Journal of Trauma & Dissociation最新文献

Childhood Trauma and Dissociation Pathway as a Mediator for the Persistence of ADHD Symptoms from Childhood to Adulthood in Nonclinical and Clinical Samples. 在非临床和临床样本中，童年创伤和分离途径作为ADHD症状从童年到成年持续存在的中介。

IF 2.3 3区医学

Journal of Trauma & Dissociation Pub Date : 2025-07-01 Epub Date: 2025-05-11 DOI: 10.1080/15299732.2025.2503709

Ali Kandeğer, Fatih Ekici, Hasan Ali Güler, Ömer Bayırlı, M Seda Özaltın, Yavuz Selvi

{"title":"Childhood Trauma and Dissociation Pathway as a Mediator for the Persistence of ADHD Symptoms from Childhood to Adulthood in Nonclinical and Clinical Samples.","authors":"Ali Kandeğer, Fatih Ekici, Hasan Ali Güler, Ömer Bayırlı, M Seda Özaltın, Yavuz Selvi","doi":"10.1080/15299732.2025.2503709","DOIUrl":"10.1080/15299732.2025.2503709","url":null,"abstract":"This study aims to assess the mediating effect of childhood trauma and dissociative experiences on the relationship between self-reported ADHD symptoms during childhood and adulthood in two separate cross-sectional studies. In Study 1, undergraduate students completed an online survey including a sociodemographic form, the Adult ADHD Self-Report Scale (ASRS), the Wender Utah Rating Scale (WURS), the Childhood Trauma Questionnaire (CTQ), and the Dissociative Experiences Scale (DES). Data from 1,148 participants were analyzed using descriptive statistics and mediation analysis. In Study 2, sociodemographic, clinical, and diagnostic data from 202 adults with ADHD, followed at the Adult Neurodevelopmental Disorders Clinic at Selçuk University, were analyzed. Diagnostic evaluations were conducted using the Structured Clinical Interview for DSM-5 Clinician Version. Clinical data included age, gender, years of education, comorbid conditions, and current ADHD medication use. The same self-report scales (ASRS, WURS, CTQ, and DES) were administered in both studies. The two samples differed significantly in terms of clinical characteristics and self-reported symptoms. Current ADHD symptoms were not only directly associated with childhood ADHD symptoms but also indirectly associated with them through increased childhood trauma and dissociative experiences, independent of demographic and clinical confounding factors in both studies. The pathway involving childhood trauma and dissociation may partially mediate the persistence of ADHD symptoms from childhood to adulthood in both undergraduate and adult ADHD samples. Longitudinal clinical studies are needed to better understand how the childhood trauma and dissociation pathway may influence the persistence of ADHD symptoms as individuals age, potentially extending into adulthood.","PeriodicalId":47476,"journal":{"name":"Journal of Trauma & Dissociation","volume":" ","pages":"548-562"},"PeriodicalIF":2.3,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144034470","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}

引用次数: 0

Development of a Short Version of the Dissociation Questionnaire (sDIS-Q) : Assessment of Its Psychometric Properties within a Non-Clinical and Clinical Sample. 开发一个简短版本的解离问卷（sDIS-Q）：在非临床和临床样本中评估其心理测量特性。

IF 2.3 3区医学

Journal of Trauma & Dissociation Pub Date : 2025-07-01 Epub Date: 2025-05-10 DOI: 10.1080/15299732.2025.2503718

A Vancappel, R Chkili, H Kerbage, A Leroy, W El-Hage

{"title":"Development of a Short Version of the Dissociation Questionnaire (sDIS-Q) : Assessment of Its Psychometric Properties within a Non-Clinical and Clinical Sample.","authors":"A Vancappel, R Chkili, H Kerbage, A Leroy, W El-Hage","doi":"10.1080/15299732.2025.2503718","DOIUrl":"10.1080/15299732.2025.2503718","url":null,"abstract":"Introduction: Dissociation is a prevalent phenomenon. Existing psychometric tools for measuring dissociation have faced several criticisms. The Dissociation Questionnaire (DIS-Q) is a noteworthy tool but suffers from being lengthy (63 items) and including non-pathological components of dissociation. This study aims to develop a shorter version of the DIS-Q (sDIS-Q) that focuses on the core pathological manifestations of dissociation.Method: We recruited 511 participants from the non-clinical sample and used archival data from 86 patients with posttraumatic stress disorder (PTSD). They completed the DIS-Q along with other questionnaires assessing related psychological mechanisms (e.g. PTSD, emotion regulation, beliefs about dissociation). Drawing on the expertise of clinicians, we selected items that were more indicative of pathological forms of dissociation.Results: We identified a two-factor structure of the sDIS-Q. The first factor was associated with perceived detachment, while the second was related to amnesia. The fit indices were satisfactory in both the non-clinical and the clinical sample. We also observed good internal consistency (α=[.89-.91]) and concurrent validity.Conclusion: The sDIS-Q is a reliable tool that can be used in both clinical and research settings. Its shorter length is beneficial for patients, researchers, and clinicians.","PeriodicalId":47476,"journal":{"name":"Journal of Trauma & Dissociation","volume":" ","pages":"507-523"},"PeriodicalIF":2.3,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144064963","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}

