Rebecca L Howard Valdivia, Madison E Edwards, Harper R Jones, Shaina A Kumar, Anna E Jaffe
{"title":"A Prospective Examination of Sexual Assault Labeling and Posttraumatic Stress: Does Trust in the Perpetrator Make a Difference?","authors":"Rebecca L Howard Valdivia, Madison E Edwards, Harper R Jones, Shaina A Kumar, Anna E Jaffe","doi":"10.1080/15299732.2025.2481476","DOIUrl":"10.1080/15299732.2025.2481476","url":null,"abstract":"<p><p>How survivors label a nonconsensual sexual experience (i.e. sexual assault labeling) has been linked to posttraumatic stress symptoms (PTSS), but past cross-sectional research has been unable to determine the direction of this relation. To inform support approaches following sexual assault, we examined how sexual assault labeling and PTSS were related over time. We also examined the contextual factor of pre-assault trust in the perpetrator on these relations. Participants were 609 college student sexual assault survivors (aged 19 to 25) who completed an initial online survey and were invited to a follow-up survey 1 to 2 months later. When controlling for individual and assault-specific covariates, results of a cross-lagged panel model indicated that greater sexual assault labeling was associated with subsequent elevations in PTSS, and heightened PTSS was associated with subsequent increases in sexual assault labeling. Moreover, pre-assault trust in the perpetrator was a significant moderator. Specifically, participants who reported greater (vs. weaker) pre-assault trust demonstrated more stability in labeling between timepoints, stronger associations between labeling and later PTSS, and weaker relations between PTSS and later labeling. Findings supported a prospective, bidirectional relation between sexual assault labeling and PTSS and underscored the importance of pre-assault trust in the perpetrator, which may make such labeling uniquely distressing. Informal and formal support providers should be prepared for the distress that may be associated with using a sexual assault label, particularly when survivors trusted the perpetrator before the assault.</p>","PeriodicalId":47476,"journal":{"name":"Journal of Trauma & Dissociation","volume":" ","pages":"392-414"},"PeriodicalIF":2.3,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143765411","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}
Sarah K Danböck, Yoki L Mertens, Patricia Kulla, Katja I Seitz, Inga Schalinski
{"title":"How-To Study Dissociative Symptoms in a Broad Range of Mental Disorders: A Methodological Primer.","authors":"Sarah K Danböck, Yoki L Mertens, Patricia Kulla, Katja I Seitz, Inga Schalinski","doi":"10.1080/15299732.2025.2481474","DOIUrl":"10.1080/15299732.2025.2481474","url":null,"abstract":"<p><p>Dissociative symptoms constitute a transdiagnostic phenomenon not only characterizing dissociative disorders but also occurring across a broad range of other mental disorders such as posttraumatic stress disorder or borderline personality disorder. In the latter disorders, dissociative symptoms such as depersonalization, derealization, or gaps in awareness significantly burden patients' wellbeing and functioning. Many efforts have been undertaken to better understand these debilitating symptoms. However, empirical findings have not yet converged in many areas (e.g., considering neurobiological correlates or effects of dissociative psychopathology on treatment outcome), which might partially be due to the heterogeneity and limitations of employed methodology. Here, we critically review the current state-of-the-art methodology in dissociation research, comparing methods to assess dissociative symptoms, provoke dissociative symptoms in the laboratory, select the participant sample, and consider critical sample characteristics. Discussing the informative value and limits of various standard and novel methodological approaches, we aim to provide information and nuanced guidance for future research. By these means, we aim to raise and harmonize standards in dissociation research and enable researchers of all career stages to enter, navigate, and make a significant and lasting contribution to research on dissociative symptoms in a broad range of mental disorders, ultimately contributing to a better understanding of dissociative psychopathology.</p>","PeriodicalId":47476,"journal":{"name":"Journal of Trauma & Dissociation","volume":" ","pages":"415-451"},"PeriodicalIF":2.3,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143796628","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}
