Clinical correlates of hearing voices among people seeking interventions for dissociation: a cross-cultural investigation

Fung, Hong Wang; Chan, Chitat; Ross, Colin A.

doi:10.1080/17522439.2020.1773910

Cited by 9 publications

(6 citation statements)

References 47 publications

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“…For example, measures of trauma-related voices should not only assess the number of voices, the frequency, loudness, duration, location, and clarity of voices, as well as the interference, distress, and emotional impact of voices, they should also assess the frequency and strength of both positively and negatively valenced voices to improve content validity. Similarly, although existing measures assess the frequency in which people comply with the demands of voices (e.g., Leishout & Goldberg, 2007), some trauma-affected individuals perceive voices to take command of their body (Fung et al, 2020), and future measures should be adapted to capture the full range of compliance-like behaviour.…”

Section: Methodological Recommendationsmentioning

confidence: 99%

The Trauma-Related Voices Model: An Integration of Auditory Verbal Hallucinations and Posttraumatic Stress

Strachan¹,

Paulik²,

McEvoy³

2023

Preprint

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Background. Many trauma-affected voice hearers report comorbid post-traumatic stress and voices (auditory verbal hallucinations) that are directly (voices repeat phrases spoken by perpetrators) or indirectly (voice content and trauma is thematically similar) related to their trauma. Models of PTSD and positive symptoms of psychosis are insufficient in explaining the comorbidity between PTSD and voices, and interventions based on these models have limited effectiveness in treating voices. This study presents a model that generates novel research into the factors underlying trauma-related voices that may inform effective interventions.Method. Maintaining factors from existing models of PTSD and positive symptoms were combined into an integrative model of trauma-related voices. Theorised relationships between factors were used to identify possible differential pathways to direct and indirect voices. Results. An integrative, trauma-related voices (TRV) model was developed that identifies multiple causal pathways to trauma-related voices. A future research agenda is proposed to test novel hypotheses based on the integrative model. Discussion. The TRV model is a practical tool for complex case conceptualisation and generates novel hypotheses that may inform more effective treatments. Future studies are needed to test elements of the TRV model and should recruit transdiagnostic samples with diverse post-traumatic stress and voice hearing symptoms.

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Section: Methodological Recommendationsmentioning

confidence: 99%

The Trauma-Related Voices Model: An Integration of Auditory Verbal Hallucinations and Posttraumatic Stress

Strachan¹,

Paulik²,

McEvoy³

2023

Preprint

View full text Add to dashboard Cite

show abstract

“…Having said that, the differences between CPTSD and PTSD were not significant in our sample, which is possibly due to the small number of participants in the PTSD group. Previous studies have also shown that psychotic symptoms are not rare among people with trauma-related psychopathology (58,59). Therefore, when a client presents with severe depression or psychotic symptoms, trauma disorders should be considered as possible comorbid conditions.…”

Section: Discussionmentioning

confidence: 94%

Investigating post-traumatic stress disorder (PTSD) and complex PTSD among people with self-reported depressive symptoms

et al. 2022

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BackgroundTrauma has been increasingly linked to depression. Previous studies have suggested that comorbid post-traumatic stress disorder (PTSD) may be associated with poor outcomes in depression treatment. However, the prevalence and correlates of ICD-11 PTSD and complex PTSD (CPTSD) in people with depression remain unclear.MethodsThis study examined the prevalence and correlates of ICD-11 PTSD and CPTSD in an online convenience sample of 410 adults from 18 different countries/regions who reported clinically significant levels of depressive symptoms (indicated by a Patient Health Questionnaire-9 score ≥10).ResultsAccording to the International Trauma Questionnaire results, 62.68% of participants met the ICD-11 criteria for PTSD/CPTSD (5.6% PTSD, 57.1% CPTSD). Participants with CPTSD reported more types of trauma and higher levels of interpersonal stress than those without PTSD. Participants with CPTSD also reported higher levels of mental health problems, including depressive, dissociative and psychotic symptoms, than those without PTSD. Only disturbances in self-organization (DSO) symptoms but not classical PTSD symptoms had a significant relationship with depressive symptoms, when other major variables (including trauma, interpersonal stress, and comorbid psychotic and dissociative symptoms) were controlled for.ConclusionsTrauma-related symptoms should be regularly screened for in clients who report depressive symptoms. Depressed clients who have comorbid trauma disorders have more trauma and interpersonal stress and exhibit more severe mental health problems. They may require specific trauma-focused interventions in addition to standard depression treatments.

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“…To test these hypotheses, we analyzed baseline data from two studies that evaluated web-based psychoeducation for people seeking interventions for dissociation. The two studies, including the methodology, sample characteristics and measures, have been reported elsewhere (for the details, see Fung et al (2020b)). Both studies were approved by the Human Subjects Ethics Sub-committee of the Hong Kong Polytechnic University.…”

Section: Participantsmentioning

confidence: 99%

A Cross-Cultural Investigation of the Association between Betrayal Trauma and Dissociative Features

Fung

Chien

Chan

et al. 2022

J Interpers Violence

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Betrayal trauma theory proposes that betrayal and non-betrayal traumas are different in terms of their nature and impacts. The theory predicts that dissociation is more strongly related to betrayal than to non-betrayal trauma, however there is a lack of cross-cultural evaluation of the theory. One competing theory is the socio-cognitive model, which proposes that dissociative amnesia (DA) and identity dissociation (ID) are the results of social influence and are not trauma-related conditions. This study aimed to test the hypotheses based on betrayal trauma theory and investigated the relationship between trauma, dissociation and other mental health problems in two culturally different convenience samples of people seeking web-based educational interventions for dissociation ( N = 83 English speakers and N = 82 Chinese speakers). Compared with childhood non-betrayal trauma, childhood betrayal trauma had a statistically stronger relationship with dissociation and borderline personality disorder (BPD) symptoms in both samples. DA and ID symptoms were cross-culturally associated with childhood betrayal trauma after controlling for other variables (including sample membership, age, depression levels, medication treatment and non-betrayal trauma). Participants with DA/ID symptoms reported significantly more trauma-related symptoms in both samples. The findings supported the cross-cultural application of the betrayal trauma theory for dissociative features and BPD symptoms. Implications for research and practice (e.g., child protection, assessment for survivors of childhood betrayal trauma) are highlighted.

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Clinical correlates of hearing voices among people seeking interventions for dissociation: a cross-cultural investigation

Abstract: A. Ross (2020) Clinical correlates of hearing voices among people seeking interventions for dissociation: a cross-cultural investigation,

Cited by 9 publications

References 47 publications

The Trauma-Related Voices Model: An Integration of Auditory Verbal Hallucinations and Posttraumatic Stress

The Trauma-Related Voices Model: An Integration of Auditory Verbal Hallucinations and Posttraumatic Stress

Investigating post-traumatic stress disorder (PTSD) and complex PTSD among people with self-reported depressive symptoms

A Cross-Cultural Investigation of the Association between Betrayal Trauma and Dissociative Features

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