Journal of Trauma & Dissociation最新文献_第9页

The Treatment of Depersonalization-Derealization Disorder: A Systematic Review. 人格解体-Derealization障碍的治疗：一项系统综述。

IF 2.3 3区医学

Journal of Trauma & Dissociation Pub Date : 2024-01-01 Epub Date: 2023-07-11 DOI: 10.1080/15299732.2023.2231920

Sici Wang, Sisi Zheng, Xiatian Zhang, Rui Ma, Sitong Feng, Mingkang Song, Hong Zhu, Hongxiao Jia

{"title":"The Treatment of Depersonalization-Derealization Disorder: A Systematic Review.","authors":"Sici Wang, Sisi Zheng, Xiatian Zhang, Rui Ma, Sitong Feng, Mingkang Song, Hong Zhu, Hongxiao Jia","doi":"10.1080/15299732.2023.2231920","DOIUrl":"10.1080/15299732.2023.2231920","url":null,"abstract":"Depersonalization-derealization disorder (DPD) is characterized by persistent or recurrent experiences of detachment from oneself and surroundings, as well as a sense of unreality. Considering the inadequacy of current research on treatment, we performed a systematic review of the available pharmacotherapies, neuromodulations, and psychotherapies for DPD. The systematic review protocol was based on PRISMA 2020 guidelines and pre-registered. The PubMed, Web of Science, PsycINFO, Embase, the Cochrane Library, Scopus, and ScienceDirect databases were searched from inception to June 2021. All treatments for DPD and all study types, including controlled and observational studies as well as case reports, were assessed. Of the identified 17,540 studies, 41 studies (four randomized controlled trials, one non-randomized controlled trial, 10 case series, and 26 case reports) involving 300 participants met the eligibility criteria. We identified 30 methods that have been applied independently or in combination to treat DPD since 1955. The quality of these studies was considered. The relationship between individual differences, such as symptoms, comorbidities, history, and duration since onset, and treatment effects was explored. The results suggest that a series of treatments, such as pharmacotherapies, neuromodulation, and psychotherapies, could be considered in combination. However, the quality and quantity of studies were generally low considering the high prevalence of DPD. The review concludes with suggestions for future research and an urgent call for more high-quality research.","PeriodicalId":47476,"journal":{"name":"Journal of Trauma & Dissociation","volume":" ","pages":"6-29"},"PeriodicalIF":2.3,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9766853","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

Is Dissociation a Fundamental Component of ICD-11 Complex Posttraumatic Stress Disorder? 解离是 ICD-11 复合创伤后应激障碍的基本组成部分吗？

IF 3.3 3区医学

Journal of Trauma & Dissociation Pub Date : 2024-01-01 Epub Date: 2023-07-04 DOI: 10.1080/15299732.2023.2231928

Philip Hyland, Ruby Hamer, Robert Fox, Frédérique Vallières, Thanos Karatzias, Mark Shevlin, Marylene Cloitre

{"title":"Is Dissociation a Fundamental Component of ICD-11 Complex Posttraumatic Stress Disorder?","authors":"Philip Hyland, Ruby Hamer, Robert Fox, Frédérique Vallières, Thanos Karatzias, Mark Shevlin, Marylene Cloitre","doi":"10.1080/15299732.2023.2231928","DOIUrl":"10.1080/15299732.2023.2231928","url":null,"abstract":"ICD-11 Complex Posttraumatic Stress Disorder (CPTSD) is a disorder of six symptom clusters including reexperiencing, avoidance, sense of threat, affective dysregulation, negative self-concept, and disturbed relationships. Unlike earlier descriptions of complex PTSD, ICD-11 CPTSD does not list dissociation as a unique symptom cluster. We tested whether the ICD-11 CPTSD symptoms can exist independently of dissociation in a nationally representative sample of adults (N = 1,020) who completed self-report measures. Latent class analysis was used to identify unique subsets of people with distinctive symptom profiles. The best fitting model contained four classes including a \"low symptoms\" class (48.9%), a \"PTSD\" class (14.7%), a \"CPTSD\" class (26.5%), and a \"CPTSD + Dissociation\" class (10.0%). These classes were related to specific adverse childhood experiences, notably experiences of emotional and physical neglect. The \"PTSD,\" \"CPTSD,\" and \"CPTSD + Dissociation\" classes were associated with a host of poor health outcomes, however, the \"CPTSD + Dissociation\" class had the poorest mental health and highest levels of functional impairment. Findings suggest that ICD-11 CPTSD symptoms can occur without corresponding dissociative experiences, however, when CPTSD symptoms and dissociative experiences occur together, health outcomes appear to be more severe.","PeriodicalId":47476,"journal":{"name":"Journal of Trauma & Dissociation","volume":" ","pages":"45-61"},"PeriodicalIF":3.3,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10124231","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

