Journal of Trauma & Dissociation最新文献

{"title":"A Whole System Effort: Implementing Narrative Exposure Therapy in Early Intervention for Psychosis Services.","authors":"Amber Cameron, Emma McEnaney, Monica Charalambides, Eilis Quinlan, Harriet Ferner, Christina Tanousi, Miriam Fornells-Ambrojo","doi":"10.1080/15299732.2026.2701710","DOIUrl":"10.1080/15299732.2026.2701710","url":null,"abstract":"<p><p>Post-traumatic stress disorder (PTSD) and psychosis may present as part of a continuum of responses to traumatic events. Despite emerging evidence on effectiveness of trauma interventions for PTSD in psychosis, implementation remains poor in Early Intervention for Psychosis (EIP) services around the world, partly due to scarcity of trauma‑adapted protocols and complex training requirements. Narrative Exposure Therapy (NET), a short intervention with minimum training requirements, offers scalability potential. This paper reports preliminary Patient and Public Involvement work with key stakeholders (people with psychosis who received NET, their carers, NET therapists, and members of the wider EIP multidisciplinary team) for the co-production of a \"NET in EIP\" delivery manual to be used in a feasibility randomized control trial. Recommendations included sharing the rationale for trauma work and expectations during therapy with the client, carers, and multidisciplinary mental health professionals when setting up NET as this therapy offer is likely to be unexpected in an EIP setting; considering the person in context; embedding ongoing close monitoring during NET; and adopting a whole system approach to ensure ongoing encouragement and support.</p>","PeriodicalId":47476,"journal":{"name":"Journal of Trauma & Dissociation","volume":" ","pages":"635-649"},"PeriodicalIF":2.7,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148425324","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Commentary: Exposure Begins at Hello.","authors":"Christine A Courtois","doi":"10.1080/15299732.2026.2721804","DOIUrl":"10.1080/15299732.2026.2721804","url":null,"abstract":"","PeriodicalId":47476,"journal":{"name":"Journal of Trauma & Dissociation","volume":" ","pages":"557-559"},"PeriodicalIF":2.7,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148882216","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"What Clinical Case Studies Uniquely Reveal.","authors":"Julian D Ford","doi":"10.1080/15299732.2026.2721805","DOIUrl":"https://doi.org/10.1080/15299732.2026.2721805","url":null,"abstract":"","PeriodicalId":47476,"journal":{"name":"Journal of Trauma & Dissociation","volume":"27 5","pages":"539-541"},"PeriodicalIF":2.7,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149026395","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Clinical Evidence for Increased Dissociative Experiences in Adults with High Levels of Autistic Traits: A Comparative Study.","authors":"Katherine Reuben, Mary-Anne Kate, David L Hegarty, Benjamin Buchanan","doi":"10.1080/15299732.2026.2713775","DOIUrl":"10.1080/15299732.2026.2713775","url":null,"abstract":"<p><p>Autism spectrum disorder (ASD) is associated with a variety of mental health conditions, including dissociation. In addition to high rates of trauma exposure, vulnerability for dissociation in autism may be heightened by social differences, cognitive inflexibility, and sensory sensitivities. This study examined dissociative symptoms across levels of autistic traits using existing clinical data from 716 individuals receiving mental health care (\"clients\") in Australia. Clients completed the Multidimensional Inventory of Dissociation-60 (MID-60), the Ritvo Autism Asperger Diagnostic Scale-Revised (RAADS-R), and the Adverse Childhood Experiences Questionnaire (ACE-Q) or Life Events Checklist for DSM-5 (LEC-5). Clients were grouped according to their RAADS-R scores, measuring autistic traits. Analyses first compared those with high autistic traits (HA; ≥120; <i>n</i> = 338) to below-threshold autistic traits (BA; <120; <i>n</i> = 378). The latter group was then subdivided into those with moderate autistic traits (MA; 65-119; <i>n</i> = 214) and low autistic traits (LA; <65; <i>n</i> = 164) for more comprehensive analysis. HA clients had the highest scores on all trauma and dissociation measures and subscales, and clinically elevated dissociation was significantly more prevalent among HA clients (68%) than BA clients (33%; OR = 4.42) and LA clients (15%; OR = 12.59). MA clients also scored higher than LA clients in almost all domains. Autistic traits and dissociation severity were significantly correlated overall and for all subscales, with the strongest correlations found for the RAADS-R Sensory-Motor domain. All relationships remained significant after controlling for ACEs. This highlights the need for routine screening and tailored interventions addressing both autistic traits and dissociation.