Degree of Somatoform and Psychological Dissociation in Dissociative Disorder Is Correlated with Reported Trauma

Journal of Traumatic Stress - Tập 11 - Trang 711-730 - 1998
Ellert R. S. Nijenhuis1,2, Philip Spinhoven3, Richard van Dyck1, Onno van der Hart4, Johan Vanderlinden5
1Department of Psychiatry, Vrije Universiteit at Amsterdam, Valeriusplein, Amsterdam, The Netherlands
2Outpatient Department, General Psychiatric Hospital, Drenthe, Assen, The Netherlands
3Department of Psychiatry, Leiden University, The Netherlands
4Department of Clinical Psychology and Health Psychology, Utrecht University, The Netherlands
5University Center St-Jozef, Kortenberg, Belgium

Tóm tắt

In this study, the prevalence and severity of traumatic experiences as reported by patients with dissociative disorders and with other DSM-IV psychiatric diagnoses were compared. Furthermore, the predictive value of emotional, physical, and sexual trauma with respect to somatoform and psychological dissociation was analyzed. In contrast with comparison patients, dissociative disorder patients reported severe and multifaceted traumatization. Physical and sexual trauma predicted somatoform dissociation, sexual trauma predicted psychological dissociation as well. According to the memories of the dissociative disorder patients, this abuse occurred in an emotionally neglectful and abusive social context. Pathological dissociation was best predicted by early onset of reported intense, chronic and multiple traumatization. Methodological limitations restricting causal inferences between reported trauma and dissociation are discussed.

Tài liệu tham khảo

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