引用次数: 0

Sexual Trauma and Mental Distress among Former Ultra-Orthodox Jewish Individuals. 前极端正统派犹太人的性创伤和精神痛苦。

IF 2.3 3区医学

Journal of Trauma & Dissociation Pub Date : 2025-07-01 Epub Date: 2025-05-20 DOI: 10.1080/15299732.2025.2507901

Ido Lurie, Shachar Yalon, Yossi Levi-Belz

{"title":"Sexual Trauma and Mental Distress among Former Ultra-Orthodox Jewish Individuals.","authors":"Ido Lurie, Shachar Yalon, Yossi Levi-Belz","doi":"10.1080/15299732.2025.2507901","DOIUrl":"10.1080/15299732.2025.2507901","url":null,"abstract":"Background: Disaffiliating from an ultra-Orthodox society is a risk factor for psychological distress, depression, and suicide ideation because the process involves encountering culture shock, education gaps, and disconnection from familiar surroundings. Traumatic experiences such as sexual abuse may augment distress among ex-ultra-Orthodox individuals (ex-ULTOIs).Objective: This study examined the prevalence of past sexual trauma among ex-ULTOIs, and assessed the contribution of experiences of sexual trauma to psychopathology among this population.Methods: In an online cross-sectional survey among ex-ULTOIs (N = 724, aged 19-54, 47.9% women), anonymously completed questionnaires concerning prior sexual trauma, psychopathology, depression, anxiety, and posttraumatic stress disorder (PTSD) symptoms, and suicide ideation and behavior.Results: Sexual trauma was reported by 252 (34.8%) of the respondents, of whom 150 (20.7%) reported being sexually assaulted by a family member. Sexual trauma was associated with increased levels of emotional distress, including a higher probability of depression, anxiety, PTSD, and suicide risk.Conclusions: Sexually traumatic experiences are prevalent among ex-ULTOIs. Sexual trauma was found to be associated with an increased risk of emotional distress and psychopathology. Bearing in mind that this population is, by definition, vulnerable to high levels of emotional distress, the study results highlight the importance of screening for sexual trauma in order to identify and treat ex-ULTOIs who have experienced sexual abuse. Moreover, therapeutic programs specifically focusing on this vulnerable population are warranted.","PeriodicalId":47476,"journal":{"name":"Journal of Trauma & Dissociation","volume":" ","pages":"590-609"},"PeriodicalIF":2.3,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144112090","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}

引用次数: 0

A Longitudinal Examination of Online Expressive Writing Intervention Outcomes Comparing Hispanic Survivors of Childhood Trauma and Adult Trauma. 比较西班牙裔儿童创伤幸存者和成人创伤幸存者的在线表达性写作干预结果的纵向研究。

IF 2.3 3区医学

Journal of Trauma & Dissociation Pub Date : 2025-07-01 Epub Date: 2025-06-04 DOI: 10.1080/15299732.2025.2503721

Michiyo Hirai, Laura L Vernon, George A Clum

{"title":"A Longitudinal Examination of Online Expressive Writing Intervention Outcomes Comparing Hispanic Survivors of Childhood Trauma and Adult Trauma.","authors":"Michiyo Hirai, Laura L Vernon, George A Clum","doi":"10.1080/15299732.2025.2503721","DOIUrl":"10.1080/15299732.2025.2503721","url":null,"abstract":"Childhood traumas such as childhood abuse and neglect are prevalent in Hispanic populations. They have long-term consequences including posttraumatic stress symptoms (PTSS) in adulthood. Treatment options suitable for Hispanic survivors of childhood traumas and neglect are needed. Expressive writing (EW) can be a short, self-administered intervention and may address instrumental barriers (e.g. time, transportation) and stigma toward psychological disorders and interventions Hispanic trauma survivors may experience. Online EW has successfully reduced PTSS when targeting mixed traumas but has not been tested for PTSS from childhood traumas. The current study administered an online EW protocol to symptomatic Hispanic young adults with either childhood trauma or adult trauma. A longitudinal multilevel modeling approach was used to examine the effects of online EW on PTSS at 1-week, 1-month, and 3-month follow-ups. EW reduced PTSS in both groups at 1-week follow-up and therapeutic gains were maintained up to the 3-month follow-up. The current study provides evidence supporting EW as a short-term, self-administered intervention strategy suitable for Hispanic individuals with PTSS due to childhood trauma or adult trauma.","PeriodicalId":47476,"journal":{"name":"Journal of Trauma & Dissociation","volume":" ","pages":"491-506"},"PeriodicalIF":2.3,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144217211","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}

