The trauma factor: Examining the relationships among different types of trauma, dissociation, and psychopathology
The trauma factor: Examining the relationships among different types of trauma, dissociation, and psychopathology
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创伤因素：检查不同类型的创伤、解离和精神病理学之间的关系
DOI：
10.1080/15299732.2017.1402400
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发表时间：
2018
影响因子：
3.3
通讯作者：
A. Schimmenti
中科院分区：
文献类型：
--
作者：
A. Schimmenti
摘要广泛的研究已经报道了创伤暴露与精神分裂和精神病理学的严重程度之间的剂量-反应关系。然而，某些类型的创伤可能比其他类型的创伤更频繁地并存，特定的创伤经历组合可能与分离过程和精神症状有不同的关系。在目前的研究中，359名成年参与者完成了关于创伤经历、分离和精神病理学的问卷调查。相关网络分析表明，某些类型的创伤更有可能同时发生，尤其是童年时期依恋关系中的创伤经历与生活中的其他创伤显著相关。潜在类别分析确定了四类参与者(即极度创伤、对虐待的影响有弹性、暴露于客观和社会创伤、报告创伤程度较低)，他们在创伤暴露、分离和精神病理学方面表现出不同的特征。中介分析进一步表明，分离部分中介了不同类型的创伤经历与精神症状严重程度之间的关系。这项研究的结果支持这样的观点，即在创伤研究和临床实践中，需要对创伤经历和分离进行全面评估。
ABSTRACT Extensive research has reported a dose-response relationship between exposure to trauma and the severity of both dissociation and psychopathology. However, certain types of trauma may co-occur more frequently than others and specific combinations of traumatic experiences may relate differently to dissociative processes and psychiatric symptoms. In the current study, 359 adult participants completed questionnaires on traumatic experiences, dissociation, and psychopathology. A correlation network analysis showed that some types of trauma are more likely to co-occur and that especially traumatic experiences in attachment relationships during childhood were significantly associated with other trauma in life. A latent class analysis identified four classes of participants (namely, extremely traumatized, resilient to the impact of abuse, exposed to impersonal and social trauma, and reporting low levels of traumatization) who showed different profiles on trauma exposure, dissociation, and psychopathology. Mediation analyses further showed that dissociation partially mediated the relationship between different types of traumatic experiences and the severity of psychiatric symptoms. The findings of this study support the view that a comprehensive assessment of traumatic experiences and dissociation is needed in trauma research and clinical practice.
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影响因子：
4.6
作者：
Carlson, EA
通讯作者：
Carlson, EA
影响因子：
5.9
作者：
K. Mueser;Lisa B. Goodman;S. Trumbetta;S. Rosenberg;F. Osher;R. Vidaver;P. Auciello;D. Foy
通讯作者：
K. Mueser;Lisa B. Goodman;S. Trumbetta;S. Rosenberg;F. Osher;R. Vidaver;P. Auciello;D. Foy
影响因子：
4.8
作者：
Sperry DM;Widom CS
通讯作者：
Widom CS
影响因子：
17.7
作者：
Breslau, N;Chilcoat, HD;Davis, GC
通讯作者：
Davis, GC