Journal of Trauma & Dissociation最新文献_第3页

Dissociative Experiences, Borderline Personality Disorder Features, and Childhood Trauma: Generating Hypotheses from Data-Driven Network Analysis in an International Sample. 分离性经历、边缘型人格障碍特征和童年创伤：从国际样本的数据驱动网络分析中提出假设。

IF 2.3 3区医学

Journal of Trauma & Dissociation Pub Date : 2024-07-01 Epub Date: 2024-03-18 DOI: 10.1080/15299732.2024.2323974

Anna Schulze, Natasha Hughes, Stefanie Lis, Annegret Krause-Utz

{"title":"Dissociative Experiences, Borderline Personality Disorder Features, and Childhood Trauma: Generating Hypotheses from Data-Driven Network Analysis in an International Sample.","authors":"Anna Schulze, Natasha Hughes, Stefanie Lis, Annegret Krause-Utz","doi":"10.1080/15299732.2024.2323974","DOIUrl":"10.1080/15299732.2024.2323974","url":null,"abstract":"Dissociation is a multifaceted phenomenon that occurs in various mental disorders, including borderline personality disorder (BPD), but also in non-clinical populations. Severity of childhood trauma (abuse, neglect) plays an important role in the development of dissociation and BPD. However, the complex interplay of different dissociative symptoms, BPD features, and self-reported childhood trauma experiences is not yet fully understood. Graph-theoretical network analysis can help to better understand such multivariate interrelations. Objective: This study aimed to investigate associations between self-reported dissociation, BPD features, and childhood trauma experiences using a graph-theoretical approach. Data was collected online via international mental health platforms and research sites. N = 921 individuals (77.4% female) were included; 40% reported pathological levels of dissociation. Variables were assessed with established psychometric scales (Dissociative Experiences Scale; Personality Assessment Inventory Borderline Features Scale; Childhood Trauma Questionnaire) and analyzed within a partial correlation network. Positive bivariate correlations between all variables were found. When accounting for their mutual influence on each other, dissociation was predominantly connected to BPD features with effect sizes between rp = .028 and rp = .126, while still showing a slight unique relationship with physical neglect (rp = .044). Findings suggest close associations between dissociative experiences and BPD features. While childhood trauma plays an important role in the development of dissociation and BPD, its recall may not fully explain their current co-occurrence. Prospective studies are needed to shed more light on causal pathways to better understand which factors contribute to dissociation and its link to BPD (features).","PeriodicalId":47476,"journal":{"name":"Journal of Trauma & Dissociation","volume":null,"pages":null},"PeriodicalIF":2.3,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140144342","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 Associations Between Gender Minority Stressors and PTSD Symptom Severity Among Trauma-Exposed Transgender and Gender Diverse Adults. 在遭受创伤的跨性别和性别多元化成年人中，性别少数群体压力源与创伤后应激障碍症状严重程度之间的关联。

IF 2.3 3区医学

Journal of Trauma & Dissociation Pub Date : 2024-07-01 Epub Date: 2024-03-04 DOI: 10.1080/15299732.2024.2323977

Sarah E Valentine, Isabelle M Gell-Levey, Laura B Godfrey, Nicholas A Livingston

{"title":"The Associations Between Gender Minority Stressors and PTSD Symptom Severity Among Trauma-Exposed Transgender and Gender Diverse Adults.","authors":"Sarah E Valentine, Isabelle M Gell-Levey, Laura B Godfrey, Nicholas A Livingston","doi":"10.1080/15299732.2024.2323977","DOIUrl":"10.1080/15299732.2024.2323977","url":null,"abstract":"This study investigates associations between minority stressors, traumatic stressors, and post-traumatic stress disorder (PTSD) symptom severity in a sample of transgender and gender diverse (TGD) adults. We utilized surveys and clinical interview assessments to assess gender minority stress exposures and responses, and PTSD. Our sample (N = 43) includes adults who identified as a minoritized gender identity (i.e., 39.5% trans woman or woman, 25.6% trans man or man, 23.3% genderqueer or nonbinary, 11.6% other identity). All participants reported at least one traumatic event (i.e., life threat, serious injury, or sexual harm). The most common trauma events reported by the sample were sexual (39.5%) and physical violence (37.2%), with 40.9% of participants anchoring their symptoms to a discrimination-based event. PTSD symptom severity was positively correlated with both distal (r = 0.36, p = .017) and proximal minority stressors (r = 0.40, p < .01). Distal minority stress was a unique predictor of current PTSD symptom severity (b = 0.94, p = .017), however, this association was no longer significant when adjusting for proximal minority stress (b = 0.18, p = 0.046). This study suggests that minority stress, especially proximal minority stress, is associated with higher PTSD symptom severity among TGD adults.","PeriodicalId":47476,"journal":{"name":"Journal of Trauma & Dissociation","volume":null,"pages":null},"PeriodicalIF":2.3,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11192609/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140022978","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}

