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

Factors Associated with the Posttraumatic Growth of Psychiatrists Who Have Experienced Patient Suicide: A Pilot Study. 经历过病人自杀的精神科医生创伤后成长的相关因素：一项试点研究。

IF 2.3 3区医学

Journal of Trauma & Dissociation Pub Date : 2024-09-26 DOI: 10.1080/15299732.2024.2407786

Hyeyeon Sung, Sungkyu Lee

{"title":"Factors Associated with the Posttraumatic Growth of Psychiatrists Who Have Experienced Patient Suicide: A Pilot Study.","authors":"Hyeyeon Sung, Sungkyu Lee","doi":"10.1080/15299732.2024.2407786","DOIUrl":"https://doi.org/10.1080/15299732.2024.2407786","url":null,"abstract":"Previous studies have suggested that psychiatrists undergo posttraumatic growth after experiencing patient suicide. However, research remains scant on the posttraumatic growth of psychiatrists who have experienced patient suicide. Thus, this study examined the factors associated with the posttraumatic growth of psychiatrists who have experienced patient suicide. The sample comprised 39 psychiatrists, and data were collected through an online self-report survey. The data collected were analyzed using descriptive statistics, frequency analysis, Pearson's correlation analysis, and Mann-Whitney U tests. Study results demonstrate that being older, having more clinical experience, having more experience with patient suicide, and receiving supportive supervision were associated with higher levels of posttraumatic growth among psychiatrists who have experienced patient suicide. However, higher levels of posttraumatic stress were associated with lower levels of posttraumatic growth. In conclusion, there is a need to increase support for psychiatrists who have experienced patient suicide to help them overcome occupational trauma and enhance posttraumatic growth. This study suggests several policy and practical implications for enhancing the posttraumatic growth of psychiatrists.","PeriodicalId":47476,"journal":{"name":"Journal of Trauma & Dissociation","volume":" ","pages":"1-14"},"PeriodicalIF":2.3,"publicationDate":"2024-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142336906","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

Dissociative Subtype of Posttraumatic Stress Disorder and its Correlates Among Treatment-Seeking Refugees. 寻求治疗的难民中创伤后应激障碍的分离亚型及其相关因素。

IF 2.3 3区医学

Journal of Trauma & Dissociation Pub Date : 2024-09-26 DOI: 10.1080/15299732.2024.2407765

F Jackie June Ter Heide, Pia Goorden, Mirjam J Nijdam

{"title":"Dissociative Subtype of Posttraumatic Stress Disorder and its Correlates Among Treatment-Seeking Refugees.","authors":"F Jackie June Ter Heide, Pia Goorden, Mirjam J Nijdam","doi":"10.1080/15299732.2024.2407765","DOIUrl":"https://doi.org/10.1080/15299732.2024.2407765","url":null,"abstract":"The dissociative subtype of posttraumatic stress disorder (PTSD-DS) denotes a severe type of PTSD associated with complex trauma exposure and psychiatric comorbidity. Refugees may be at heightened risk of developing PTSD-DS, but research is lacking. This cross-sectional study aimed to examine PTSD-DS and its demographic, trauma-related, and clinical correlates among a convenience sample of refugee patients over 18 years old who were diagnosed with PTSD according to DSM-5. PTSD-DS (Clinician-Administered PTSD Scale for DSM-5), trauma exposure (Life Events Checklist for DSM-5) and general psychopathology (Brief Symptom Inventory) were assessed at intake. T-tests, chi-square tests, and logistical regression analysis were conducted. The final sample consisted of 552 participants (177 (32.1%) women; 375 (67.9%) men; average age 40.0 years (SD = 11.2)) who originated from 63 countries. Of those, 158 (28.6%) met criteria for PTSD-DS. Participants with PTSD-DS scored significantly higher on PTSD symptom severity (t(550)=-5.270, p < .001), number of traumatic event types (t(456)=-3.499, p < .001), and exposure to sexual assault (χ(1) = 6.471, p = .01) than those without PTSD-DS. The odds of having PTSD-DS increased by 14.1% with exposure to each additional traumatic event type (OR = 1.141, CI 0.033-1.260). In conclusion, around 29% of adult treatment-seeking refugees with PTSD met the criteria for PTSD-DS. Those exposed to multiple traumatic event types including sexual assault, regardless of sex, were especially at risk. Having PTSD-DS was associated with more severe PTSD. Prioritizing trauma-focused treatment for those with PTSD-DS is recommended.","PeriodicalId":47476,"journal":{"name":"Journal of Trauma & Dissociation","volume":" ","pages":"1-14"},"PeriodicalIF":2.3,"publicationDate":"2024-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142336905","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

