European Journal of Trauma & Dissociation最新文献

{"title":"What happens to DID clients after an earthquake: A case series","authors":"B. Uysal,&nbsp;M.S. Tepedelen,&nbsp;Z.Z. Kablama-Yardım,&nbsp;E. Akyüz,&nbsp;F.B. Bircan,&nbsp;M.F. Cinisli,&nbsp;M. Yanık","doi":"10.1016/j.ejtd.2025.100586","DOIUrl":"10.1016/j.ejtd.2025.100586","url":null,"abstract":"<div><div>On February 6, 2024, following two major earthquakes in Türkiye, over 35,000 buildings collapsed, and approximately 50,000 people lost their lives. In response, our university psychology department established a psychotherapy center in the affected region as a social responsibility project, providing services for seven months. During this period, 820 clients were reached, and dissociative identity disorder (DID) was identified in 16 of them (around 2%). The identification was made possible by a team experienced in DID, who incorporated it into routine differential diagnosis. The clients, aged 12 to 37, included 13 females. Analysis revealed that DID symptoms worsened for 11 clients after the earthquake, with increased issues such as anger and, in some cases, the emergence of new alternate identities. One child client experienced the first appearance of an alternate identity after the earthquake. These findings emphasize the necessity of monitoring DID patients after disasters and delivering treatments specifically tailored to their needs.</div></div>","PeriodicalId":29932,"journal":{"name":"European Journal of Trauma & Dissociation","volume":"9 3","pages":"Article 100586"},"PeriodicalIF":1.9,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144828150","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":"The development and preliminary validation of the cyber dissociative experiences scale: Its associations with childhood trauma, online dissociative experiences, and social media addiction","authors":"Erdinc Ozturk ,&nbsp;Gorkem Derin ,&nbsp;Barishan Erdogan","doi":"10.1016/j.ejtd.2025.100545","DOIUrl":"10.1016/j.ejtd.2025.100545","url":null,"abstract":"<div><h3>Background and aim</h3><div>Social media addiction and childhood trauma can lead to dissociative reactions in cyberspace. Despite their significance, no scale currently exists to measure cyber dissociative experiences. To address this gap, this study aimed to develop and validate a scale for measuring cyber dissociative experiences and to examine the relationships between childhood trauma, dissociation, and social media addiction.</div></div><div><h3>Methods</h3><div>This study was conducted online between October and December 2024 using a convenience sample of 746 adults. Childhood trauma, online dissociative experiences, dissociation, and social media addiction were assessed using validated psychometric instruments. Through exploratory factor analysis in the first stage and confirmatory factor analysis in the second stage, we identified three higher‐order factors within the Cyber Dissociative Experiences Scale: cyber alter identity, cyber identity confusion, and cyber amnesia. Furthermore, we examined the mediating role of childhood trauma in the relationship between social media addiction and cyber dissociative experiences.</div></div><div><h3>Results</h3><div>The results indicated that the scale demonstrates an excellent model fit, adequate reliability, and high construct validity. Among the participants, 205 (27.5 %) reported pathological dissociation, 340 (45.6 %) reported childhood trauma, and 487 (65.4 %) reported social media addiction. A significant correlation was found between childhood trauma, dissociation (including online and cyber dissociative experiences), and social media addiction. Moreover, childhood trauma was found to partially mediate the relationship between social media addiction and cyber dissociative experiences.</div></div><div><h3>Conclusion</h3><div>Overall, this study introduces a valuable tool for assessing cyber dissociative experiences.</div></div>","PeriodicalId":29932,"journal":{"name":"European Journal of Trauma & Dissociation","volume":"9 3","pages":"Article 100545"},"PeriodicalIF":2.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144116208","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":"Refugees: An examination of the Post-Traumatic Stress Disorder NICE guidelines","authors":"Hannah Sansom","doi":"10.1016/j.ejtd.2025.100574","DOIUrl":"10.1016/j.ejtd.2025.100574","url":null,"abstract":"<div><div>The aim of this review is to consider whether the NICE guidelines for Post-Traumatic Stress Disorder (PTSD) can appropriately guide professionals in meeting the needs of refugees, through evaluation, assessment and treatment. In particular, the limited consideration for culture within the guidelines is explored. Of key importance is that the NICE guidelines are based on the diagnostic model of PTSD, which may fail to appreciate the broader ways in which refugees may understand their traumatic experiences, and wish to address