</p>","PeriodicalId":47476,"journal":{"name":"Journal of Trauma & Dissociation","volume":" ","pages":"682-704"},"PeriodicalIF":2.7,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13541426/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148686011","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"TrusT: A Multicenter Pilot Study of a Manualized Group Therapy Focusing on Trauma-Related Sexual Symptoms.","authors":"Judith M Gleixner, Hannah F Warkentin, Sarah V Biedermann","doi":"10.1080/15299732.2026.2726553","DOIUrl":"10.1080/15299732.2026.2726553","url":null,"abstract":"<p><p>Trauma-related sexual symptoms are common following interpersonal trauma yet are rarely systematically addressed in trauma-focused treatment. This multicenter pilot study aimed to evaluate the safety, applicability, and preliminary efficacy of a novel manualized group intervention integrating trauma-specific and sex therapy techniques (TrusT). In a multicenter pilot study, 54 individuals assigned female at birth (51 female, 3 non-binary, mean age = 33.8) with a history of interpersonal trauma and persistent sexual symptoms participated in a 12-week group therapy program with weekly sessions. Baseline, post-treatment, and three-month follow-up data were analyzed. The intervention led to significant improvements in trauma-related sexual symptoms (<i>p</i> < .001), posttraumatic stress disorder (PTSD) severity (<i>p</i> < .001), and dissociative symptoms during sexual situations (all <i>p</i> < .05) after treatment, with sustained effects at follow-up and large effect sizes. Additionally, participants reported enhanced self-determined sexuality (all <i>p</i> < .05), while reported side effects remained minimal. TrusT appears to be a safe and well-tolerated intervention with encouraging preliminary effects on trauma-related sexual symptoms in a clinically underserved population. Further research, including randomized controlled trials, is necessary to confirm efficacy and inform integration into trauma-focused treatment frameworks.</p>","PeriodicalId":47476,"journal":{"name":"Journal of Trauma & Dissociation","volume":" ","pages":"618-634"},"PeriodicalIF":2.7,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148882213","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Absorption and Depersonalisation Derealisation Link Childhood Trauma to BPD Severity and Show Strong Independent Predictive Effects for Various BPD Symptom Domains.","authors":"Annegret Krause-Utz, Annemiek van Dijke","doi":"10.1080/15299732.2026.2695585","DOIUrl":"10.1080/15299732.2026.2695585","url":null,"abstract":"<p><p>Dissociative experiences are highly common in borderline personality disorder (BPD) and have been associated with childhood abuse and neglect. Only few studies so far differentiated between specific forms of psychoform and somatoform dissociation, childhood trauma, and BPD domains. This study aimed to simultaneously investigate how psychoform dissociation (depersonalization derealization, absorption, amnesia), somatoform dissociation, and childhood trauma (emotional, sexual, and physical abuse, and neglect) are linked to clinically assessed BPD core symptoms by reanalyzing a previously published data set. Previously, a sample of 450 adult psychiatric patients with BPD, somatic symptoms disorder, generalized anxiety disorder, and/or depressive disorders (68.7% female, 61.6% with clinically relevant BPD symptoms) underwent semi-structured clinician-administered interviews on BPD domains (Borderline Personality Disorder Severity Index, BPDSI) and completed the Traumatic Experiences Checklist, Dissociative Experiences Scale, and Somatoform Dissociation Questionnaire 20. Significant positive correlations between severity of childhood trauma, psychoform and somatoform dissociation, and BPD symptoms were found. In a multivariate regression model, absorption predicted eight out of nine BPD domains (all except suicidality). Suicidality was uniquely linked to depersonalization derealization. Bootstrapping path analysis revealed both a direct effect of childhood trauma on BPD symptom severity and small indirect effects through depersonalization derealization and absorption, but not through amnesia or somatoform dissociation. Findings highlight the importance of differentiating between specific symptoms of dissociation in relation to BPD domains, also in clinical practice. Dissociative absorption should receive greater scientific and clinical attention as an important dissociative symptom that may exacerbate psychopathology and BPD symptoms. Longitudinal research is needed to determine causal and mediating effects.</p>","PeriodicalId":47476,"journal":{"name":"Journal of Trauma & Dissociation","volume":" ","pages":"577-597"},"PeriodicalIF":2.7,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148413269","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Commentary: Exposure Begins at Hello.","authors":"Laura S Brown","doi":"10.1080/15299732.2026.2721803","DOIUrl":"10.1080/15299732.2026.2721803","url":null,"abstract":"","PeriodicalId":47476,"journal":{"name":"Journal of Trauma & Dissociation","volume":" ","pages":"560-561"},"PeriodicalIF":2.7,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148867457","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Examining the Mediating Role of Emotion Regulation Difficulties and Mindfulness in the Relationship Between Sexual Abuse