Susannah Colbert
In a drug-facilitated sexual assault (DFSA), the person's level of intoxication may result in incomplete memory. This paper describes eye movement and desensitization reprocessing (EMDR) with client-centered adaptations to address an incomplete trauma memory in a 26-year-old woman. The client was experiencing PTSD, characterized by nightmares and derealization. Therapy followed standard EMDR procedures with three minor modifications to help the client maintain current awareness. Although the memory remained incomplete, the client-centered adaptations promoted working through of the clients' trauma responses (e...
November 29, 2023: Journal of Trauma & Dissociation
Andreea Tamaian, Hannah Anstey, Seint Kokokyi, Bridget Klest
The aims of this study were to understand associations among mental health symptoms, ethnic discrimination, and institutional betrayal, and explore the potential role of protective factors (e.g. ethnic identity and racial regard) in attenuating the detrimental effects of discrimination and betrayal. A total of 89 racialized Canadian university students were recruited for this study. Self-report measures investigated demographics, mental health symptoms, experiences of discrimination and institutional betrayal, racial regard, and ethnic identity...
July 11, 2023: Journal of Trauma & Dissociation
Cherry T Y Cheung, Clement Man-Him Cheng, Vincent Wan Ping Lee, Stanley Kam Ki Lam, Kyle Langjie He, Henry Wai-Hang Ling, Kunhua Lee, Colin A Ross, Hong Wang Fung
The impacts of adverse childhood experiences (ACEs) have been well documented. One possible consequence of ACEs is dissociation, which is a major feature of post-traumatic psychopathology and is also associated with considerable impairment and health care costs. Although ACEs are known to be associated with both psychoform and somatoform dissociation, much less is known about the mechanisms behind this relationship. Little is known about whether social and interpersonal factors such as family environments would moderate the relationship between ACEs and somatoform dissociation...
July 9, 2023: Journal of Trauma & Dissociation
Yen-Ling Chen, Kuan-Ju Huang, Arielle A J Scoglio, Nicholas C Borgogna, Marc N Potenza, Gretchen R Blycker, Shane W Kraus
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...
July 6, 2023: Journal of Trauma & Dissociation
Christine Wendler-Bödicker, Hanna Kische, Catharina Voss, Katja Beesdo-Baum
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...
July 5, 2023: Journal of Trauma & Dissociation
Rebecca Campbell, Jasmine Engleton, Katie Gregory, Rachael Goodman-Williams, McKenzie Javorka
In the United States, sexual assault survivors are advised to have a medical forensic exam and the collection of a sexual assault kit (SAK) to preserve biological evidence (e.g. semen, blood, saliva, hair) if they are considering reporting the assault to the police. Law enforcement personnel are supposed to submit the SAK (also known as a "rape kit") to a crime laboratory for forensic DNA testing, which can help identify or confirm the identity of the offender. However, police do not routinely submit SAKs for testing, and large stockpiles of untested kits have been found in police storage throughout the United States...
July 4, 2023: Journal of Trauma & Dissociation
Philip Hyland, Ruby Hamer, Robert Fox, Frédérique Vallières, Thanos Karatzias, Mark Shevlin, Marylene Cloitre
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...
July 4, 2023: Journal of Trauma & Dissociation
Paulo Ferrajão, Bárbara Tourais, Ask Elklit
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...
July 4, 2023: Journal of Trauma & Dissociation
A Vancappel, C Hingray, C Reveillere, W El-Hage
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)...
July 4, 2023: Journal of Trauma & Dissociation
Hong Wang Fung, Suet Lin Hung, Henry Wai-Hang Ling, Vincent Wan Ping Lee, Stanley Kam Ki Lam
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...
July 2, 2023: Journal of Trauma & Dissociation
Emma C Lathan, Abby Britt, Meghna Ravi, Marcia J Ash, Elizabeth McAfee, Shimarith Wallace, Colin B Johnson, Briana Woods-Jaeger, Abigail Powers, Vasiliki Michopoulos
Black individuals are at particularly high risk for birth-related posttraumatic stress disorder (PTSD) symptoms, in part due to a lack of opportunity to lead maternity care decisions. Maternal care providers need evidence-based ways to reduce pregnant persons' risk for birth-related PTSD symptoms despite reduced autonomy in decision making resulting from heightened restrictions on reproductive rights. We investigated whether a potential relation between autonomy in decision making and birth-related PTSD symptoms would be moderated by being mistreated or feeling respected by maternity care providers in a community sample of Black women (N = 52; Mage  = 28...
May 26, 2023: Journal of Trauma & Dissociation
Jessica N Coleman, Samantha N Hellberg, Tiffany A Hopkins, Katherine A Thompson, Amanda B Bruening, Amanda C Jones
Reproductive coercion (RC) can be conceptualized as any behavior that limits one's ability to make decisions about their reproductive health. Here, we broaden this definition to consider the impact of systemic and sociocultural factors on RC using an ecological model. Specifically, we use Bronfenbrenner's model as a framework for organizing the multilevel factors that influence reproductive coercion (RC) and its impacts on individual health. This paper is intended to offer a primer to historical, sociocultural, community, interpersonal, and individual processes that may interact to shape reproductive decision-making and its effect on individual health outcomes...
