Trauma-related psychiatric comorbidity of somatization disorder among women in eastern Turkey

Taycan, Okan; Şar, Vedat; Çelik, Cihat; Erdogan-Taycan, Serap

doi:10.1016/j.comppsych.2014.08.052

Cited by 19 publications

(8 citation statements)

References 54 publications

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“… 39 – 42 Taycan et al observed significantly higher rates of childhood trauma among patients with somatoform disorders and reported that these results indicate association between traumatic stress and somatic complaints among patients with somatoform disorders. 41 In another study that used CTQ that was used in our study, the prevalence of sexual dysfunction and childhood trauma were observed to be significantly higher among women with fibromyalgia compared with healthy controls, and a relationship between childhood psychic trauma and sexual problems as well as the intensity of the disorder was reported. 39 Many common features are observed between fibromyalgia and GPP/PD that are disorders both associated with pain: fibromyalgia is more frequent in women, 43 , 44 sexual dysfunction is present in most cases, 45 – 47 the incidence of childhood trauma 48 , 49 and many psychiatric features including dissociative symptoms 50 – 52 are higher with general population.…”

Section: Discussionsupporting

confidence: 47%

Childhood trauma and dissociation among women with genito-pelvic pain/penetration disorder

Özen

Özdemir

Beştepe

2018

NDT

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ObjectiveCauses such as childhood trauma, negative attitude about sexuality, inadequate sexual knowledge and education, relationship problems, and unconscious motivation are reported about psychosexual development in the etiology of genito-pelvic pain/penetration disorder (GPP/PD). There are few studies that focus directly on research etiology of GPP/PD and use structured scales. The aim of this study was to research childhood trauma and dissociation forms among women with GPP/PD.Patients and methodsFifty-five women with GPP/PD according to the fifth edition of the Diagnostic and Statistical Manual of Mental Disorders and 61 healthy women with no complaints of sexual function as a control group, in the age range of 18–60 years, were included in this study. Sociodemographic data form, Childhood Trauma Questionnaire (CTQ-28), Dissociative Experiences Scale (DES), and Somatoform Dissociation Questionnaire (SDQ-20) were administered to all participants.ResultsSexual abuse, emotional abuse, and emotional neglect scores, which comprise the subgroups of CTQ, were found high among women with GPP/PD compared with the control group (p=0.003, p=0.006, p=0.001). While a significant difference between the two groups’ SDQ scores was obtained (p=0.000), no significant difference was detected between the two groups’ DES scores (p=0.392).DiscussionThe results evoke the question are genitopelvic pain conditions, vaginismus and dyspareunia, that cannot be explained with a medical cause and that cause penetration disorder, a kind of dissociative symptom prone to develop in some women with childhood psychogenic trauma.

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Section: Discussionsupporting

confidence: 47%

Childhood trauma and dissociation among women with genito-pelvic pain/penetration disorder

Özen

Özdemir

Beştepe

2018

NDT

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“…This is apparent in a study of women with somatization disorder living in a semi-rural region of of eastern Turkey (Taycan et al, 2014). Participants in this study had been exposed to every type of trauma endemically but had limited awareness of the nature of their environment.…”

Section: Cultural Preponderance Of Universal Patterns: Extratensitivimentioning

confidence: 99%

Parallel-Distinct Structures of Internal World and External Reality: Disavowing and Re-Claiming the Self-Identity in the Aftermath of Trauma-Generated Dissociation

Şar

2017

Front. Psychol.

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The nature of consciousness and the autonomy of the individual's mind have been a focus of interest throughout the past century and inspired many theories and models. Revival of studies on psychological trauma and dissociation, which remained outside mainstream psychiatry, psychology, and psychoanalysis for the most part of the past century, has provided a new opportunity to revisit this intellectual and scientific endeavor. This paper attempts to integrate a series of empirical and theoretical studies on psychological consequences of developmental traumatization, which may yield further insight into factors which threaten the integrity of human consciousness. The paper proposes that an individual's experience of distorted reality and betrayal precipitates a cyclical dynamic between the individual and the external world by disrupting the developmental function of mutuality which is essential for maintenance of the integrity of the internal world while this inner world is in turn regulated vis-à-vis external reality. Dissociation -the common factor in all types of post-traumatic syndromes- is facilitated by violation of boundaries by relational omission and intrusion as represented by distinct effects and consequences of childhood neglect and abuse. Recent research conducted on clinical and non-clinical populations shows both bimodal (undermodulation and overmodulation) and bipolar (intrusion and avoidance) neurobiological and phenomenological characteristics of post-traumatic response. These seem to reflect “parallel-distinct structures” that control separate networks covering sensori-motor and cognitive-emotional systems. This understanding provides a conceptual framework to assist explanation of diverse post-traumatic mental trajectories which culminate in a common final pathway comprised of partly overlapping clinical syndromes such as complex PTSD, dissociative depression, dissociative identity disorder (DID), or “borderline” phenomena. Of crucial theoretical and clinical importance is that these maladaptive post-traumatic psychological formations are regarded as processes in their own right rather than as a personality disorder innate to the individual. Such mental division may perform in that internal detachment can serve to preserve the genuine aspects of the subject until such time as they can be reclaimed via psychotherapy. The paper attempts to integrate these ideas with reference to the previously proposed theory of the “Functional Dissociation of Self” (Şar and Öztürk, 2007).

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“…Previous research has also identified a link between childhood abuse experiences and HA (Anuk and Bahadir, 2018; Bailer et al, 2014; Barsky et al, 1994; Brown et al, 2005; Fiddler et al, 2004; Haugaard, 2004; Reiser et al, 2014; Salmon and Calderbank, 1996; Taycan et al, 2014; Weck et al, 2014). Specifically, relationships have been found between childhood sexual and physical abuse and two components of HA (i.e.…”

mentioning

confidence: 96%

Examining the relationships between childhood abuse history, attachment, and health anxiety

2019

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This study examined the relationship between childhood abuse experiences and health anxiety in adulthood and investigated the role of attachment in this relationship. In total, 181 university students (aged 18–29 years) completed a battery of measures that assessed childhood abuse, health anxiety, and attachment orientation. Health anxiety was associated with all categories of childhood abuse and overall childhood abuse severity. Anxious attachment partially mediated the relationship between overall childhood abuse and health anxiety in adulthood. The results further our understanding of the relationship between childhood abuse and health anxiety in adulthood and provide support for the interpersonal model of health anxiety.

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Trauma-related psychiatric comorbidity of somatization disorder among women in eastern Turkey

Cited by 19 publications

References 54 publications

Childhood trauma and dissociation among women with genito-pelvic pain/penetration disorder

Childhood trauma and dissociation among women with genito-pelvic pain/penetration disorder

Parallel-Distinct Structures of Internal World and External Reality: Disavowing and Re-Claiming the Self-Identity in the Aftermath of Trauma-Generated Dissociation

Examining the relationships between childhood abuse history, attachment, and health anxiety

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