Evidence for a Dissociative Subtype of Post-Traumatic Stress Disorder Among Help-Seeking Childhood Sexual Abuse Survivors

Bob Shappel School of Social Work, Tel-Aviv, 69978, Israel.
Journal of Trauma & Dissociation (Impact Factor: 1.72). 02/2006; 7(2):7-27. DOI: 10.1300/J229v07n02_02
Source: PubMed


This study examined evidence for a dissociative subtype of post-traumatic stress disorder (PTSD) among women seeking psychotherapy for childhood sexual abuse (CSA). One hundred and twenty-two women seeking treatment for CSA completed a battery of questionnaires assessing PTSD, dissociative symptoms, and child maltreatment. Using signal detection analysis, we identified high and low dissociation PTSD subgroups. A constellation of three PTSD symptoms-hypervigilance, sense of foreshortened future, and sleep difficulties-discriminated between these two subgroups (OR = 8.15). Further evidence was provided by the finding of a nonlinear relationship between severity of childhood maltreatment and dissociation in the women with PTSD. These results provide support for a dissociative subtype of PTSD that may stem from more severe childhood experiences of neglect and abuse.

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    • "The DSM-5 accepted a dissociative subtype of PTSD [8]. This subtype is associated with childhood adversities alongside the traumatic event(s) in adulthood leading to the main diagnosis [60] [61] [62]. The dissociative subtype of PTSD may overlap partly with Complex PTSD both in terms of descriptive features and due to its relationship to chronic traumatization [63]. "
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    • "Empirical findings motivated Ginzburg et al. (2006) "
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    Full-text · Article · Jul 2014 · Journal of Trauma & Dissociation
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    • "Peritraumatic and persistent dissociative experiences have been shown to be correlated at .25 (Tichenor, Marmar, Weiss, Metzler, and Ronfeldt, 1996 ), and therefore, one must be careful when generalizing findings based on studies of peritraumatic dissociation to matters of persistent dissociation. The DSM-5 dissociative PTSD subtype was proposed and has subsequently been supported based on both clinical and neurobiological evidence (Armour, Karstoft, and Richardson, 2014a, b; Cloitre, Petkova, Wang, and Lassell, 2012 ; Ginzburg, Koopman, Butler, et al., 2006 ; Lanius, Vermetten, Loewenstein, et al., 2010, 2012; Resick, Suvak, Johnides, Mitchell, Iverson, 2012; Spiegel, Loewenstein, Lewis- Fernandez, Sar, Simeon, Vermetten et al., 2011; Steuwe, Lanius, and Frewen, 2012; Wolf, Miller et al., 2012). Researchers initially proposed that the dissociative PTSD subtype be characterized by the presence of only depersonalization and derealization symptoms of dissociation (cf. "
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