引用次数: 0

The Myth of Normal: Trauma, Illness & Healing in a Toxic Culture, 正常的神话：有毒文化中的创伤、疾病与治愈》（The Myth of Normal: Trauma, Illness & Healing in a Toxic Culture）、

IF 3.3 3区医学

Journal of Trauma & Dissociation Pub Date : 2024-05-20 DOI: 10.1080/15299732.2024.2341191

Ashima Singh

引用次数: 0

Influence of Betrayal Trauma on Schizotypal Personality Pathology. 背叛创伤对分裂型人格病理学的影响。

IF 3.3 3区医学

Journal of Trauma & Dissociation Pub Date : 2024-05-01 Epub Date: 2022-09-01 DOI: 10.1080/15299732.2022.2120153

Matthew M Yalch, Kaitlin Snyder, Christine L Hujing, Alicia N Torres

{"title":"Influence of Betrayal Trauma on Schizotypal Personality Pathology.","authors":"Matthew M Yalch, Kaitlin Snyder, Christine L Hujing, Alicia N Torres","doi":"10.1080/15299732.2022.2120153","DOIUrl":"10.1080/15299732.2022.2120153","url":null,"abstract":"Schizotypal personality pathology (SZP) is a persistent and debilitating problem for a substantial number of people. Research on SZP has typically emphasized its biological and more specifically genetic origins. However, recent research has highlighted the potential influence of trauma on SZP. This research is promising, although it has thus far focused primarily on type of trauma (e.g., different types of abuse vs. neglect in childhood) rather than who perpetrated the trauma. Previous studies on both personality pathology in general and psychotic-spectrum experiences characteristic of SZP in particular have highlighted the influence of trauma perpetrated by someone with whom the trauma survivor was close (i.e., betrayal trauma), although this has not yet been examined with respect to SZP specifically. In this study we examined this, evaluating the influence of trauma with varying degrees of betrayal on SZP in a sample of adults (N = 364) using structural equation modeling. Results suggest that interpersonal trauma in general was associated with higher levels of SZP. Findings further indicate that for women but not men, trauma with a high degree of betrayal was uniquely associated with SZP. These results underscore the potential role of trauma in SZP and have implications for future research on and intervention with people with high levels of SZP.","PeriodicalId":47476,"journal":{"name":"Journal of Trauma & Dissociation","volume":null,"pages":null},"PeriodicalIF":3.3,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40341030","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

Dissociation and misdiagnosis of schizophrenia in populations experiencing chronic discrimination and social defeat. 长期遭受歧视和社会挫折的人群中精神分裂症的分离和误诊。

IF 3.3 3区医学

Journal of Trauma & Dissociation Pub Date : 2024-05-01 Epub Date: 2022-09-05 DOI: 10.1080/15299732.2022.2120154

Heather Hall

{"title":"Dissociation and misdiagnosis of schizophrenia in populations experiencing chronic discrimination and social defeat.","authors":"Heather Hall","doi":"10.1080/15299732.2022.2120154","DOIUrl":"10.1080/15299732.2022.2120154","url":null,"abstract":"As recently as the late 20th century, Schizophrenia, a category of mental illness with widely varying phenotypic symptoms, was believed by psychobiologists to be a genetically based disorder in which the environment played a limited etiological role. Yet a growing body of evidence indicates a strong correlation between schizophrenia and environmental factors. This theoretical paper explores the relationship between highly elevated rates of schizophrenia in some low-income minority communities worldwide and trauma-related dissociative symptoms that often mimic schizophrenia. Elevated rates of schizophrenia in racially and ethnically isolated, inner-city Black populations are well documented. This paper contains evidence proposing that this amplification in the rate of schizophrenia is mediated by childhood trauma, disorganized attachment, and social defeat. Further, evidence demonstrating how these three variables combine in early childhood to incubate dissociative disorders will also be conveyed. The misdiagnosis of dissociative disorders as schizophrenia is theorized to partially mediate the increased rate of schizophrenia in communities that experience high levels of racial/ethnic discrimination. It is argued that this misdiagnosis is often attributable to cultural misunderstanding and/or a lack of knowledge about dissociative disorders.","PeriodicalId":47476,"journal":{"name":"Journal of Trauma & Dissociation","volume":null,"pages":null},"PeriodicalIF":3.3,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40351964","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