Barriers to Formal Help-Seeking Among Black American Young Adults: Exploring the Roles of Sexual Violence Victimization, Intersectional Oppression, and Perceived Burdensomeness. 美国黑人青少年寻求正式帮助的障碍：探索性暴力受害、交叉压迫和感知负担的作用。

IF 2.3 3区医学

Journal of Trauma & Dissociation Pub Date : 2024-09-26 DOI: 10.1080/15299732.2024.2407768

Brittnie E Bloom, Jennifer M Gómez

{"title":"Barriers to Formal Help-Seeking Among Black American Young Adults: Exploring the Roles of Sexual Violence Victimization, Intersectional Oppression, and Perceived Burdensomeness.","authors":"Brittnie E Bloom, Jennifer M Gómez","doi":"10.1080/15299732.2024.2407768","DOIUrl":"https://doi.org/10.1080/15299732.2024.2407768","url":null,"abstract":"Though sexual violence can impact people across genders, sexual orientations, ages, and incomes, societal inequities can increase the risk of experiencing sexual violence. Such inequities are often intersectional in nature (e.g., racism and sexism) and may impact a person's ability to engage in help-seeking for experiences of sexual violence, especially among those who perceive themselves to be a burden on others or society as a whole. Therefore, the purpose of the current study was to examine the association between experiencing sexual violence, intersectional oppression, and perceived burdensomeness on barriers to help-seeking among Black American young adults. Participants (n = 289) completed an online questionnaire assessing constructs of interest. We found that half of our sample experienced any sexual violence and nearly three-fourths experienced more than one form of intersectional oppression (e.g., racism, sexism, and homophobia). Ultimately, we found that sexual violence and perceived burdensomeness - but not intersectional oppression - were correlates of experiencing barriers to help-seeking. Through incorporating multiple marginalized identities beyond Black race, our findings can expand our understanding of barriers to help-seeking among diverse Black sexual violence survivors, while revealing a new area for practitioners, healthcare providers, social workers, and related professionals to focus intervention strategies on: perceived burdensomeness. These findings are relevant to all who care for the health and well-being of those who have experienced sexual violence, chronic stress (due to singular and multiple forms of discrimination), and/or other traumas.","PeriodicalId":47476,"journal":{"name":"Journal of Trauma & Dissociation","volume":" ","pages":"1-20"},"PeriodicalIF":2.3,"publicationDate":"2024-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142336904","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

Group Dissociation-Focused Cognitive Behavioral Therapy (DF-CBT) in Patients Suffering from a Dissociative Subtype of PTSD: An Exploratory Study. 针对创伤后应激障碍分离亚型患者的团体解离认知行为疗法（DF-CBT）：一项探索性研究

IF 2.3 3区医学

Journal of Trauma & Dissociation Pub Date : 2024-09-24 DOI: 10.1080/15299732.2024.2407779

Alexis Vancappel, Claudie Chavigny, Lyna Chami, François Kazour, Wissam El-Hage

{"title":"Group Dissociation-Focused Cognitive Behavioral Therapy (DF-CBT) in Patients Suffering from a Dissociative Subtype of PTSD: An Exploratory Study.","authors":"Alexis Vancappel, Claudie Chavigny, Lyna Chami, François Kazour, Wissam El-Hage","doi":"10.1080/15299732.2024.2407779","DOIUrl":"https://doi.org/10.1080/15299732.2024.2407779","url":null,"abstract":"Dissociation is a widespread difficulty among patients suffering from Posttraumatic Stress Disorder (PTSD). However, there is no gold standard treatment for dissociative symptoms. Recent studies propose a cognitive and behavioral conceptualization for dissociation. The aim of this study was to explore the efficacy of a group program of Dissociation-Focused Cognitive Behavior Therapy (DF-CBT) on dissociative symptoms. We recruited 27 patients suffering from a dissociative subtype of PTSD in a university hospital trauma center. Participants completed questionnaires evaluating dissociation, PTSD, mindfulness abilities, beliefs about emotions, beliefs about dissociation, emotion regulation difficulties, anxiety and depression. Following an initial evaluation, participants undertook 7 sessions of DF-CBT, and were reevaluated after the last session using the same questionnaires. We found a significant reduction of dissociative, PTSD, anxiety, and depression symptoms following DF-CBT. The effect size was noticeable for all variables (.61<d < 1.1). We found an association between the reduction of dissociation and the decrease of negative beliefs about emotions and dissociation, mindfulness difficulties and emotion regulation difficulties. This study provided the first empirical evidence of the efficacy of DF-CBT. The active mechanisms involved in the program seem congruent with proposed models of dissociation. A controlled randomized trial is required for further demonstration.","PeriodicalId":47476,"journal":{"name":"Journal of Trauma & Dissociation","volume":" ","pages":"1-16"},"PeriodicalIF":2.3,"publicationDate":"2024-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142336919","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