Adi Rosenthal, Maria-Ernestina Christl, Naomi Wright, Julie Olomi, Julia Dmitrieva, Anne P DePrince
{"title":"Applying an Institutional Betrayal Lens to Caregiver Perceptions of Child Maltreatment Investigations.","authors":"Adi Rosenthal, Maria-Ernestina Christl, Naomi Wright, Julie Olomi, Julia Dmitrieva, Anne P DePrince","doi":"10.1080/15299732.2025.2481029","DOIUrl":"10.1080/15299732.2025.2481029","url":null,"abstract":"<p><p>Caregivers involved in child maltreatment investigations depend on the child protection system to safeguard their child from harm. Given this dependence, Institutional Betrayal (IB) may be a useful framework to characterize caregivers' experiences with child protection. However, research has yet to examine IB in the child protection system. The current study sought to understand whether caregiver report experiences that are consistent with key characteristics of IB identified in other systems, such as sexual assault investigations. Caregivers of children involved in child maltreatment investigations (<i>n</i> = 32) were asked open-ended questions. Through content analysis, we identified examples and counterexamples of four key characteristics of IB: exclusion, discrimination, invalidation, and inaction. Caregivers described exclusion from the process (e.g. through uncertainty about their role), discrimination (e.g. through perceptions that socioeconomic factors influenced investigation outcomes), invalidation (e.g. through victim-blaming), and inaction on the part of system personnel (e.g. through lack of follow-through on promised steps). Participants also provided counterexamples to each characteristic. All participants highlighted the importance of communication in experiences of IB. Utilizing caregiver feedback to address IB is crucial for enhancing caregiver engagement and supporting the child protection system's goals of promoting child and family well-being.</p>","PeriodicalId":47476,"journal":{"name":"Journal of Trauma & Dissociation","volume":" ","pages":"314-330"},"PeriodicalIF":2.3,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143664840","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":"Challenging Social Taboos in Early Caregiving - Assessing Maternal Intrusive Thoughts and Dissociative Experiences Among Arab Mothers.","authors":"Samah Mahamid, Miriam Chasson, Orit Taubman-Ben-Ari","doi":"10.1080/15299732.2025.2481481","DOIUrl":"10.1080/15299732.2025.2481481","url":null,"abstract":"<p><p>The current investigation consists of two studies aimed at validating an Arabic version of the Maternal Disintegrative Responses Scale (A-MDRS), designed to evaluate maternal intrusive thoughts and dissociative experiences during early caregiving. The participants consisted of Arab mothers in Israel within 12 months post-childbirth. Study 1 (<i>n</i> = 243) assessed the factorial structure and reliability of the scale, and its correlation with maternal background variables. Study 2 (<i>n</i> = 195) further explored its factorial structure and reliability, as well as its construct validity, by examining associations with postpartum depression, maternal role satisfaction, and psychological flexibility. Confirmatory factor analyses in both studies supported a two-factor solution, demonstrating good reliability. In addition, Study 2 revealed a positive correlation between the A-MDRS factors and postnatal depression, and a negative association with maternal role satisfaction and psychological flexibility. The findings endorse the A-MDRS's value in identifying maternal disintegrative responses during the postpartum period, affirming its factorial structure and reliability.</p>","PeriodicalId":47476,"journal":{"name":"Journal of Trauma & Dissociation","volume":" ","pages":"452-468"},"PeriodicalIF":2.3,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143694090","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}
Simone de la Rie, Sem Kruijt, Elena Stojimirović, Niels van der Aa, Paul A Boelen