引用次数: 0

Global Coherence and Autobiographical Reasoning in Life Narratives of People with Dissociative Identity Disorder: A Comparison with Adult, Child, and Psychosis Groups. 解离性身份障碍患者生活叙事中的整体一致性和自传式推理：与成人、儿童和精神病群体的比较。

IF 2.3 3区医学

Journal of Trauma & Dissociation Pub Date : 2025-07-01 Epub Date: 2025-05-26 DOI: 10.1080/15299732.2025.2507897

Miceál Wilson, Wencke Donath, Martin J Dorahy, Tilmann Habermas, Isabel Peters, Rosemary J Marsh, Brooke M Johnson, Warwick Middleton, Rafaële J C Huntjens

{"title":"Global Coherence and Autobiographical Reasoning in Life Narratives of People with Dissociative Identity Disorder: A Comparison with Adult, Child, and Psychosis Groups.","authors":"Miceál Wilson, Wencke Donath, Martin J Dorahy, Tilmann Habermas, Isabel Peters, Rosemary J Marsh, Brooke M Johnson, Warwick Middleton, Rafaële J C Huntjens","doi":"10.1080/15299732.2025.2507897","DOIUrl":"10.1080/15299732.2025.2507897","url":null,"abstract":"This study examined autobiographical reasoning and three aspects of global coherence (i.e. temporal, causal-motivational, thematic) of life narratives in individuals with dissociative identity disorder (DID) assessed in both adult and child identity states (n = 13), a psychotic disorder (n = 18), general population adults (n = 49) and children (n = 26), and adults simulating being a child (n = 23). DID participants did not significantly differ between identity states in narrative coherence or autobiographical reasoning if additional predictors were included, although differences in causal-motivational coherence were found if total number of memories in the life-narrative was low. Both DID and psychosis groups displayed less temporal and causal-motivational coherence than non-psychiatric adults, with DID adults also showing less thematic coherence. Individuals with DID in child states demonstrated less temporal coherence than non-clinical child-simulators. Individuals with DID may have reduced coherence of narrative identity that does not differ between identities.","PeriodicalId":47476,"journal":{"name":"Journal of Trauma & Dissociation","volume":" ","pages":"563-589"},"PeriodicalIF":2.3,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144152392","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}

引用次数: 0

Network Analysis of Prolonged Posttraumatic Stress Disorder (PTSD) and Depression in Serbian War Veterans: The Role of Bridge Symptoms. 塞尔维亚战争退伍军人长期创伤后应激障碍（PTSD）和抑郁的网络分析：桥梁症状的作用

IF 2.3 3区医学

Journal of Trauma & Dissociation Pub Date : 2025-07-01 Epub Date: 2025-05-12 DOI: 10.1080/15299732.2025.2503715

Nikola M Stojanović, Nikola Ćirović, Maja Simonović

{"title":"Network Analysis of Prolonged Posttraumatic Stress Disorder (PTSD) and Depression in Serbian War Veterans: The Role of Bridge Symptoms.","authors":"Nikola M Stojanović, Nikola Ćirović, Maja Simonović","doi":"10.1080/15299732.2025.2503715","DOIUrl":"10.1080/15299732.2025.2503715","url":null,"abstract":"Posttraumatic Stress Disorder (PTSD) is often comorbid with depression in both the general population and among veterans who have experienced combat trauma. However, there is a lack of studies inquiring into the comorbidity of prolonged PTSD and depression. The network paradigm offers a novel approach to studying this comorbidity via bridge symptom analysis. This study explores the bridge symptoms between depression and prolonged/chronic PTSD in patients diagnosed with both conditions, 10 years after trauma exposure, using network analysis. The sample consisted of 60 male, treatment-seeking veterans (aged 31 to 59) with diagnoses of both depression and PTSD. Bridge nodes detected in the present bridge symptom analysis include reduced sleep, inner tension, poor concentration/concentration difficulties, pessimistic and suicidal thoughts, distressing dreams, restricted range of affects, and agitation. The detected bridge nodes could partially be attributed to the characteristics of the sample, which consisted of patients diagnosed with PTSD comorbid with depression.","PeriodicalId":47476,"journal":{"name":"Journal of Trauma & Dissociation","volume":" ","pages":"534-547"},"PeriodicalIF":2.3,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144044863","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}