Every 90 Seconds: Our Common Cause Ending Violence Against Women 每 90 秒我们的共同事业：消除对妇女的暴力行为

IF 3.3 3区医学

Journal of Trauma & Dissociation Pub Date : 2024-07-31 DOI: 10.1080/15299732.2024.2383116

Audrey K. Miller

引用次数: 0

Book Review: “Truth and Repair: How Trauma Survivors Envision Justice” By Judith L. Herman 书评"真相与修复：创伤幸存者如何憧憬正义》作者：Judith L. Herman

IF 3.3 3区医学

Journal of Trauma & Dissociation Pub Date : 2024-07-27 DOI: 10.1080/15299732.2024.2383115

J. Karsten

引用次数: 0

Book Review: “Finding Solid Ground: Overcoming Obstacles in Trauma Recovery” By Bethany L. Brand, Hugo J. Schielke, Francesca Schiavone, and Ruth A. Lanius 书评"寻找坚实的基础：贝瑟尼-L.-布兰德、雨果-J.-谢尔克、弗朗西斯卡-斯基亚沃内和露丝-A.-拉尼乌斯著

IF 3.3 3区医学

Journal of Trauma & Dissociation Pub Date : 2024-07-26 DOI: 10.1080/15299732.2024.2383113

Y. L. Mertens

引用次数: 0

"I Cannot Tell Anyone:" There are Many Reasons. "我不能告诉任何人："原因有很多。

IF 2.3 3区医学

Journal of Trauma & Dissociation Pub Date : 2024-07-23 DOI: 10.1080/15299732.2024.2383183

Paula Thomson, S Victoria Jaque

{"title":"\"I Cannot Tell Anyone:\" There are Many Reasons.","authors":"Paula Thomson, S Victoria Jaque","doi":"10.1080/15299732.2024.2383183","DOIUrl":"https://doi.org/10.1080/15299732.2024.2383183","url":null,"abstract":"Purpose: The purpose of this study was to investigate variables associated with difficulty disclosing past trauma. Across several prevalence studies, 26% of adults never disclosed childhood abuse until adulthood when they were asked in a research survey or interview question. In this Institutional Review Board approved study, group differences were examined (ability and inability to disclose a traumatic event) as well as predictors for difficulty disclosing past trauma. Method: A non-clinical population (N = 693) was examined to determine prevalence rates and group differences between participants unable to tell someone about a past traumatic event (10%) compared to those who could disclose past traumatic events (90%). Variables included pathological dissociative processing, internalized shame, coping strategies (task, emotion, avoidance), and cumulative trauma exposure. Logistic regression analyses were conducted to determine predicting variables for disclosure difficulties. Findings: The group that had difficulty disclosing a past traumatic event had more cumulative trauma, pathological dissociative processing, emotion-oriented coping, and shame. In the first logistic regression analyses, interpersonal traumatic events were predictors for the inability to disclose a traumatic event (classified 90% of group membership). In the second logistic regression, shame and cumulative traumatic exposure were predicting factors (classified 90% of group membership). Conclusion: Difficulty speaking about a traumatic event was associated with interpersonal adult and childhood traumatic events, more internalized shame, and cumulative trauma exposure. It is recommended that clinicians working with patients with substantial traumatic exposure address shame, pathological dissociative processing, and emotion-oriented coping strategies if they detect trauma disclosure difficulties.","PeriodicalId":47476,"journal":{"name":"Journal of Trauma & Dissociation","volume":" ","pages":"1-14"},"PeriodicalIF":2.3,"publicationDate":"2024-07-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141749263","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 Sexual Concerns in Male Survivors of Childhood Sexual Abuse: The Role of Identity Cohesion. 童年性虐待男性幸存者的解离和性关注：身份凝聚力的作用。