{"title":"Posttraumatic Stress Disorder and Dissociation in a Clinical Sample of Refugees in the Netherlands: Evidence for a Dissociative Subtype.","authors":"Simone de la Rie, Sem Kruijt, Elena Stojimirović, Niels van der Aa, Paul A Boelen","doi":"10.1080/15299732.2024.2448429","DOIUrl":"10.1080/15299732.2024.2448429","url":null,"abstract":"<p><p>An increasing number of studies have been investigating the co-occurrence of posttraumatic symptoms and dissociation in trauma-exposed samples. As traumatized refugees are particularly susceptible to developing posttraumatic stress disorder (PTSD), the aim of this study was to investigate the relationship between PTSD and dissociation in a traumatized refugee sample. Cross-sectional data from a clinical refugee sample (<i>N</i> = 526) were collected. Latent class analysis (LCA) examined different classes of PTSD, based on the Clinician Administered PTSD Scale for DSM-5 (CAPS-5) items. Subsequently, it was examined whether cumulative trauma, sexual trauma and general psychopathology predicted class membership. The LCA identified five classes. The classes were summarized as (1) \"High PTSD,\" (2) \"Moderate PTSD,\" (3) \"High PTSD with high loss of interest,\" (4) \"High PTSD with moderate loss of interest,\" and (5) \"PTSD-DS.\" PTSD DS (10% of the sample) was characterized by high PTSD symptoms, as well as high depersonalization and derealization symptoms. The majority (61.4%) of this group has been exposed to sexual trauma. Overall endorsement of PTSD symptoms was extremely high in this clinical sample of refugees. A group evidencing the PTSD dissociative subtype was identified.</p>","PeriodicalId":47476,"journal":{"name":"Journal of Trauma & Dissociation","volume":" ","pages":"261-279"},"PeriodicalIF":2.3,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143014066","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":"Dissociation and Emotion Dysregulation: New Findings and Nuances.","authors":"Julian D Ford","doi":"10.1080/15299732.2025.2454865","DOIUrl":"10.1080/15299732.2025.2454865","url":null,"abstract":"","PeriodicalId":47476,"journal":{"name":"Journal of Trauma & Dissociation","volume":" ","pages":"151-158"},"PeriodicalIF":2.3,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143014064","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}
Asma Rashid, Jolene van der Kaap-Deeder, Mariangela Abbate, Sebastiano Costa
{"title":"The Mediating Role of Emotion Regulation and Basic Psychological Needs: Association Between Childhood Trauma and Young Adults' Psychological Functioning from a Self-Determination Theory Perspective.","authors":"Asma Rashid, Jolene van der Kaap-Deeder, Mariangela Abbate, Sebastiano Costa","doi":"10.1080/15299732.2024.2429474","DOIUrl":"10.1080/15299732.2024.2429474","url":null,"abstract":"<p><p>Numerous studies have shown the detrimental effects of childhood trauma on individuals' psychological functioning. This study examined the relation from childhood traumatic experiences to dissociation, life satisfaction, and attitude toward seeking psychological help while additionally shedding light on the possible mediating role of emotion regulation and basic psychological needs based on the framework of Self-Determination Theory (SDT). Using a cross-sectional design, data were collected from 489 Italian young adults (<i>M</i>age = 23.63, <i>SD</i>age = 3.53, 68.7% female) through an online survey. Findings indicated positive associations between childhood trauma and emotion dysregulation, suppression, need frustration, and dissociation. In contrast, negative associations were found with emotion integration, need satisfaction, life satisfaction, and attitude toward seeking psychological help. Structural equation modeling analysis supported the hypothesized indirect associations, suggesting that childhood trauma is indirectly associated with 1) higher levels of dissociation through increased emotion dysregulation, emotion suppression, and need frustration; 2) lower life satisfaction via higher emotion dysregulation and need frustration, as well as diminished need satisfaction and emotion integration; and 3) less positive attitude toward seeking psychological help by elevated emotion suppression and reduced emotion integration. These findings validate SDT as a potent framework for understanding the nuanced pathways from childhood trauma to adult psychological functioning, providing the groundwork for intervention development and a pathway for further exploration with clinical populations.