引用次数: 0

The Impact of Non-Criterion A Traumas in Intimate Relationships on Posttraumatic Stress Symptoms: A Systematic Review. 亲密关系中非标准A创伤对创伤后应激症状的影响：系统综述。

IF 2.3 3区医学

Journal of Trauma & Dissociation Pub Date : 2025-07-01 Epub Date: 2025-05-12 DOI: 10.1080/15299732.2025.2503713

Elizabeth A Earle, Ashley Siegel, Talia Tissera, Kristen M Hernandez, Alyssa A Di Bartolomeo, Jennifer Ip, Skye Fitzpatrick

{"title":"The Impact of Non-Criterion A Traumas in Intimate Relationships on Posttraumatic Stress Symptoms: A Systematic Review.","authors":"Elizabeth A Earle, Ashley Siegel, Talia Tissera, Kristen M Hernandez, Alyssa A Di Bartolomeo, Jennifer Ip, Skye Fitzpatrick","doi":"10.1080/15299732.2025.2503713","DOIUrl":"10.1080/15299732.2025.2503713","url":null,"abstract":"Currently, the diagnosis of posttraumatic stress disorder necessitates exposure to a traumatic event as defined by DSM-5-TR Criterion A. Nevertheless, evidence suggests that experiences not meeting Criterion A stressor definitions, specifically related to intimate relationships (e.g., psychological abuse) can also elicit clinically significant posttraumatic stress symptoms (PTSS). However, the literature examining the unique role of non-Criterion A intimate relationship stressors on PTSS is sparse. This systematic review synthesized the literature examining the influence of non-Criterion A intimate relationship stressors on PTSS. Electronic searches of three databases (i.e., PsychInfo, Scopus, and PubMed) identified 3257 articles which underwent title and abstract screening and, if potentially eligible, full-text review. Nine articles met inclusion criteria; four of which examined PTSS after a conflict in a relationship and/or divorce, two studies focused on infidelity, and three studies focused on partner psychological abuse in an intimate relationship. Results revealed that relationship conflict and divorce, infidelity, and psychological abuse can lead to clinically significant PTSS, however, these findings were not consistent across all studies. Findings reveal considerable variability in the frequency and severity of PTSS following non-Criterion A intimate relationship stressors that is in line with the variability found in Criterion A-exposed samples. Nevertheless, given the limited number of studies identified, further research is needed. Understanding the impact of these stressors may have important implications for diagnostic and treatment considerations and will provide valuable insights for our understanding of the PTSD construct in its entirety.","PeriodicalId":47476,"journal":{"name":"Journal of Trauma & Dissociation","volume":" ","pages":"469-490"},"PeriodicalIF":2.3,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144034412","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}

引用次数: 0

Military Sexual Trauma's Association with Lower Urinary Tract Symptoms (LUTS) and Fecal Incontinence (FI) Among U.S. Female Veterans. 在美国女退伍军人中，军事性创伤与下尿路症状（LUTS）和大便失禁（FI）的关系

IF 2.3 3区医学

Journal of Trauma & Dissociation Pub Date : 2025-07-01 Epub Date: 2025-05-21 DOI: 10.1080/15299732.2025.2503714

