Prevalence and clinical correlates of dissociative symptoms in people with complex PTSD: Is complex PTSD a dissociative disorder?

Autor: Fung HW; School of Nursing and Health Studies, Hong Kong Metropolitan University, Ho Man Tin, Hong Kong. Electronic address: andyhwfung@gmail.com., Yuan GF; School of Education Science, Leshan Normal University, Leshan, China. Electronic address: yb97316@umac.mo., Liu C; School of Education Science, Leshan Normal University, Leshan, China., Lin ESS; Institute of Epidemiology and Health Care, University College London, London, United Kingdom. Electronic address: eleanor.suisum.lin@gmail.com., Lam SKK; Nethersole School of Nursing, Faculty of Medicine, The Chinese University of Hong Kong, Shatin, Hong Kong. Electronic address: stanleylam@cuhk.edu.hk., Wong JY; School of Nursing and Health Studies, Hong Kong Metropolitan University, Ho Man Tin, Hong Kong. Electronic address: jyhwong@hkmu.edu.hk.
Jazyk: angličtina
Zdroj: Psychiatry research [Psychiatry Res] 2024 Sep; Vol. 339, pp. 116076. Date of Electronic Publication: 2024 Jun 30.
DOI: 10.1016/j.psychres.2024.116076
Abstrakt: The extent to which complex post-traumatic stress disorder (C-PTSD) can be conceptualized as a dissociative disorder remains an ongoing debate. This study investigated the prevalence and correlates of dissociative symptoms in people with C-PTSD. We analyzed baseline data from an international randomized controlled trial. A total of 165 intervention seekers who met the ICD-11 criteria for C-PTSD completed standardized self-report measures of trauma, C-PTSD symptoms, dissociative symptoms, depressive symptoms, and work and social impairments. In this sample, only 42.3 % of participants exhibited clinically significant dissociative symptoms. Dissociative symptoms had a unique association with depressive symptoms and work and social impairments in our participants with C-PTSD, even after controlling for trauma exposure and C-PTSD symptoms. The data does not support the theory that C-PTSD is a dissociative disorder. However, the findings highlight the importance of recognizing dissociation in people with C-PTSD.
Competing Interests: Declaration of competing interest The authors declare there is no conflict of interests.
(Copyright © 2024. Published by Elsevier B.V.)
Databáze: MEDLINE
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