the impacts. Furthermore, there is a clear gap in literature concerning PTSD treatment for refugees (Lee &amp; Bowles, 2023). Arguably, this brings into question the validity of the treatment recommendations within the NICE guidelines, for refugees. More broadly, within the global context, the application of western-based mental disorders has been disputed based on the cultural, and philosophical differences, varying interpretations of life and different traditions in relation to expressing distress and seeking support (Summerfield, 2013). This paper suggests that the NICE guidelines fail to consider the depth and complexity of the role of culture within trauma and recommend insufficient flexibility with regards to the mode of treatment delivery, including a lack of consideration for native and culturally grounded methods of intervention.</div></div>","PeriodicalId":29932,"journal":{"name":"European Journal of Trauma & Dissociation","volume":"9 3","pages":"Article 100574"},"PeriodicalIF":2.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144535926","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":"Traumatic events and sense-making: mobilization of meta-emotional processes","authors":"Cory Julien ,&nbsp;Léa Binaut ,&nbsp;Marion Dubois ,&nbsp;Vincent Bréjard","doi":"10.1016/j.ejtd.2025.100557","DOIUrl":"10.1016/j.ejtd.2025.100557","url":null,"abstract":"<div><h3>Introduction</h3><div>Analysis of the post-immediate phase of a traumatic event (between 3- and 30-days post-event) is crucial to understanding the mechanisms of chronic development of Post-Traumatic Stress Disorder (PTSD). It has been established that emotional processes are involved from the peritraumatic phase onwards. However, we still have little information about the emotional experience in the post-immediate phase.</div></div><div><h3>Objective</h3><div>The aim of this study is to explore the experiences of people who have been victims, witnesses or indirect witnesses of a traumatic event, in order to shed light on the traumatic experience, the impact on their emotions and meta-emotions engaged during this temporary period and the identification of new therapeutic interventions.</div></div><div><h3>Method</h3><div>Eight participants, patients of the CUMP-13, agreed to be recorded during the initial recounting of the event of which they were victims. The discourse was analyzed according to the guidelines of grounded theory and using QDA Miner version 6 software.</div></div><div><h3>Results</h3><div>A total of 4 themes and 11 sub-themes were identified, including cognitive impact, emotional repercussions, coping strategies and per traumatic contexts.</div></div><div><h3>Conclusion</h3><div>The results were interpreted and discussed in terms of clinical impact, and new therapeutic approaches were proposed: identification and analysis of the meta-emotion, deconstruction of dysfunctional beliefs and peritraumatic dissociation at the origin of the cognitive conflict.</div></div>","PeriodicalId":29932,"journal":{"name":"European Journal of Trauma & Dissociation","volume":"9 3","pages":"Article 100557"},"PeriodicalIF":2.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144223620","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":"Grief, trauma and pain: A conceptual framework and empirical investigation","authors":"Cyrille Kossigan Kokou-Kpolou ,&nbsp;Manuel Fernández-Alcántara ,&nbsp;Mathieu Piché","doi":"10.1016/j.ejtd.2025.100549","DOIUrl":"10.1016/j.ejtd.2025.100549","url":null,"abstract":"","PeriodicalId":29932,"journal":{"name":"European Journal of Trauma & Dissociation","volume":"9 3","pages":"Article 100549"},"PeriodicalIF":2.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144123253","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":"Relationship between specific posttraumatic stress symptoms and suicidality in a sample of American veterans: A network analysis","authors":"Blake A.E. Boehme ,&nbsp;Warren N. Ponder ,&nbsp;Jose Carbajal ,&nbsp;Gordon J.G. Asmundson","doi":"10.1016/j.ejtd.2025.100547","DOIUrl":"10.1016/j.ejtd.2025.100547","url":null,"abstract":"<div><h3>Background</h3><div>Military veterans are at heightened risk for posttraumatic stress disorder (PTSD) and suicidality, yet the relationship between specific posttraumatic stress symptoms (PTSS) and suicidality remains understudied.</div></div><div><h3>Basic procedures</h3><div>This study used network analysis to explore the interconnections between PTSS and suicidality in a treatment-seeking veteran sample. The PTSD Checklist for DSM-5 (PCL-5) and the Suicidal Behaviors Questionnaire-Revised (SBQR) were used to assess 19 nodes, including 18 PTSS and one suicidality, in both partial-correlation and Bayesian networks.