Posttraumatic cognitions predict distorted body perceptions in women with dissociative identity disorder.
Posttraumatic cognitions predict distorted body perceptions in women with dissociative identity disorder.
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DOI：
10.1016/j.jpsychires.2020.12.053
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发表时间：
2021-03
影响因子：
4.8
通讯作者：
Lebois LAM
中科院分区：
文献类型：
--
作者：
Merker JB;Hill SB;Wolff JD;Winternitz SR;Ressler KJ;Kaufman ML;Lebois LAM
分离性身份识别障碍（DID）是一种与儿童期虐待和忽视史相关的心理生物学综合征。这些创伤性事件的后果往往包括对个人居住和体验身体的方式产生深刻影响。尽管如此，关于这一问题的实证研究仍然很少。本研究的目的是系统地记录发生扭曲的身体知觉在DID和检查儿童虐待，创伤后应激障碍（PTSD）症状的严重程度，和创伤后认知的预测扭曲的身体知觉在DID。参与者是成年女性，有童年虐待和忽视的历史，目前诊断为DID，在精神病护理机构接受治疗。通过一系列自我报告措施获得数据，包括身体不安测试，童年创伤问卷，DMS-5的PTSD检查表和创伤后认知量表。一系列非配对t检验记录了与身体不安测试的已发表非临床数据相比，DID中体重恐惧症、身体形象担忧、身体回避、强迫性自我监控和人格解体水平升高。一系列多元回归模型，包括儿童创伤，创伤后应激障碍症状，创伤后认知的措施表明，以上儿童创伤和创伤后应激障碍症状的严重程度，创伤后认知显着预测扭曲的身体知觉。在一个寻求治疗的DID妇女样本中，扭曲的身体知觉升高。此外，创伤后认知扭曲显着预测扭曲的身体知觉时，控制儿童虐待和创伤后应激障碍症状的严重程度。这表明，扭曲的认知是治疗干预的关键目标。
Dissociative identity disorder (DID) is a psychobiological syndrome associated with a history of exposure to childhood abuse and neglect. The consequences of these traumatic events often include a profound impact on the way individuals inhabit and experience their bodies. Despite this, there is a paucity of empirical research on the subject. The aim of this study was to systematically document the occurrence of distorted body perceptions in DID and examine childhood maltreatment, posttraumatic stress disorder (PTSD) symptom severity, and posttraumatic cognitions as predictors of distorted body perceptions in DID. Participants were adult women with histories of childhood abuse and neglect and a current DID diagnosis receiving treatment at a psychiatric care facility. Data were obtained through a battery of self-report measures, including the Body Uneasiness Test, Childhood Trauma Questionnaire, PTSD Checklist for DMS-5, and Posttraumatic Cognitions Inventory. A series of unpaired t-tests documented elevated levels of weight phobia, body image concerns, body avoidance, compulsive self-monitoring, and depersonalization in DID compared to published non-clinical data on the Body Uneasiness Test. A series of multiple regression models including measures of childhood trauma, PTSD symptoms, and posttraumatic cognitions demonstrated that over and above childhood trauma and PTSD symptom severity, posttraumatic cognitions significantly predicted distorted body perceptions. In a treatment-seeking sample of women with DID, distorted body perceptions were elevated. Furthermore, posttraumatic cognitive distortions significantly predicted distorted body perceptions when controlling for childhood maltreatment and PTSD symptom severity. This suggests that distorted cognitions are a key target for therapeutic intervention.
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DOI：
10.1038/nrn3950
发表时间：
2015-07
期刊：
Nature reviews. Neuroscience
影响因子：
--
作者：
Barrett LF;Simmons WK
通讯作者：
Simmons WK
影响因子：
10.5
作者：
COOPER, Z;COOPER, PJ;FAIRBURN, CG
通讯作者：
FAIRBURN, CG
DOI：
10.1097/00004583-199703000-00012
发表时间：
1997-03-01
影响因子：
13.3
作者：
Bernstein, DP;Ahluvalia, T;Handelsman, L
通讯作者：
Handelsman, L
影响因子：
3.6
作者：
Foa, EB;Ehlers, A;Orsillo, SM
通讯作者：
Orsillo, SM
影响因子：
4.1
作者：
Dunmore, E;Clark, DM;Ehlers, A
通讯作者：
Ehlers, A