Fragmentation and Disorganization in PTSD

描述（由候选人提供）：假设创伤叙事的碎片化，或缺乏处理、连贯和整合，对PTSD的病因、维持和治疗至关重要。分裂被认为是导致PTSD症状的原因，而创伤叙事的情感和认知处理被认为是成功恢复PTSD的必要条件。断言分裂对创伤后应激障碍的重要性的理论是基于创伤叙述是独特的以及分裂是创伤后应激障碍的定义这一概念。本文提出的研究将探讨创伤后应激障碍和非创伤后应激障碍个体的消极、积极和创伤叙事的碎片化。拟议研究的目的是调查碎片，因为它与创伤叙述，创伤后应激障碍症状和治疗恢复有关。具体而言，研究1将通过叙事类型来考察碎片化，以研究碎片化作为创伤叙事的独特特征。此外，它将上述叙事分析扩展到四个样本，创伤后应激障碍，创伤暴露无创伤后应激障碍，恐慌障碍和无精神病理个体，以研究碎片化作为创伤后应激障碍诊断的独特之处。研究2将通过比较舍曲林和长时间暴露对叙事组织的影响，探讨创伤后应激障碍治疗方式和治疗反应对碎片化的影响。这些研究将揭示碎片化与情感叙事类型、PTSD诊断和PTSD康复的关系，其结果可能影响当前的治疗重点。

DESCRIPTION (provided by candidate): It is hypothesized that fragmentation, or a lack of processing, coherence, and integration in a trauma narrative, is critical to the etiology, maintenance, and treatment of PTSD. Fragmentation is hypothesized to lead to PTSD symptoms, while emotional and cognitive processing of the trauma narrative is thought necessary for successful PTSD recovery. Theories asserting the importance of fragmentation to PTSD are based on the notions that trauma narratives are unique and that fragmentation is defining of PTSD. The studies proposed here will explore fragmentation in negative, positive, and trauma narratives in PTSD and non-PTSD individuals. The goals of the proposed research are to investigate fragmentation as it relates to trauma narratives, PTSD symptoms, and therapeutic recovery. Specifically, Study 1 will examine fragmentation by narrative type to investigate fragmentation as uniquely characteristic of trauma narratives. In addition, it will extend the above narrative analysis to four samples, PTSD, trauma-exposed no PTSD, panic disorder, and no psychopathology individuals, to investigate fragmentation as unique to PTSD diagnosis. Study 2 will investigate the effects of PTSD treatment modality and treatment response on fragmentation by comparing narrative organization outcomes for sertraline and prolonged exposure. These studies will inform the relationship of fragmentation to type of emotional narrative, PTSD diagnosis and PTSD recovery, and results may impact current treatment emphases.