ISSTD' S Professional Training Program: Beginnings and Future Directions. ISSTD'S 专业培训计划：开端与未来方向。

IF 2.3 3区医学

Journal of Trauma & Dissociation Pub Date : 2024-01-01 Epub Date: 2023-12-28 DOI: 10.1080/15299732.2023.2234595

Peter A Maves

引用次数: 0

A Network Comparison of Sexual Dysfunction, Psychological Factors, and Body Dissociation between Individuals with and without Sexual Trauma Histories. 有性创伤史者与无性创伤史者性功能障碍、心理因素和身体分离的网络比较。

IF 3.3 3区医学

Journal of Trauma & Dissociation Pub Date : 2024-01-01 Epub Date: 2023-07-06 DOI: 10.1080/15299732.2023.2231915

Yen-Ling Chen, Kuan-Ju Huang, Arielle A J Scoglio, Nicholas C Borgogna, Marc N Potenza, Gretchen R Blycker, Shane W Kraus

{"title":"A Network Comparison of Sexual Dysfunction, Psychological Factors, and Body Dissociation between Individuals with and without Sexual Trauma Histories.","authors":"Yen-Ling Chen, Kuan-Ju Huang, Arielle A J Scoglio, Nicholas C Borgogna, Marc N Potenza, Gretchen R Blycker, Shane W Kraus","doi":"10.1080/15299732.2023.2231915","DOIUrl":"10.1080/15299732.2023.2231915","url":null,"abstract":"Sexual dysfunction is associated with psychological symptoms, including depression and anxiety. Sexual dysfunctions are often attributed to dissociation symptoms in individuals who reported sexual trauma histories. This study utilized a network approach to analyze relationships between sexual and psychological symptoms and examine whether the identified network structures differed between individuals who reported a history of sexual trauma and those who did not. Sexual dysfunction, history of sexual trauma, internalizing symptoms, dissociation symptoms, sex-related shame, and negative body image were assessed in 1,937 United States college students (women = 69.5%). Nearly half (46.8%) of the participants reported a sexual trauma history in their lifetime. Using regularized partial correlation networks, the relationships between sexual and psychological symptoms were analyzed and compared between groups with and without trauma histories. Internalizing symptoms were positively correlated with sexual dysfunction regardless of the presence of sexual trauma history. Anxiety had a stronger influence in the trauma network than in the no-trauma network. Feeling separated from the body during sexual activity was a central symptom and was related to difficulties relaxing and enjoying sex only in the trauma network. Sex-related shame appeared to play a more important role in men compared to women. To improve clinical practice of assessing and treating sexual dysfunction, researchers and clinicians should consider core symptoms that connect different aspects of sexual and psychological functioning while being aware of the unique role of dissociation in the context of traumatic stress.","PeriodicalId":47476,"journal":{"name":"Journal of Trauma & Dissociation","volume":" ","pages":"62-82"},"PeriodicalIF":3.3,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10135558","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 Preliminary Longitudinal Analysis of Symptom Management, Post-traumatic Stress, and Depressive Symptoms in Chinese Adults with Dissociative Symptoms. 对中国成人分离症状患者的症状管理、创伤后应激和抑郁症状的初步纵向分析》（Preliminary Longitudinal Analysis of Symptom Management, Post-Traumatic Stress, and Depressive Symptoms in Chinese Adults with Dissociative Symptoms）。

IF 3.3 3区医学

Journal of Trauma & Dissociation Pub Date : 2024-01-01 Epub Date: 2023-07-02 DOI: 10.1080/15299732.2023.2231908

Hong Wang Fung, Suet Lin Hung, Henry Wai-Hang Ling, Vincent Wan Ping Lee, Stanley Kam Ki Lam

