Childhood maltreatment type and severity predict depersonalization and derealization in treatment-seeking women with posttraumatic stress disorder.
Childhood maltreatment type and severity predict depersonalization and derealization in treatment-seeking women with posttraumatic stress disorder.
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DOI：
10.1016/j.psychres.2020.113301
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发表时间：
2020-10
影响因子：
11.3
通讯作者：
Lebois LAM
中科院分区：
文献类型：
--
作者：
King CD;Hill SB;Wolff JD;Bigony CE;Winternitz S;Ressler KJ;Kaufman ML;Lebois LAM
创伤后应激障碍（D-PTSD）的分离亚型估计发生在约14%的创伤后应激障碍（PTSD）患者中，其特征在于除了典型的PTSD症状外，还具有临床显著的分离症状。先前的研究发现，儿童期虐待有助于解离和D-PTSD易感性，但关于儿童期虐待性质的更微妙的问题仍未被探索。我们调查了儿童期虐待的类型和严重程度如何与创伤后应激障碍妇女（N=106）在创伤相关疾病的专业项目中接受精神科护理的D-PTSD分离症状相关。参与者完成了精神症状和既往创伤暴露的自我报告调查，包括DSM-5的PTSD检查表，PTSD量表的分离亚型和儿童创伤问卷。我们使用多元线性回归模型的儿童虐待类型和分离的关联。在我们的最终模型中，儿童期的情感虐待和身体虐待显著预测了D-PTSD的分离症状。这表明儿童期虐待的类型和严重程度，特别是情感和身体虐待，与D-PTSD的分离症状有关。这项工作指出了D-PTSD的潜在病因学贡献。
The dissociative subtype of posttraumatic stress disorder (D-PTSD) is estimated to occur in approximately 14% of those with posttraumatic stress disorder (PTSD), and is characterized by clinically significant dissociative symptoms in addition to typical PTSD symptoms. Prior research has found childhood maltreatment contributes to dissociation and D-PTSD susceptibility, but more nuanced questions about the nature of childhood maltreatment remain unexplored. We investigated how childhood maltreatment type and severity are associated with the dissociative symptoms of D-PTSD among women with PTSD (N=106) receiving psychiatric care at a program specializing in trauma-related disorders. Participants completed self-report surveys of psychiatric symptoms and prior trauma exposure including the PTSD Checklist for DSM-5, the Dissociative Subtype of PTSD Scale, and the Childhood Trauma Questionnaire. We used multivariate linear regression to model the association of childhood maltreatment types and dissociation. In our final model childhood emotional abuse and physical abuse significantly predicted the dissociative symptoms of D-PTSD. This suggests childhood maltreatment type and severity, in particular of emotional and physical abuse, are associated with the dissociative symptoms of D-PTSD. This work points toward potential etiological contributions to D-PTSD.
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影响因子：
3.3
作者：
Dackis MN;Rogosch FA;Oshri A;Cicchetti D
通讯作者：
Cicchetti D
影响因子：
3.1
作者：
Harricharan, Sherain;Rabellino, Daniela;Frewen, Paul A.;Densmore, Maria;Theberge, Jean;McKinnon, Margaret C.;Schore, Allan N.;Lanius, Ruth A.
通讯作者：
Lanius, Ruth A.
影响因子：
4.8
作者：
Bernstein, DP;Stein, JA;Zule, W
通讯作者：
Zule, W
影响因子：
3.6
作者：
Kubany, ES;Haynes, SN;Burns, K
通讯作者：
Burns, K
影响因子：
6.7
作者：
Daniels, J. K.;Frewen, P.;Lanius, R. A.
通讯作者：
Lanius, R. A.