Reappraising the link between peritraumatic dissociation and PTSD symptom severity: Evidence from a longitudinal study of community violence survivors
Reappraising the link between peritraumatic dissociation and PTSD symptom severity: Evidence from a longitudinal study of community violence survivors
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DOI：
10.1037//0021-843x.111.4.626
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发表时间：
2002-11-01
影响因子：
4.6
通讯作者：
Schell, TL
中科院分区：
文献类型：
--
作者：
Marshall, GN;Schell, TL
从社区暴力的年轻成年幸存者收集的纵向数据的交叉滞后面板分析被用来检查创伤后应激障碍（PTSD）症状严重程度的创伤后分离的回忆之间的关系。暴露后几天内评估的创伤周围性分离的回忆与3个月和12个月随访访谈时测量的回忆不同。在每一波数据收集中，创伤周围性分离与PTSD症状高度相关。在控制基线PTSD症状严重程度后，创伤周围分离的基线回忆不能预测随访PTSD症状严重程度。这种结果模式重复了先前的工作，证明了创伤周围分离和随后的症状严重程度之间的相关性。然而，研究结果并不符合流行的观点，即创伤周围分离导致PTSD症状严重程度增加。
Cross-lagged panel analysis of longitudinal data collected from young adult survivors of community violence was used to examine the relationship between recall of peritraumatic dissociation and posttraumatic stress disorder (PTSD) symptom severity. Recollections of peritraumatic dissociation assessed within days of exposure differed from recollections measured at 3- and 12-month follow-up interviews. Peritraumatic dissociation was highly correlated with PTSD symptoms within each wave of data collection. Baseline recollections of peritraumatic dissociation were not predictive of follow-up PTSD symptom severity after controlling for baseline PTSD symptom severity. This pattern of results replicates previous work demonstrating a correlation between peritraumatic dissociation and subsequent symptom severity. However, findings are not consistent with the prevailing view that peritraumatic dissociation leads to increased PTSD symptom severity.