and Dissociative Experiences.","authors":"Sefanur Altun, İrem Damla Çimen","doi":"10.1080/15299732.2026.2714965","DOIUrl":"10.1080/15299732.2026.2714965","url":null,"abstract":"<p><p>The link between traumatic events, such as sexual abuse, and dissociation is well-documented, but the mechanisms underlying these symptoms remain unclear. The aim of this study was to investigate the relationship between sexually abused individuals' dissociative experiences and emotion dysregulation and mindfulness; and to examine whether mindfulness and emotion dysregulation play a role in the relationship between sexual abuse and dissociative symptoms. The sample consisted of 52 female adolescents who were victims of sexual abuse and 52 female adolescents without a history of sexual abuse who attended the child psychiatry clinic. All participants were asked to fill out the Adolescent Dissociative Experiences Scale (ADES), the Mindful Attention Awareness Scale (MAAS) and the Difficulty in Emotion Regulation Scale Brief Form (DERS-16). Findings revealed that dissociative symptoms and emotion dysregulation were significantly higher, and mindfulness was lower in the abused group. Both mindfulness and emotion dysregulation were found to mediate the relationship between sexual abuse and dissociative symptoms. In a literature review conducted by the researchers, no study in a clinical setting was found in which the role of mindfulness and emotion regulation in the relationship between sexual abuse and dissociation in adolescents exposed to sexual abuse was examined together. We believe that our results are unique and furthermore it is believed that considering and developing mindfulness and emotion regulation in the treatment process of sexual abuse victims will be beneficial for patients.</p>","PeriodicalId":47476,"journal":{"name":"Journal of Trauma & Dissociation","volume":" ","pages":"705-724"},"PeriodicalIF":2.7,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148674466","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"From Childhood Emotional Abuse to Adolescent Dissociation: The Role of Borderline Personality Features.","authors":"Emie Morin, Roxanne Marguerite Demers, Lori Hazel, Gabriel Martin-Gagnon, Marissa Wais, Lina Normandin, Karin Ensink","doi":"10.1080/15299732.2026.2701717","DOIUrl":"10.1080/15299732.2026.2701717","url":null,"abstract":"<p><p>Childhood emotional abuse is increasingly recognized as a risk factor for borderline personality features (BPF) and dissociation, yet little is known about how these processes unfold during adolescence. This study examined whether BPF mediate the relationship between childhood emotional abuse and dissociation in a community sample of adolescents. A total of 111 adolescents (ages 13 to 20) completed the <i>Childhood Experiences of Care and Abuse Questionnaire</i> (CECA.Q), the <i>Borderline Personality Features Scale for Children</i> (BPFS-C), and the <i>Adolescent Dissociative Experiences Scale</i> (A-DES). As hypothesized, BPF fully mediated the link between childhood emotional abuse and dissociation, accounting for 37% of the variance in dissociative symptoms. Supplementary analyses further suggested that this indirect association was primarily driven by affective instability and identity problems. Findings highlight adolescence as a critical period for intervention and suggest that targeting BPF may be clinically relevant when treating dissociative symptoms in youth exposed to childhood emotional abuse.</p>","PeriodicalId":47476,"journal":{"name":"Journal of Trauma & Dissociation","volume":" ","pages":"650-665"},"PeriodicalIF":2.7,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148431279","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Exposure Begins at Hello: A Case Study of Complex Relational Healing.","authors":"Tyson D Bailey","doi":"10.1080/15299732.2026.2701708","DOIUrl":"10.1080/15299732.2026.2701708","url":null,"abstract":"<p><p>Interpersonal trauma can be disruptive at any point in the lifespan; however, it carries a unique consequence profile when repetitive betrayals and abuse are present in early childhood. In the case of Ruby, she developed various parts to manage her distress, some of whom focused on engaging in risky or other destructive behavior without the knowledge of the rest of the system, as well as significant substance use to mediate her pain. This case study focuses on what has worked over the course of her 15-year treatment history with this author. Although she was not in therapy for that entire time, she has discussed the strategies she utilized for holding onto gains made in therapy, even during her darkest times. In addition to presenting her story, this study seeks to expand the conversation on relationship building, highlighting aspects of Stage 1 of the triphasic model as exposure therapy for many of the humans who take the risk to share their stories.</p>","PeriodicalId":47476,"journal":{"name":"Journal of Trauma & Dissociation","volume":" ","pages":"542-556"},"PeriodicalIF":2.7,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148425379","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}