</div></div><div><h3>Main findings</h3><div>Key findings revealed that negative emotions, intrusive memories, loss of interest in activities, and physiological reactivity were the most central symptoms in the partial-correlation network. Bayesian analysis further identified negative emotions as the primary causal driver of pathways leading to sleep disturbances, amnesia, and suicidality. Three symptom clusters emerged: intrusion-avoidance-sleep, negative affect-externalization-suicidality, and anhedonia. Results emphasize the importance of targeting negative emotions and related symptoms to disrupt cascading effects and reduce suicidality in veterans.</div></div><div><h3>Principal conclusions</h3><div>These findings underscore the value of network analysis in identifying clinically actionable insights, enabling more precise and transdiagnostic approaches to PTSD treatment. Future research should incorporate longitudinal designs and additional variables, such as trauma type and resilience, to refine interventions for this high-risk population.</div></div>","PeriodicalId":29932,"journal":{"name":"European Journal of Trauma & Dissociation","volume":"9 3","pages":"Article 100547"},"PeriodicalIF":2.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144131031","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":"The psychological experience of children visiting an adult intensive care unit","authors":"Stéphanie Nguyen ,&nbsp;Belaid Bouhemad ,&nbsp;Marie-Aude Vangi ,&nbsp;Virginie Souppart ,&nbsp;Sébastien Pili Floury ,&nbsp;Jean Pierre Quenot ,&nbsp;Jean-Louis Dubost ,&nbsp;Gilles Capellier ,&nbsp;Alexandra Laurent","doi":"10.1016/j.ejtd.2025.100558","DOIUrl":"10.1016/j.ejtd.2025.100558","url":null,"abstract":"<div><h3>Purpose</h3><div>Allowing children to visit their parents in the adult intensive care unit (ICU) remains controversial, particularly in light of the risk of trauma associated with the ICU environment. This study aims to provide new insights into the experience and impact of child visits to adult ICUs.</div></div><div><h3>Methods</h3><div>Qualitative study involving six ICUs in France. Seven days after the visit, children completed an acute stress scale (CRIES-8) and participated in a semi-structured interview. The interviews were transcribed using Phenomenological Interpretative Analysis. All the results were discussed with a psychodynamic perspective.</div></div><div><h3>Participants</h3><div>A total of 15 children between the ages of seven and 13 participated in the study.</div></div><div><h3>Results</h3><div>Of the 15 children, nine experienced acute stress one week after the visit. Qualitative results show that, at the time of the visit, the child arrives in intensive care emotionally scarred by the primary event that led to his or her parent's admission to intensive care. Our findings suggest that children have mixed feelings during the visit, experiencing both desire and relief, as well as anxiety and fear. In addition, children express a need to be accompanied and supported throughout the visit by a parent, healthcare professional or psychologist.</div></div><div><h3>Conclusions</h3><div>Our study shows the importance of respecting children’s desire to visit adults in intensive care, but only under specific conditions, where their reception and support are adapted and tailored to children and are the result of careful consideration and specific training within ICU teams. In order to understand the children's experience, the support must take into account the impact of the primary event, the children's emotional complexity (both positive and negative emotions) and the need for resource people (healthcare professionals, psychologists, accompanying parents) to be attentive, available and to translate the intensive care environment before, during and after the visit.</div></div>","PeriodicalId":29932,"journal":{"name":"European Journal of Trauma & Dissociation","volume":"9 3","pages":"Article 100558"},"PeriodicalIF":2.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144230516","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":"A literature search of psychological trauma related outcome measures for adult mental health services","authors":"Runa Dawood ,&nbsp;Amanda Zambon Marques da Silva ,&nbsp;Ana Dulce Collado Vasques Marques dos Reis","doi":"10.1016/j.ejtd.2025.100577","DOIUrl":"10.1016/j.ejtd.2025.100577","url":null,"abstract":"<div><div>It is important to measure the impact of psychological trauma within mental health services designed to treat individuals after traumatic experiences. However, there are challenges in capturing the impact of trauma and the recovery from it accurately whilst also considering patient preferences and expectations. This study aims to explore the range of pre-existing outcome measures of trauma symptomatology and determine the relative prevalence of these measures within related research. This is addressed through systematically searching literature for outcome measures available in the assessment of psychological trauma symptomatology across adult mental health populations. Databases Medline, CINAHL and PsychInfo were searched to find papers that described the use of measures within psychological trauma-specific outcome research. 