</p>","PeriodicalId":47476,"journal":{"name":"Journal of Trauma & Dissociation","volume":" ","pages":"178-199"},"PeriodicalIF":2.3,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142773639","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":"Shame as Affect Regulation in Dissociative Identity Disorder.","authors":"Richard A Hohfeler","doi":"10.1080/15299732.2024.2448419","DOIUrl":"10.1080/15299732.2024.2448419","url":null,"abstract":"<p><p>The abusive and/or neglectful relational mis-attunement disrupts ongoing developmental growth and binds attachments to abusive caregivers. This shame-based relational frame then becomes a template for subsequent relationships and self-definitions. Shame and dissociation combine to provide a paradoxical and powerful self-protective form of self-regulation via a dis-enlivened existence that enables people with DID to live with otherwise potentially dysregulating affects and relationships. Shame-activated defenses and extreme inhibition of feeling couple with dissociative compartmentalization to limit affective awareness and enable the wounded individual to hide from the life around them and within them.</p>","PeriodicalId":47476,"journal":{"name":"Journal of Trauma & Dissociation","volume":" ","pages":"218-238"},"PeriodicalIF":2.3,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142923617","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":"Betrayal Trauma and Personality Pathology: An Integrated Review.","authors":"Matthew M Yalch, Abbey L Robbins","doi":"10.1080/15299732.2024.2429465","DOIUrl":"10.1080/15299732.2024.2429465","url":null,"abstract":"<p><p>Personality pathology is a common and debilitating problem for many, and among the factors associated with personality pathology is trauma. Recent research on the association between personality pathology and trauma has highlighted the role of trauma perpetrated by a person whom the victim trusts and/or relies upon for support (i.e., betrayal trauma). There is an increasing number of studies on the association between betrayal trauma and a range of different forms of personality pathology, although neither these studies nor the more general bodies of the literature on which they draw (i.e., in both trauma and personality pathology) have been meaningfully integrated. The goals of this paper are threefold. We first review relevant theories and research on trauma (definition, diagnosis, and different typologies, including betrayal trauma) and personality pathology (conceptualization, risk factors). Second, we review and integrate research on the association between betrayal trauma and different forms of personality pathology (e.g. antisocial/psychopathic, borderline, histrionic, narcissistic, obsessive-compulsive, schizoid, and schizotypal). Finally, we use this integration to suggest directions for future research on and clinical application with respect to the intersection of betrayal trauma and personality pathology.</p>","PeriodicalId":47476,"journal":{"name":"Journal of Trauma & Dissociation","volume":" ","pages":"159-177"},"PeriodicalIF":2.3,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142683137","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":"The Mediating Role of Depersonalization on the Relationship Between Sleep and Psychological Well-Being in an Online Adult Community Sample.","authors":"Helen Cahill, Jonathan Egan, Ciara Egan","doi":"10.1080/15299732.2024.2448424","DOIUrl":"10.1080/15299732.2024.2448424","url":null,"abstract":"<p><p>Poor sleep quality has been linked to both poor psychological and physical well-being. Mood and anxiety levels are affected by poor quality sleep, and the relationship between these variables appears to be mediated by a tendency to depersonalize or not. This study examines these relationships in 112 Adults (Female = 82, Male = 30), via an online study. The Pittsburgh Sleep Quality Index, Patient Health Questionnaire4, Cambridge Depersonalization Scale-9, and Patient Health Questionnaire-15 were administered using the Gorilla platform. The following variables were analyzed using correlation statistics, and mediation analyses: sleep quality, anxiety, depression, somatic pain, and depersonalization. Poor sleep quality was associated with higher levels of all psychological variables. As predicted, depersonalization mediated the relationship between sleep quality and anxiety, depression and somatic concerns. The findings indicate that sleep quality and the mediating effect of depersonalization have a significant impact on psychological well-being in adults.</p>","PeriodicalId":47476,"journal":{"name":"Journal of Trauma & Dissociation","volume":" ","pages":"200-217"},"PeriodicalIF":2.3,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143014069","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}