Young adults' expectations for healthcare following institutional betrayal. 机构背叛后年轻人对医疗保健的期望。

IF 3.3 3区医学

Journal of Trauma & Dissociation Pub Date : 2024-05-01 Epub Date: 2022-09-07 DOI: 10.1080/15299732.2022.2120151

Margaret E Gigler, Emma C Lathan, Oriana Cardarelli, Chrystal L Lewis, Sean McCabe, Jennifer Langhinrichsen-Rohling

{"title":"Young adults' expectations for healthcare following institutional betrayal.","authors":"Margaret E Gigler, Emma C Lathan, Oriana Cardarelli, Chrystal L Lewis, Sean McCabe, Jennifer Langhinrichsen-Rohling","doi":"10.1080/15299732.2022.2120151","DOIUrl":"10.1080/15299732.2022.2120151","url":null,"abstract":"Healthcare-related institutional betrayal has been used to examine how patients' previous negative healthcare experiences influence their current provider-level trust and future interactions with the healthcare system. However, healthcare-related institutional betrayal has rarely been considered among emerging independent users of the healthcare system: college students. Moreover, it is unknown whether healthcare-related institutional betrayal is associated with future healthcare expectations among this population. Using a trauma-informed framework, this study examined the relations among self-reported experiences of healthcare-related institutional betrayal, trust in healthcare providers, and subsequent expectations for healthcare among college students (n = 967). Analyses considered whether greater past healthcare-related institutional betrayal during one's worst healthcare experience predicts i) lower current trust in healthcare providers and ii) greater negative expectations for future healthcare above and beyond trauma symptoms and the perceived severity of participants' worst healthcare experiences. Sixty-nine percent of participants endorsed having experienced at least one act of institutional betrayal, the most common being the institution not taking proactive steps to prevent unpleasant healthcare experiences (28.5%). As predicted theoretically, greater experiences of institutional betrayal accounted for 16% of the variance in current trust in healthcare providers, even after accounting for trauma symptoms and the severity of the worst healthcare experience. Greater endorsement of institutional betrayal experiences were also significantly associated with negative expectations for future healthcare. Given the youthfulness of the sample, it is noteworthy that 41.4% of participants endorsed at least one negative expectation for future healthcare. Future research should examine how negative expectations are related to healthcare avoidance behaviors.","PeriodicalId":47476,"journal":{"name":"Journal of Trauma & Dissociation","volume":null,"pages":null},"PeriodicalIF":3.3,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33448887","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 Dissociative Subtype of Post-Traumatic Stress Disorder: A Systematic Review of the Literature using the Latent Profile Analysis. 创伤后应激障碍的分离亚型：使用潜伏特征分析对文献进行系统回顾。

IF 2.3 3区医学

Journal of Trauma & Dissociation Pub Date : 2024-05-01 Epub Date: 2022-09-04 DOI: 10.1080/15299732.2022.2120155

Alberto Misitano, Andrea Stefano Moro, Mattia Ferro, Barbara Forresi

{"title":"The Dissociative Subtype of Post-Traumatic Stress Disorder: A Systematic Review of the Literature using the Latent Profile Analysis.","authors":"Alberto Misitano, Andrea Stefano Moro, Mattia Ferro, Barbara Forresi","doi":"10.1080/15299732.2022.2120155","DOIUrl":"10.1080/15299732.2022.2120155","url":null,"abstract":"A PTSD subtype with dissociative symptoms (D-PTSD) was included in the DSM-5 recognizing the existence of a more severe form of PTSD, associated to past trauma, high comorbidity, and complex clinical management. As research is rapidly growing and results are inconsistent, a better investigation of this subtype is of primary importance. We conducted a systematic review of studies using Latent Profile Analysis to investigate the existence of a D-PTSD subtype. Covariates of D-PTSD were included, to understand additional symptoms, risk factors and comorbidities. The search was performed on PubMed, EBSCOHost, and PTSDPubs according to 2020 PRISMA guidelines. Eligible articles assessed trauma exposure, PTSD symptoms and diagnosis, and dissociation, in adult samples. 13 of 165 articles met the inclusion criteria. All identified a dissociative subtype of PTSD, mainly characterized by higher levels of depersonalization and derealization. D-PTSD profile sometimes presented other dissociative symptoms, such as gaps in awareness and memory, other comorbid disorders, and a history of abuse. Despite some limitations, this review supports the existence of a dissociative subgroup of individuals among those with PTSD. More rigorous studies are needed to clarify these findings and their clinical implications.","PeriodicalId":47476,"journal":{"name":"Journal of Trauma & Dissociation","volume":null,"pages":null},"PeriodicalIF":2.3,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40351381","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

