Investigating the dissociative subtype of post‐traumatic stress disorder in single‐ and multi‐event trauma‐exposed youth: Prevalence, course, prognosis, severity and functional impairment.

Saved in:
Bibliographic Details
Title: Investigating the dissociative subtype of post‐traumatic stress disorder in single‐ and multi‐event trauma‐exposed youth: Prevalence, course, prognosis, severity and functional impairment.
Authors: White, William F., Burgess, Aaron, Dalgleish, Tim, Dixon, Clare, Halligan, Sarah L., Hiller, Rachel M., McKinnon, Anna, Smith, Patrick, Meiser‐Stedman, Richard
Source: British Journal of Clinical Psychology. Sep2024, Vol. 63 Issue 3, p330-346. 17p.
Subjects: Post-traumatic stress disorder, Secondary analysis, Research funding, Cognitive processing speed, Symptoms, Functional status, Dissociative disorders, Emotional trauma, Convalescence, Adolescence, Children
Abstract: Objectives: This study aimed, following both single‐ and multi‐event trauma, to ascertain prevalence and course of the dissociative subtype of post‐traumatic stress disorder (PTSD‐DS) in youth; how well early PTSD‐DS predicts later PTSD; and whether dissociation accounts for unique variance in post‐traumatic stress symptoms (PTSS) and functional impairment over and above the effect of other post‐trauma cognitive processing factors and PTSS respectively. Design and Methods: This study is a secondary analysis of data from the Acute Stress Programme for Children and Teenagers study (n = 234) and the Coping in Care After Trauma study (n = 110) in which children had experienced single‐ and multi‐event trauma respectively. Results: PTSD‐DS diagnosis was common in children with PTSD regardless of trauma experienced (>39.0%). PTSD‐DS showed a similar trajectory of natural recovery to PTSD, and it was similarly predictive of later PTSD following single‐event trauma. Finally, dissociation was a significant factor in PTSS and functional impairment. Conclusions: These results should be viewed in the context of several limitations including narrow sample of participants which reduces the generalizability of results, concerns around children's ability to conceptualize challenging concepts such as dissociation and the use of self‐report measures to form diagnostic groups. The PTSD‐DS diagnosis may offer clinical utility to the extant PTSD diagnosis in children and adolescents, as dissociation has been shown to be a contributory factor in the maintenance of both PTSS and functional impairment. Further research is required to inform further editions of the DSM and other diagnostic systems. [ABSTRACT FROM AUTHOR]
Copyright of British Journal of Clinical Psychology is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
Full text is not displayed to guests.
FullText Links:
  – Type: pdflink
Text:
  Availability: 1
Header DbId: pbh
DbLabel: Psychology and Behavioral Sciences Collection
An: 178974164
AccessLevel: 6
PubType: Academic Journal
PubTypeId: academicJournal
PreciseRelevancyScore: 0
IllustrationInfo
Items – Name: Title
  Label: Title
  Group: Ti
  Data: Investigating the dissociative subtype of post‐traumatic stress disorder in single‐ and multi‐event trauma‐exposed youth: Prevalence, course, prognosis, severity and functional impairment.
– Name: Author
  Label: Authors
  Group: Au
  Data: <searchLink fieldCode="AR" term="%22White%2C+William+F%2E%22">White, William F.</searchLink><br /><searchLink fieldCode="AR" term="%22Burgess%2C+Aaron%22">Burgess, Aaron</searchLink><br /><searchLink fieldCode="AR" term="%22Dalgleish%2C+Tim%22">Dalgleish, Tim</searchLink><br /><searchLink fieldCode="AR" term="%22Dixon%2C+Clare%22">Dixon, Clare</searchLink><br /><searchLink fieldCode="AR" term="%22Halligan%2C+Sarah+L%2E%22">Halligan, Sarah L.</searchLink><br /><searchLink fieldCode="AR" term="%22Hiller%2C+Rachel+M%2E%22">Hiller, Rachel M.</searchLink><br /><searchLink fieldCode="AR" term="%22McKinnon%2C+Anna%22">McKinnon, Anna</searchLink><br /><searchLink fieldCode="AR" term="%22Smith%2C+Patrick%22">Smith, Patrick</searchLink><br /><searchLink fieldCode="AR" term="%22Meiser‐Stedman%2C+Richard%22">Meiser‐Stedman, Richard</searchLink>
– Name: TitleSource
  Label: Source
  Group: Src
  Data: <searchLink fieldCode="JN" term="%22British+Journal+of+Clinical+Psychology%22">British Journal of Clinical Psychology</searchLink>. Sep2024, Vol. 63 Issue 3, p330-346. 17p.