{"title":"A Preliminary Longitudinal Analysis of Symptom Management, Post-traumatic Stress, and Depressive Symptoms in Chinese Adults with Dissociative Symptoms.","authors":"Hong Wang Fung, Suet Lin Hung, Henry Wai-Hang Ling, Vincent Wan Ping Lee, Stanley Kam Ki Lam","doi":"10.1080/15299732.2023.2231908","DOIUrl":"10.1080/15299732.2023.2231908","url":null,"abstract":"People with dissociative symptoms are generally poly-symptomatic and require high levels of healthcare resources. Post-traumatic stress disorder (PTSD) and depressive symptoms are two major disabling comorbid symptoms in people with dissociative symptoms. While the sense of control over symptoms may be associated with PTSD and dissociative symptoms, the interplay among these factors over time remains unexplored. This study examined the predictors of PTSD and depressive symptoms in people with dissociative symptoms. Longitudinal data from 61 participants with dissociative symptoms were analyzed. Participants completed self-report measures of dissociative, depressive, and PTSD symptoms and the sense of control over symptoms two times (T1 & T2) with an interval of over one month. PTSD and depressive symptoms were not transient or time-specific, but they persisted over time in our sample. Hierarchical multiple regression analyses revealed that, after controlling for age, treatment usage and baseline symptom severity, T1 symptom management scores (β = -.264, p = .006) negatively predicted T2 PTSD symptoms, while T1 PTSD symptoms (β = .268, p = .017) positively predicted T2 depressive symptoms. T1 depressive symptoms (β = -.087, p = .339) did not predict T2 PTSD symptoms. The findings highlight the importance of improving symptom management skills and treating comorbid PTSD symptoms when working with people with dissociative symptoms.","PeriodicalId":47476,"journal":{"name":"Journal of Trauma & Dissociation","volume":" ","pages":"129-143"},"PeriodicalIF":3.3,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9754061","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: 2

Disentangling the Link Between Mindfulness and Dissociation in PTSD: The Mediating Role of Attention and Emotional Acceptance. 厘清创伤后应激障碍中正念与解离之间的联系：注意力和情感接受的中介作用》。

IF 3.3 3区医学

Journal of Trauma & Dissociation Pub Date : 2024-01-01 Epub Date: 2023-07-04 DOI: 10.1080/15299732.2023.2231907

A Vancappel, C Hingray, C Reveillere, W El-Hage

{"title":"Disentangling the Link Between Mindfulness and Dissociation in PTSD: The Mediating Role of Attention and Emotional Acceptance.","authors":"A Vancappel, C Hingray, C Reveillere, W El-Hage","doi":"10.1080/15299732.2023.2231907","DOIUrl":"10.1080/15299732.2023.2231907","url":null,"abstract":"Introduction: A number of studies have investigated the relationship between mindfulness and dissociation and suggested that mindfulness-based interventions could be effective in the treatment of dissociative symptoms. A recent study in healthy volunteers found that attention and emotional acceptance mediates this relationship. However, no study has yet been performed among a clinical sample to assess this association.Method: We recruited 90 patients (76 women) suffering from Posttraumatic Stress Disorder (PTSD). They completed self-report questionnaires to measure PTSD, dissociation, emotion regulation difficulties, childhood trauma, mindfulness abilities and cognitive abilities.Results: We found that mindfulness abilities, emotional difficulties, dissociation and attention-concentration were all related to each other. Using a step-by-step approach and bootstrapping techniques, we found a significant indirect effect of mindfulness abilities on dissociation through non-acceptance (confidence interval 95%=-.14 to -.01) and attentional difficulties (confidence interval 95%=-.23 to -.05).Conclusion: Patients with higher levels of dissociative symptoms have less capacity for mindfulness. Our results support Bishop et al.'s model proposing that attention and emotional acceptance are the two active components of mindfulness. To extend our findings, clinical trials are required to evaluate a causal relationship and the effectiveness of mindfulness-based interventions for patients suffering from dissociation.","PeriodicalId":47476,"journal":{"name":"Journal of Trauma & Dissociation","volume":" ","pages":"30-44"},"PeriodicalIF":3.3,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9748060","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 Association Between Childhood Maltreatment and Body (dis)satisfaction in Adolescents and Young Adults from the General Population. 普通人群中青少年的童年虐待与身体（不）满意度之间的关系。

IF 3.3 3区医学

Journal of Trauma & Dissociation Pub Date : 2024-01-01 Epub Date: 2023-07-05 DOI: 10.1080/15299732.2023.2231927