Brittany Roberts, Alexandra Neumann, Chloe Shenk, Rebecca Rogers, Gillian Wolff

{"title":"Military Sexual Trauma's Association with Lower Urinary Tract Symptoms (LUTS) and Fecal Incontinence (FI) Among U.S. Female Veterans.","authors":"Brittany Roberts, Alexandra Neumann, Chloe Shenk, Rebecca Rogers, Gillian Wolff","doi":"10.1080/15299732.2025.2503714","DOIUrl":"10.1080/15299732.2025.2503714","url":null,"abstract":"Importance: Military Sexual Trauma (MST) affects a large number of female veterans and is associated with various adverse physical and mental health conditions. Sexual trauma can lead to pelvic floor dysfunction, contributing to lower urinary tract symptoms (LUTS), a common urological concern, and fecal incontinence (FI). LUTS and FI may have a higher prevalence among female veterans with MST.Objectives: This study aimed to evaluate the prevalence and treatment of LUTS/FI among female veterans with a history of MST compared to those without.Study design: A retrospective cohort analysis was conducted using data from the Veterans Health Administration's (VHA) Corporate Data Warehouse. Baseline demographic data, International Classification of Diseases (ICD-9) codes, and medication use were analyzed, with logistic regression models controlling for confounders.Results: Of the 416,137 female veterans analyzed, 103,877 (25%) reported a history of MST. Veterans with MST were more likely to be diagnosed with LUTS and FI, including a 22% (aOR 1.215; 95% CI 1.133, 1.302) increase in voiding issues and 17% (aOR 1.163; 95% CI 1.132, 1.194) increase in storage difficulties; 26% (aOR 1.260; 95% CI 1.136, 1.397) increase in interstitial cystitis/bladder pain syndrome (IC/BPS), and 34% (aOR 1.338; 95% CI 1.224,1.462) increase in FI. MST was associated with increased odds of undergoing diagnostic procedures for LUTS, such as cystoscopy (aOR 1.221; 95% CI 1.159, 1.287) and urodynamics (aOR 1.241; 95% CI 1.158,1.331). Veterans with MST were 15% more likely to receive pharmacological treatment for overactive bladder (aOR 1.152; 95% CI 1.122, 1.182).Conclusions: Female veterans with MST have a higher prevalence of LUTS and FI and are more likely to undergo diagnostic and therapeutic interventions.","PeriodicalId":47476,"journal":{"name":"Journal of Trauma & Dissociation","volume":" ","pages":"524-533"},"PeriodicalIF":2.3,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144121024","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}

引用次数: 0

Adapting Dialectical Behavior Therapy for Dissociative Symptoms in PTSD: Clinical Challenges and Successes. 适应辩证行为疗法治疗PTSD的解离症状：临床挑战与成功。

IF 2.3 3区医学

Journal of Trauma & Dissociation Pub Date : 2025-05-14 DOI: 10.1080/15299732.2025.2503706

Samantha K Berg, Andrea L B Gottlieb

引用次数: 0

The Internal Moderation Questionnaire (IMQ): A Novel Measure of Self-Regulation. 内部调节问卷：一种新的自我调节测量方法。

IF 2.3 3区医学

Journal of Trauma & Dissociation Pub Date : 2025-05-01 Epub Date: 2025-03-24 DOI: 10.1080/15299732.2025.2481030

Görkem Ayas, Vedat Sar, Sevin Hun Senol, Tuğba Türk-Kurtça

{"title":"The Internal Moderation Questionnaire (IMQ): A Novel Measure of Self-Regulation.","authors":"Görkem Ayas, Vedat Sar, Sevin Hun Senol, Tuğba Türk-Kurtça","doi":"10.1080/15299732.2025.2481030","DOIUrl":"10.1080/15299732.2025.2481030","url":null,"abstract":"Internal moderation is theorized as a regulatory mental mechanism that mitigates the impact of incongruent stimuli by generating a calibrated internal response. The aim of this study was to develop a standardized self-report instrument designed to measure an individual's current level of internal moderation. An initial version of the Internal Moderation Questionnaire (IMQ), the Dissociative Experiences Scale (DES), the Difficulties in Emotion Regulation Scale (DERS), and the Childhood Trauma Questionnaire (CTQ-33) were applied to 329 college students. A test-retest evaluation was conducted on a separate group of 50 college students with two administrations in a 7-day interval. Reliability and validity analyses yielded a 24-item final version of the questionnaire with excellent internal consistency. The IMQ demonstrated strong to moderate correlations with DES and DERS total scores, while its association with CTQ-33 total scores was rather minimal. In principal components analysis, a three-factor solution yielded the \"dual,\" \"on,\" and \"off\" modes of internal moderation. Higher scores on these modes, and in particular the dual mode score, which represented the largest proportion of the total variance, and the sum of the on and off scores were associated with higher disturbance overall, while the difference between them was not. This preliminary study supported the validity and reliability of the IMQ in a self-referred non-clinical sample of young adults. Further studies on larger, diverse, and clinical samples should identify its significance in detection of prodromal risk syndromes, assessment of treatment response, forensic evaluations, prediction of self-destruction and impulsivity, and decision-making in uncertain conditions.","PeriodicalId":47476,"journal":{"name":"Journal of Trauma & Dissociation","volume":" ","pages":"331-346"},"PeriodicalIF":2.3,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143694094","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}

引用次数: 0