Impact of Childhood Trauma on Post-traumatic Stress Symptoms and Dissociation: Mediating Effect of Bullying

Kong, Seong Sook; Bae, Jae Hyun

doi:10.12934/jkpmhn.2013.22.3.193

Cited by 3 publications

(1 citation statement)

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“…In line with evidence suggesting that dissociation is a common sequela of adverse and/or traumatic life experiences, many empirical studies have demonstrated that individuals with SMIs exposed to childhood adversity (e.g. sexual abuse, physical abuse, emotional abuse, neglect, bullying), experience greater dissociation compared to individuals exposed to little or no trauma . However, the relationship between childhood trauma and dissociation in individuals with SMIs remains contradictory, as some studies have found no association between the two constructs .…”

Section: Introductionmentioning

confidence: 95%

The relationship between childhood adversities and dissociation in severe mental illness: a meta‐analytic review

Rafiq

Campodonico

Varese

2018

Acta Psychiatr Scand

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The relationship between childhood adversities and dissociation in severe mental illness: a meta-analytic review Rafiq S, Campodonico C, Varese F. The relationship between childhood adversities and dissociation in severe mental illness: a metaanalytic review Objective: Several studies have observed that dissociative experiences are frequently reported by individuals with severe mental illness (SMI), especially amongst patients that report a history of adverse/traumatic life experiences. This review examined the magnitude and consistency of the relationship between childhood adversity (sexual abuse, physical abuse, emotional abuse, neglect, bullying, natural disasters and mass violence) and dissociation across three SMI diagnostic groups: schizophrenia, bipolar disorder and personality disorders. Method: A database search (EMBASE, PubMed and PsycINFO) identified 30 eligible empirical studies, comprising of 2199 clinical participants. Effect sizes representing the relationship between exposure to childhood adversity and dissociation were examined and integrated using a random-effects meta-analysis. Results: The results indicated that exposure to childhood trauma was associated with heightened dissociation across SMIs. Positive significant associations were also found between specific childhood adversities and dissociation, with aggregated effect sizes in the small-to-moderate range. Conclusion: These findings support calls for the routine assessment of traumatic experiences in clients with SMIs presenting with dissociative symptoms and the provision of adequate therapeutic support (e.g. trauma-focused therapies) to manage and resolve these difficulties. Summations• Small-to-moderate relationship between childhood trauma and dissociation across SMIs. • Medium relationship between childhood trauma and dissociation in schizophrenia-spectrum disorders.• All forms of childhood traumatic experiences (e.g. sexual abuse, physical abuse, emotional abuse, emotional neglect, physical neglect) were found to be associated with dissociation in people diagnosed with SMI. Considerations• Only three studies were found eligible for the bipolar sample (i.e. low power); therefore, no strong conclusions can be drawn regarding the association between childhood trauma and dissociative experiences in bipolar disorder.• The relationship between childhood trauma and dissociation in SMI requires further corroboration using longitudinal designs to determine causality and directionality.• No firm conclusions can be drawn regarding which specific traumatic experience is most strongly associated with dissociation, as the studies included in the analysis were not independent (i.e. effects for sexual abuse and physical abuse estimated from the same sample of participants). 509Acta Psychiatr Scand 2018: 138: 509-525

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Section: Introductionmentioning

confidence: 95%

The relationship between childhood adversities and dissociation in severe mental illness: a meta‐analytic review

Rafiq

Campodonico

Varese

2018

Acta Psychiatr Scand

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Discriminating Power of Dissociation in Patients with Psychological Trauma

Kong

Bae

2014

J Korean Acad Psychiatr Ment Health Nurs

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Purpose:The purposes of the study were to identify the discriminating power of dissociation as defined by depression, obsession, and Minnesota Multiphasic Personality Inventory(MMPI; psychopathology) in patients with psychological trauma. Methods: Participants were patients (N=114) from "S" clinic for psychological trauma. Data were collected from April to June 2014 through semi-structured interviews and self-reports using a modified Lifetime Incidence of Traumatic Events, Dissociative Experience Scale (DES), Beck Depression Inventory-2, Maudsley Obsessional Compulsive Inventory, and MMPI-2. Results: Participants were grouped in to two groups depending on DES scores; dissociative (n=15) and non-dissociative (n=99). Depression, F-scale (infrequency), Ma (Hypomania), and Hs (Hypochondriasis) scale of MMPI correctly discriminated 86.8% of the sample. There were also significant differences in Obsession, K-scale (korrection), D (Depression), Hy (Hysteria), Pd (Psychopathic Deviate), Pa (Paranoia), Pt (Psychasthenia), Sc (Schizophrenia), Si (Social Introversion) scales of MMPI between two groups, but they were not significant discriminant factors. Conclusion: Future interventions for patients with high levels of dissociation and psychological trauma should focus on the prevention of suicide and chronic dissociation by assessing depression-related factors; suicidal behavior, impulsivity, aggression, and alexithymia. Therapists should also interpret patients' MMPI profiles carefully, especially in the presence of an extremely elevated F-scale.

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Exploring the Posttraumatic Growth in Korean Children and Adolescents Using the Korean Version of Posttraumatic Growth Inventory for Children-Revised

Kang¹,

Na²,

Song³

et al. 2018

Stress

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Background: The present study aimed to explore psychometric properties of Korean version of the Posttraumatic Growth Inventory for Children-Revised (PTGI-C-R), and related variables. Methods: The PTGI-C-R was translated into Korean and 716 children and adolescents in a general population sample completed a self-report battery. Results: 361 participants reported experiencing of traumatic event and 145 among them showed clinical symptoms. In clinical group, Korean version of PTGI-C-R has exhibited good internal consistency and construct validity. Those who experienced traumatic event reported more PTG than unexperienced group. PTG was positively related with resilience, optimism, and rumination, but negatively related with depression and anxiety, also nonlinearly related with intensity of perceived stress. Conclusions: This study found the distinct changes of PTG from normative maturation by comparing those who experienced traumatic event and those who did not.

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Impact of Childhood Trauma on Post-traumatic Stress Symptoms and Dissociation: Mediating Effect of Bullying

Cited by 3 publications

References 25 publications

The relationship between childhood adversities and dissociation in severe mental illness: a meta‐analytic review

The relationship between childhood adversities and dissociation in severe mental illness: a meta‐analytic review

Discriminating Power of Dissociation in Patients with Psychological Trauma

Exploring the Posttraumatic Growth in Korean Children and Adolescents Using the Korean Version of Posttraumatic Growth Inventory for Children-Revised

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