":"Article 100595"},"PeriodicalIF":1.9,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145267177","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":"Rewriting trauma: A systematic review of treatment effects of imagery rescripting for PTSD and complex PTSD","authors":"Federica Visco-Comandini ,&nbsp;Carolina Papa ,&nbsp;Allison Uvelli ,&nbsp;Francesco Mancini ,&nbsp;Erica Pugliese","doi":"10.1016/j.ejtd.2025.100609","DOIUrl":"10.1016/j.ejtd.2025.100609","url":null,"abstract":"<div><h3>Objective</h3><div>Imagery Rescripting (ImRs) has emerged as a promising, evidence-based intervention to process traumatic experiences. No prior review has systematically examined its application for Post Traumatic Stress Disorder (PTSD) and Complex PTSD (C-PTSD). Furthermore, there still is not a clear understanding of mechanisms of change involved in ImRs, which are crucial for trauma-focused treatments. This review addresses this gap by summarizing the effectiveness and change processes of ImRs in PTSD and C-PTSD.</div></div><div><h3>Method</h3><div>A systematic search was conducted across PubMed, Scopus, Web of Science, and PsycINFO. Eligible studies were published in English or Italian, included clinical populations aged 18 or older, and used experimental or quasi-experimental designs.</div></div><div><h3>Results</h3><div>Twenty-four studies met inclusion criteria. Across randomized, clinical, and multiple-baseline studies, ImRs was associated with consistent reductions in trauma-related symptoms, showing treatment effects consistent with its targeting of core transdiagnostic processes—modifying aversive memory representations in PTSD and fostering integration and emotional safety in C-PTSD.</div></div><div><h3>Conclusions</h3><div>This review offers a focused synthesis of the evidence of ImRs for trauma-related disorders, highlighting its potential as a brief, powerful clinical intervention operating through distinct mechanisms of change across varying symptom profiles.</div></div>","PeriodicalId":29932,"journal":{"name":"European Journal of Trauma & Dissociation","volume":"9 4","pages":"Article 100609"},"PeriodicalIF":1.9,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145519752","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":"Deep brain reorienting group intervention (DBR-GI) as a tool for transforming embodied countertransference reactions and potential vicarious traumatization in trauma therapists","authors":"Anna Gerge","doi":"10.1016/j.ejtd.2025.100615","DOIUrl":"10.1016/j.ejtd.2025.100615","url":null,"abstract":"<div><h3>Objective</h3><div>To (i) describe a deep brain reorienting group intervention (DBR-GI), and (ii) explore whether the deep brain reorienting (DBR) method as a group intervention ameliorates countertransference reactions and distress in psychotherapists who provide trauma therapies. Distress that potentially otherwise could lead to vicarious traumatization.</div></div><div><h3>Methods</h3><div>All participants in this small, naturalistic study (<em>n</em> = 32) were experienced trauma psychotherapists in ongoing group supervision. They were offered an opportunity to process their reactions to relational difficulties and/or distress related to their clinical work with DBR-GI during consultation hours and all signed informed consent. The participants’ self-assessed experiences of discomfort before and after DBR processing were measured with the Subjective Units of Distress Scale (SUDS). They also provided verbal and written statements regarding their experiences after the DBR-GI intervention.</div></div><div><h3>Results</h3><div>SUDS ratings/values related to participants’ experiences of discomfort before and after the DBR-GI moment were significantly changed, <em>p</em> &lt; 0000 (binomial calculation). The subjective ratings were aligned with the participants’ summarized verbal and written statements, where worry and unease changed towards a (re)gained felt sense of embodied freedom, presence, agency and clarity, including reduced transference reactions.</div></div><div><h3>Conclusions</h3><div>Preliminary results are promising. Potentially, DBR-GI seems to diminish trauma-generated countertransference and related reactions, also when used as a group intervention. New knowledge concerning which groups of clinicians who benefit from the intervention needs to be further enhanced and implemented in consultation/supervision. Whether or not DBR-GI is a helpful method during supervision of more inexperienced colleagues and if the group adaptation of DBR offers a possibility in work with clients should be investigated.</div></div>","PeriodicalId":29932,"journal":{"name":"European Journal of Trauma & Dissociation","volume":"9 4","pages":"Article 100615"},"PeriodicalIF":1.9,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145576291","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":"Comparison of emotion regulation between patients with schizophrenia and major depression across levels of dissociative experiences","authors":"Ali Mohammadzadeh ,&nbsp;Somayeh Gholizadeh ,&nbsp;Zahra Heyran Sangestani","doi":"10.1016/j.ejtd.2025.100594","DOIUrl":"10.1016/j.ejtd.2025.100594","url":null,"abstract":"<div><h3>Background</h3><div>This study examined cognitive emotion regulation in patients with schizophrenia and major depression, focusing on the impact of dissociative experiences.</div></div><div><h3>Methods</h3><div>A total of 140 patients were categorized into four groups based on diagnosis and dissociation level: schizophrenia with low and high dissociation, and major depression with low and high dissociation. Participants completed the Dissociative Experiences Scale (DES) and the Cognitive Emotion Regulation Questionnaire (CERQ). Data were analyzed using multivariate analysis of variance (MANOVA) to compare emotion regulation strategies across the groups.</div></div><div><h3>Results</h3><div>The study found that patients with high dissociative symptoms in both disorders relied more heavily on maladaptive emotion regulation strategies and less on adaptive strategies compared to their low dissociation counterparts. Notably, schizophrenia patients with high dissociation showed greater use of maladaptive strategies than depressed patients with high dissociation.</div></div><div><h3>Conclusion</h3><div>The findings indicate that dissociative experiences exacerbate emotion regulation difficulties, particularly in schizophrenia, where maladaptive strategies such as suppression and experiential avoidance are more pronounced. The study underscores the need for targeted therapeutic interventions addressing both dissociative symptoms and emotion regulation deficits to improve clinical outcomes in these populations.</div></div>","PeriodicalId":29932,"journal":{"name":"European Journal of Trauma & Dissociation","volume":"9 4","pages":"Article 100594"},"PeriodicalIF":1.9,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145267180","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}