Christine Wendler-Bödicker, Hanna Kische, Catharina Voss, Katja Beesdo-Baum

{"title":"The Association Between Childhood Maltreatment and Body (dis)satisfaction in Adolescents and Young Adults from the General Population.","authors":"Christine Wendler-Bödicker, Hanna Kische, Catharina Voss, Katja Beesdo-Baum","doi":"10.1080/15299732.2023.2231927","DOIUrl":"10.1080/15299732.2023.2231927","url":null,"abstract":"Adolescents with a history of childhood maltreatment are vulnerable to body dissatisfaction and associated psychopathology such as eating disorders. The aim of this study was to expand the understanding of the association between childhood maltreatment and body dissatisfaction in adolescents and young adults. In an epidemiological cohort study, N = 1,001 participants aged 14-21 years from Dresden, Germany, completed self-report measures on childhood maltreatment, body image, and self-esteem. Lifetime mental disorders were assessed in standardized clinical interviews. Data analyses included multiple regression and mediation analyses. More than one-third of the participants reported experiences of childhood maltreatment (37.4%), in which emotional neglect and abuse were the most frequent subtypes. Individuals with a history of childhood maltreatment showed significantly less satisfaction with their physical appearance than participants without such adverse experiences. In a single mediator model, self-esteem emerged as potential mediator in the association between child maltreatment and body (dis)satisfaction. Experiences of childhood maltreatment may be considered as risk factor for the development of body dissatisfaction in adolescents, and the role of potential mediator variables such as self-esteem warrants further prospective research.","PeriodicalId":47476,"journal":{"name":"Journal of Trauma & Dissociation","volume":" ","pages":"113-128"},"PeriodicalIF":3.3,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9758347","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

Attachment Anxiety and Dissociation Mediate Associations Between Polytrauma and Somatization in Kenyan Adolescents. 依恋焦虑和分离对肯尼亚青少年的多重创伤与躯体化之间的关联起中介作用。

IF 3.3 3区医学

Journal of Trauma & Dissociation Pub Date : 2024-01-01 Epub Date: 2023-07-04 DOI: 10.1080/15299732.2023.2231958

Paulo Ferrajão, Bárbara Tourais, Ask Elklit

{"title":"Attachment Anxiety and Dissociation Mediate Associations Between Polytrauma and Somatization in Kenyan Adolescents.","authors":"Paulo Ferrajão, Bárbara Tourais, Ask Elklit","doi":"10.1080/15299732.2023.2231958","DOIUrl":"10.1080/15299732.2023.2231958","url":null,"abstract":"The experience of several potentially traumatic events (PTE) is a risk factor for higher somatization symptoms severity among adolescents. Attachment orientations and dissociation may influence the link between exposure to PTE and somatization symptoms severity. We analyzed the associations between direct exposure to PTE and somatization symptoms in Kenyan adolescents and explored the mediating role of attachment orientations and dissociation symptoms in the associations between direct exposure to PTE with somatization symptoms severity. A sample of 475 Kenyan adolescents completed validated self-report questionnaires. Serial multiple mediation models were tested by conducting a structural equation modeling employing Preacher and Hayes' procedures (2008). Attachment anxiety and dissociation symptoms mediate the association between direct exposure to traumatic events and somatization symptoms. Higher exposure to traumatic events was significantly associated with higher attachment anxiety levels, which was associated with higher levels of dissociation symptoms, which was then associated with higher somatization symptoms severity. High levels of attachment anxiety and dissociation might aggravate somatization symptoms differently according to sex, which might be seen as a psychological distress mechanism subsequent to exposure to multiple PTE in African adolescents.","PeriodicalId":47476,"journal":{"name":"Journal of Trauma & Dissociation","volume":" ","pages":"83-98"},"PeriodicalIF":3.3,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9748064","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 Symptoms in Complex Posttraumatic Stress Disorder: A Systematic Review 复杂创伤后应激障碍中的分离症状：系统回顾

IF 3.3 3区医学

Journal of Trauma & Dissociation Pub Date : 2023-12-19 DOI: 10.1080/15299732.2023.2293785

Ruby Hamer, Niclés Bestel, Jessica L. Mackelprang

引用次数: 0

Interpersonal Trauma and Substance Use Severity: The Serial Mediation of Emotional Intolerance and Emotional Dysregulation 人际创伤与药物使用严重性：情绪不容忍和情绪失调的序列中介作用

IF 3.3 3区医学

Journal of Trauma & Dissociation Pub Date : 2023-12-14 DOI: 10.1080/15299732.2023.2293777

C Gallagher, C Brunelle

引用次数: 0