IF 2.3 3区医学

Journal of Trauma & Dissociation Pub Date : 2024-07-01 Epub Date: 2024-05-20 DOI: 10.1080/15299732.2024.2356597

Élise Villeneuve, Alison Paradis, Audrey Brassard, Marie-Pier Vaillancourt-Morel, Mylène Fernet, Ateret Gewirtz-Meydan, Natacha Godbout

{"title":"Dissociation and Sexual Concerns in Male Survivors of Childhood Sexual Abuse: The Role of Identity Cohesion.","authors":"Élise Villeneuve, Alison Paradis, Audrey Brassard, Marie-Pier Vaillancourt-Morel, Mylène Fernet, Ateret Gewirtz-Meydan, Natacha Godbout","doi":"10.1080/15299732.2024.2356597","DOIUrl":"10.1080/15299732.2024.2356597","url":null,"abstract":"Research on male survivors of childhood sexual abuse is notably deficient when it comes to addressing their sexual concerns, such as experiences of sexual distress, negative thoughts, and feelings related to their sexuality. Dissociation, a known consequence of childhood sexual abuse, could be associated with higher sexual concerns through identity cohesion. Precisely, dissociation can potentially be related to lower identity cohesion (e.g., not knowing what you want or need). In return, lower identity cohesion may be related to higher sexual concerns by impeding the capacity to know and accept oneself, which tends to promote a positive and healthy sexuality. This study aimed to examine the role of identity cohesion in the link between dissociation and sexual concerns in 105 men consulting for their history of childhood sexual abuse. Men completed questionnaires assessing dissociation, sexual concerns, and identity cohesion at admission in a community setting. Results of a path analysis revealed an indirect association between dissociation and higher sexual concerns through lower identity cohesion. The model explained 27.6% of the variance in sexual concerns. This study highlights the relevance of interventions targeting dissociative symptoms to improve identity cohesion and sexual health in male survivors of childhood sexual abuse.","PeriodicalId":47476,"journal":{"name":"Journal of Trauma & Dissociation","volume":" ","pages":"500-515"},"PeriodicalIF":2.3,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141066375","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

Psychological Therapy for Functional Neurological Disorder: Examining Impact on Dissociation, Psychological Distress and General Functioning. 功能性神经紊乱的心理治疗：研究对分离、心理困扰和一般功能的影响。

IF 2.3 3区医学

Journal of Trauma & Dissociation Pub Date : 2024-07-01 Epub Date: 2024-05-23 DOI: 10.1080/15299732.2024.2356591

Celia Esteban-Serna, Alana Loewenberger, Susannah Pick, Sarah R Cope

{"title":"Psychological Therapy for Functional Neurological Disorder: Examining Impact on Dissociation, Psychological Distress and General Functioning.","authors":"Celia Esteban-Serna, Alana Loewenberger, Susannah Pick, Sarah R Cope","doi":"10.1080/15299732.2024.2356591","DOIUrl":"10.1080/15299732.2024.2356591","url":null,"abstract":"Functional neurological disorder (FND) represents a broad group of motor and sensory clinical symptoms which cannot be explained by other neurological diagnoses. Dissociation is considered a key mechanism in their development and maintenance. Despite psychological therapy being the recommended choice of treatment for FND, evidence for its effectiveness is in its infancy. This study explored the dissociative profile of forty-seven patients with FND and evaluated whether individual psychological therapy improved dissociative symptoms, psychological distress and general functioning among twenty-five adults with FND. Patients completed the Multiscale Dissociation Inventory, the EuroQol five-dimensional descriptive system, the General Anxiety Disorder-7 scale and the Patient Health Questionnaire-9. Our sample showed high levels of disengagement, depersonalization and memory disturbance at baseline. Treatment was associated with significant improvements in general functioning, and symptoms of dissociation and anxiety. Improvements in dissociative experiences were found to be possibly due to reduction in anxiety. Improvements in depression were the strongest predictor of improvements in general functioning. Limitations and areas for further research are discussed.","PeriodicalId":47476,"journal":{"name":"Journal of Trauma & Dissociation","volume":" ","pages":"516-532"},"PeriodicalIF":2.3,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141082526","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