Institutional Betrayal and Closeness Among Women Veteran Survivors of Military Sexual Trauma: Associations with Self-Directed Violence and Mental Health Symptoms. 军队性创伤女退伍军人中的机构背叛和亲密关系：与自我导向暴力和心理健康症状的关系

IF 3.3 3区医学

Journal of Trauma & Dissociation Pub Date : 2024-05-01 Epub Date: 2022-09-07 DOI: 10.1080/15299732.2022.2120152

Lindsey L Monteith, Nicholas Holder, Christe'An D Iglesias, Ryan Holliday

{"title":"Institutional Betrayal and Closeness Among Women Veteran Survivors of Military Sexual Trauma: Associations with Self-Directed Violence and Mental Health Symptoms.","authors":"Lindsey L Monteith, Nicholas Holder, Christe'An D Iglesias, Ryan Holliday","doi":"10.1080/15299732.2022.2120152","DOIUrl":"10.1080/15299732.2022.2120152","url":null,"abstract":"Institutional betrayal is defined as harm caused by an institution to an individual in the context of trust and dependence. High institutional betrayal is associated with poorer health outcomes, and high levels of trust, dependence, or identification with the institution (institutional closeness) may exacerbate the negative effects of institutional betrayal. While military sexual trauma is prevalent among women Veterans and associated with high rates of institutional betrayal, studies of the impact of military sexual trauma-related institutional betrayal have been limited in size and scope and have not examined the potential role of institutional closeness. We conducted a secondary analysis of national survey data collected from women Veterans who screened positive for military sexual trauma (n = 229). Hierarchical logistic and linear regression were used to examine associations between predictor variables (institutional betrayal, institutional closeness, and their interaction) and outcomes of interest and adjusted for age, education, and military sexual assault history. Institutional betrayal was associated with increased odds of suicidal ideation and suicide attempt during or following military service, as well as more severe symptoms of depression and posttraumatic stress disorder (PTSD). Institutional betrayal was not associated with non-suicidal self-injury or lifetime substance misuse. Counter to hypotheses, institutional closeness did not moderate relationships between institutional betrayal and mental health symptoms or self-directed violence. Results underscore the necessity of preventing and addressing institutional betrayal among women Veterans who experience military sexual trauma.","PeriodicalId":47476,"journal":{"name":"Journal of Trauma & Dissociation","volume":null,"pages":null},"PeriodicalIF":3.3,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40355142","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

Association Between Betrayal Trauma and the PAI Traumatic Stress Scale. 背叛创伤与 PAI 创伤压力量表之间的关系

IF 3.3 3区医学

Journal of Trauma & Dissociation Pub Date : 2024-05-01 Epub Date: 2024-02-22 DOI: 10.1080/15299732.2024.2320873

Christine L Hujing, Matthew M Yalch, Alytia A Levendosky

{"title":"Association Between Betrayal Trauma and the PAI Traumatic Stress Scale.","authors":"Christine L Hujing, Matthew M Yalch, Alytia A Levendosky","doi":"10.1080/15299732.2024.2320873","DOIUrl":"10.1080/15299732.2024.2320873","url":null,"abstract":"The Personality Assessment Inventory (PAI) is among the most commonly used broadband inventories of psychological functioning. For the purposes of assessing trauma specifically, the most relevant aspect of the PAI is the Traumatic Stress subscale of the Anxiety-Related Disorders scale (ARD-T), which measures the degree to which a person feels wounded by something in their past. Research suggests that ARD-T is associated with exposure to a variety of different traumatic stressors. However, there is little research on the degree to which traumatic stressors that entail a component of interpersonal betrayal (i.e. betrayal trauma) are associated with higher scores on ARD-T relative to other stressors. In this study, we evaluated the relative associations between traumas with varying degrees of betrayal and scores on ARD-T in a secondary analysis of two non-clinical samples (college sample N = 494; crowdsourced sample N = 364) using a Bayesian approach to multiple regression. In both samples, traumas with both high and medium (but not low) degrees of betrayal were associated with elevated ARD-T scores. Findings suggest that ARD-T scores are associated with interpersonal trauma regardless of betrayal, which has implications for interpretation of the ARD-T scale in practice.","PeriodicalId":47476,"journal":{"name":"Journal of Trauma & Dissociation","volume":null,"pages":null},"PeriodicalIF":3.3,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139933486","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

Honoring a Legacy, Commemorating a Loss. 尊重遗产，纪念损失。

IF 3.3 3区医学

Journal of Trauma & Dissociation Pub Date : 2024-05-01 Epub Date: 2024-03-14 DOI: 10.1080/15299732.2024.2328882

Julian D Ford

引用次数: 0