228 articles were found after the exclusion criteria were applied. The most prevalence trauma-specific outcome measures utilised within the evidence base were versions of the Post-Traumatic Disorder Checklist (PCL) and the Clinician Administered PTSD Scale (CAPS). Non-trauma specific measures were also identified within this sample. This paper lists both trauma-specific and non-trauma specific measures found in order of prevalence. Consideration is given to the most frequent measures found. These findings provide insight into gold-standard measures for services wishing to implement outcome measures that will meaningfully capture recovery amongst trauma survivors.</div><div>Practitioner points</div><div>• The impact of trauma has challenges in its conceptualisation and measurement, and additional attention is needed to ensure that services are capturing helpful treatment outcomes.</div><div>• Key measures used within trauma-specific research include gold standard PTSD and CPTSD measures as well as non-specific trauma measures.</div><div>• Reviewing the measures most used in trauma research highlights the areas of most critical change within recovery after trauma therapy and therefore provides valuable insights into how service evaluation can capture meaningful change.</div></div>","PeriodicalId":29932,"journal":{"name":"European Journal of Trauma & Dissociation","volume":"9 3","pages":"Article 100577"},"PeriodicalIF":2.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144588628","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":"Pour une mémoire vivante de la psychotraumatologie : création d'une rubrique \" Passerelles : traductions et patrimoine de la psychotraumatologie\"","authors":"Cyril Tarquinio","doi":"10.1016/j.ejtd.2025.100560","DOIUrl":"10.1016/j.ejtd.2025.100560","url":null,"abstract":"","PeriodicalId":29932,"journal":{"name":"European Journal of Trauma & Dissociation","volume":"9 3","pages":"Article 100560"},"PeriodicalIF":2.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144271464","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":"Self-reported improvements in comorbid post-traumatic stress disorder symptoms, depression, anxiety, and sleep among real-world patients receiving medical ketamine: Exploring the role of adjunct therapies","authors":"Shahar Almog ,&nbsp;Albert Garcia-Romeu ,&nbsp;Kathryn A. Walker ,&nbsp;Michelle Weiner ,&nbsp;Meredith S. Berry","doi":"10.1016/j.ejtd.2025.100572","DOIUrl":"10.1016/j.ejtd.2025.100572","url":null,"abstract":"<div><h3>Introduction</h3><div>Post-traumatic stress disorder (PTSD) presents severe symptomology and often co-occurs with depression, warranting novel treatment approaches to address both conditions simultaneously. Ketamine has emerged as a rapid antidepressant and potential treatment for PTSD, with some real-world evidence for effectiveness regardless of comorbidities. The purpose of this secondary analysis was to explore the perceived and self-reported outcomes of ketamine treatment in real-world patients with comorbid PTSD.</div></div><div><h3>Methods</h3><div>In an anonymous online survey with quantitative and qualitative items, real-world patients (<em>N</em> = 202) completed measures of depression, anxiety, and sleep disturbance twice, reflecting retrospective pre-ketamine initiation and current symptoms. Patients with comorbid PTSD elaborated on their experiences of changes in symptoms of PTSD. We described subjective experiences regarding PTSD outcomes and potential underlying processes of ketamine’s therapeutic effects. We compared patients diagnosed with PTSD versus those without, on pre-ketamine and current depression, anxiety, and sleep.</div></div><div><h3>Results</h3><div>Participants with comorbid PTSD (<em>n</em> = 98) described improvements in multiple PTSD symptoms. They reported more severe/frequent depression, anxiety, and sleep disturbance prior to ketamine compared to patients without PTSD (<em>p</em>s&lt;0.017) but responded to ketamine just as well, with no differences in current scores (<em>p</em>s&gt;0.259). Most PTSD patients reported receiving adjunct therapy, mostly psychotherapy, however, similar improvements were also reported by those receiving none.</div></div><div><h3>Discussion</h3><div>As perceived by real-world patients, ketamine successfully improved an array of symptoms and allowed reprocessing of the trauma. Targeted longitudinal and qualitative research is needed in larger, more diverse samples on the role and effects of other adjunct psychological and somatic therapies to inform and optimize PTSD treatment protocols.</div></div>","PeriodicalId":29932,"journal":{"name":"European Journal of Trauma & Dissociation","volume":"9 3","pages":"Article 100572"},"PeriodicalIF":2.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144480805","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}