Article

Dissociative symptoms in relation to childhood physical and sexual abuse

McLean Hospital, Belmont, MA 02178.
American Journal of Psychiatry (Impact Factor: 13.56). 08/1990; 147(7):887-92.
Source: PubMed

ABSTRACT Studies have reported high rates of childhood abuse in people with psychiatric illness. This study examined whether dissociative symptoms are specific to patients with histories of abuse. Ninety-eight female psychiatric inpatients completed self-report instruments that focused on childhood history of trauma, dissociative symptoms, and psychiatric symptoms in general. Sixty-three percent of the subjects reported physical and/or sexual abuse. Eighty-three percent had dissociative symptom scores above the median score of normal adults, and 24% had scores at or above the median score of patients with posttraumatic stress disorder. Subjects with a history of childhood abuse reported higher levels of dissociative symptoms than those who did not.

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Available from: James Chu, Jan 27, 2015
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    • "In accordance with the research hypothesis, traumatic history predicted the development of symptoms of distress and undermined QOL among the entire sample. These results correspond with previous findings on immediate and long-term effects of trauma on mental health (e.g., Bryer et al. 1987; Chu and Dill 1990; Smyth et al. 2008). Symptoms of distress (BSI) scores were not significantly different between both groups and are slightly higher as compared to a non-clinical Israeli sample (Gilbar and Ben-Zur 2002). "
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    ABSTRACT: This study aimed to explore the relationship between traumatic history, dissociative phenomena, absorption and quality of life among a population of channelers, in comparison with a population of non-channelers with similar traumatic history. The study sample included 150 women. The measures included Traumatic Experiences Scale, Dissociative Experience Scale, Absorption Scale, Brief Symptom Inventory and Quality of Life (QOL) Assessment. Channelers presented significantly higher levels of dissociation, absorption and psychological health compared to the other group. Dissociation and absorption were trauma-related only among the comparison group. Hence, dissociation has different qualities among different people, and spiritual practice contributes to QOL.
    Journal of Religion and Health 05/2014; 54(3). DOI:10.1007/s10943-014-9885-4 · 1.02 Impact Factor
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    • "Dissociation, for example, is characterised by detachment from ongoing reality, and in recent studies has been shown to account for the association between sexual abuse and hallucinations (Perona‐Garcelán et al., 2012; Varese et al., 2012b). This finding is consistent with research which shows that sexual abuse, particularly by a close relative, is likely to produce a dissociative reaction (Chu and Dill, 1990). Garety et al. (2001) have proposed that adverse childhood experiences can influence the development of negative schemas about the self and others, biasing attributions of cause towards external sources, and in doing so, contributing to the subsequent development of paranoid delusions. "
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    ABSTRACT: Accumulated evidence over the past decade consistently demonstrates a relationship between childhood adversity and psychosis in adulthood. There is some evidence of specific associations between childhood sexual abuse and hallucinations, and between insecure attachment and paranoia. Data from the National Comorbidity Survey were used in assessing whether current attachment styles influenced the association between adverse childhood experiences and psychotic symptoms in adulthood. Hallucinations and paranoid beliefs were differentially associated with sexual abuse (rape and sexual molestation) and neglect, respectively. Sexual abuse and neglect were also associated with depression. The relationship between neglect and paranoid beliefs was fully mediated via anxious and avoidant attachment. The relationship between sexual molestation and hallucinations was independent of attachment style. The relationship between rape and hallucinations was partially mediated via anxious attachment; however this effect was no longer present when depression was included as a mediating variable. The findings highlight the importance of addressing and understanding childhood experiences within the context of current attachment styles in clinical interventions for patients with psychosis.
    03/2014; 217(3). DOI:10.1016/j.psychres.2014.03.019
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    • "More specifically, the diathesis of CSA may affect coping and adjustment during the transition to adolescence and eventually adulthood and active service. For example, CSA has been associated with dissociation (Chu & Dill, 1990), which is a known risk factor for the development of PTSD following a trauma (Breh & Seidler, 2007). Additionally, other childhood factors, such as degree of social support, reactions to disclosure, and timing of abuse, may affect one's processing of CSA (Ballon, Courbasson, & Smith, 2001; Bolton, Glenn, Orsillo, Roemer, & Litz, 2003), which could also be related to the extent to which military veterans experience symptoms of PTSD after combat. "
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    ABSTRACT: Childhood sexual abuse (CSA) is relatively common and is associated with a multitude of negative outcomes in adulthood, including posttraumatic stress disorder (PTSD) and lower marital satisfaction. However, CSA has been understudied in military samples. The purpose of the present study was to examine the relative contributions of CSA and combat exposure to PTSD and marital satisfaction. Two hundred eighteen National Guard/Reserve veterans who deployed overseas between 2001 and 2008 completed self-report measures of CSA, marital satisfaction, combat exposure, and PTSD symptom severity. Data were analyzed using linear regression and path analysis to evaluate a comprehensive model including all variables. CSA accounted for unique variance in PTSD symptom severity independent of combat exposure. CSA also had a negative direct association with marital satisfaction, independent of combat exposure and PTSD symptom severity. In contrast, combat exposure had only a negative indirect association with marital satisfaction via PTSD when all variables were examined simultaneously. CSA accounted for unique variance in both PTSD symptom severity and marital satisfaction in this sample of combat veterans. Clinically, results suggest that assessment and treatment of CSA is indicated for military veterans suffering from PTSD. Further, treatment of CSA may improve marital satisfaction, which may positively affect psychological functioning in the veteran.
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