May 18, 2023: Journal of Trauma & Dissociation
Emily A Muñoz, Ryan C Shorey, Jeff R Temple
Reproductive coercion is a serious public health problem. Victimization has been associated with poor mental health outcomes, including symptoms of posttraumatic stress disorder (PTSD) and depression in clinical and college samples. We build on these findings by examining the association between reproductive coercion victimization and mental and behavioral health outcomes, including depression, PTSD symptoms, anxiety, and drinking behaviors in a diverse community-derived sample of female-identifying young adults (mean age = 20; SD=...
May 17, 2023: Journal of Trauma & Dissociation
Kirsten M Greer, Ivanka Simić Stanojević, Kyla M Cary, Morgan E PettyJohn, Jennifer J Piatt, William L Yarber
Following the overturning of Roe v. Wade, individuals with autism experience unique barriers to accessing abortion for rape-related pregnancies in states restricting reproductive health care. Barriers to reporting rape include inadequate sex education which contributes to a lack of information about sexual violence (SV), difficulties labeling and recognizing SV, and potential difficulties navigating the role of a caregiver or conservator when reporting SV. Individuals with autism often experience a lack of equitable support from formal SV support services...
May 16, 2023: Journal of Trauma & Dissociation
Sarah Scott, Daniel R Lavage, Geeta Acharya, Lauren Risser, Sarah Gonzalez Bocinski, Elizabeth A Walker, Kimberly A Randell, Maya I Ragavan, Elizabeth Miller
Adolescent relationship abuse (ARA) (i.e. physical, sexual, psychological, or economic abuse in the context of romantic relationships) is associated with adverse health outcomes, including anxiety, depression, suicidality, unintended pregnancy, and substance misuse. A related phenomenon, reproductive coercion involves interference with the reproductive decision making of a partner with the intention of promoting pregnancy or controlling outcomes of a pregnancy. Reproductive coercion is associated with unintended pregnancy, partner violence, and sexually transmitted infections...
May 14, 2023: Journal of Trauma & Dissociation
Autumn Asher BlackDeer
Indigenous peoples in the U.S. have the highest rates of violence against women, disproportionate representation in the child welfare system, and exorbitant amounts of traumatic injuries among all ethnic groups within the U.S. yet discussions of trauma and violence against Native communities fail to consider the ongoing influence of settler colonialism. Too often trauma-focused work takes an individualist approach while policy work focuses on the collective, leading to a siloed approach in which micro-trauma work misses policy influences and in which policy work fails to seriously consider the ongoing trauma and violence experienced by Native Nations...
May 14, 2023: Journal of Trauma & Dissociation
Giovanni B Caputo
Anomalous strange-face illusions (SFIs) are produced when mirror gazing under a low level of face illumination. In contrast to past studies in which an observer's task was to pay attention to the reflected face and to perceive potential facial changes, the present research used a mirror gazing task (MGT) that instructed participants to fixate their gaze on a 4-mm hole in a glass mirror. The participants' eye-blink rates were thus measured without priming any facial changes. Twenty-one healthy young individuals participated in the MGT and a control panel-fixation task (staring at a hole in a gray non-reflective panel)...
April 3, 2023: Journal of Trauma & Dissociation
Martin J Dorahy, Kumar Yogeeswaran, Warwick Middleton
Some evidence in non-clinical groups suggests that the relationship context in which dissociation is experienced might moderate its association with shame. The current study used vignettes detailing either dissociative symptoms or the expression of sadness occurring in three different relationship contexts: with a friend, an acquaintance, or when alone. Ratings of emotional (e.g. shame, anxiety) and behavioral (e.g. leave, talk) reactions were made on single-item measures, and shame feelings were further assessed with the State Shame Scale...
March 29, 2023: Journal of Trauma & Dissociation
Zühre Neslihan İçin, Çiğdem Koşe, Vedat Şar
After the changes in DSM-5, dissociative subtype was added to post-traumatic stress disorder. That caused a necessity for a scale to measure the mentioned change. A scale named Dissociative Subtype of Post-Traumatic Stress Disorder (DSPS) was developed to measure this subtype and help the diagnosis. The purpose of this study is to adapt the Dissociative Subtype of Post-Traumatic Stress Disorder to Turkish and examine its reliability and validity. The Dissociative Subtype of PTSD (DSPS) was translated into Turkish...
March 29, 2023: Journal of Trauma & Dissociation
A Vancappel, C Raysseguier, C Révellière, T Penverne, R Fernandes, W El-Hage
INTRODUCTION: The relationship between dissociation and cognitive abilities remains controversial. Empirical studies have reported positive, negative and non-existent associations between dissociation and cognition. These inconsistent results may be due to the fact that the studies focused mainly on trait dissociation, while dissociation is not stable but transient. After validating the French version of the Clinician Administered Dissociative States Scale (CADSS), the aim of the present study was to evaluate the relationship between state dissociation and cognitive abilities...
March 29, 2023: Journal of Trauma & Dissociation
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