– Name: Subject
  Label: Subjects
  Group: Su
  Data: <searchLink fieldCode="DE" term="%22Post-traumatic+stress+disorder%22">Post-traumatic stress disorder</searchLink><br /><searchLink fieldCode="DE" term="%22Secondary+analysis%22">Secondary analysis</searchLink><br /><searchLink fieldCode="DE" term="%22Research+funding%22">Research funding</searchLink><br /><searchLink fieldCode="DE" term="%22Cognitive+processing+speed%22">Cognitive processing speed</searchLink><br /><searchLink fieldCode="DE" term="%22Symptoms%22">Symptoms</searchLink><br /><searchLink fieldCode="DE" term="%22Functional+status%22">Functional status</searchLink><br /><searchLink fieldCode="DE" term="%22Dissociative+disorders%22">Dissociative disorders</searchLink><br /><searchLink fieldCode="DE" term="%22Emotional+trauma%22">Emotional trauma</searchLink><br /><searchLink fieldCode="DE" term="%22Convalescence%22">Convalescence</searchLink><br /><searchLink fieldCode="DE" term="%22Adolescence%22">Adolescence</searchLink><br /><searchLink fieldCode="DE" term="%22Children%22">Children</searchLink>
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: Objectives: This study aimed, following both single‐ and multi‐event trauma, to ascertain prevalence and course of the dissociative subtype of post‐traumatic stress disorder (PTSD‐DS) in youth; how well early PTSD‐DS predicts later PTSD; and whether dissociation accounts for unique variance in post‐traumatic stress symptoms (PTSS) and functional impairment over and above the effect of other post‐trauma cognitive processing factors and PTSS respectively. Design and Methods: This study is a secondary analysis of data from the Acute Stress Programme for Children and Teenagers study (n = 234) and the Coping in Care After Trauma study (n = 110) in which children had experienced single‐ and multi‐event trauma respectively. Results: PTSD‐DS diagnosis was common in children with PTSD regardless of trauma experienced (>39.0%). PTSD‐DS showed a similar trajectory of natural recovery to PTSD, and it was similarly predictive of later PTSD following single‐event trauma. Finally, dissociation was a significant factor in PTSS and functional impairment. Conclusions: These results should be viewed in the context of several limitations including narrow sample of participants which reduces the generalizability of results, concerns around children's ability to conceptualize challenging concepts such as dissociation and the use of self‐report measures to form diagnostic groups. The PTSD‐DS diagnosis may offer clinical utility to the extant PTSD diagnosis in children and adolescents, as dissociation has been shown to be a contributory factor in the maintenance of both PTSS and functional impairment. Further research is required to inform further editions of the DSM and other diagnostic systems. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
  Label:
  Group: Ab
  Data: <i>Copyright of British Journal of Clinical Psychology is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
PLink https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=pbh&AN=178974164
RecordInfo BibRecord:
  BibEntity:
    Identifiers:
      – Type: doi
        Value: 10.1111/bjc.12461
    Languages:
      – Code: eng
        Text: English
    PhysicalDescription:
      Pagination:
        PageCount: 17
        StartPage: 330
    Subjects:
      – SubjectFull: Post-traumatic stress disorder
        Type: general
      – SubjectFull: Secondary analysis
        Type: general
      – SubjectFull: Research funding
        Type: general
      – SubjectFull: Cognitive processing speed
        Type: general
      – SubjectFull: Symptoms
        Type: general
      – SubjectFull: Functional status
        Type: general
      – SubjectFull: Dissociative disorders
        Type: general
      – SubjectFull: Emotional trauma
        Type: general
      – SubjectFull: Convalescence
        Type: general
      – SubjectFull: Adolescence
        Type: general
      – SubjectFull: Children
        Type: general
    Titles:
      – TitleFull: Investigating the dissociative subtype of post‐traumatic stress disorder in single‐ and multi‐event trauma‐exposed youth: Prevalence, course, prognosis, severity and functional impairment.
        Type: main
  BibRelationships:
    HasContributorRelationships:
      – PersonEntity:
          Name:
            NameFull: White, William F.
      – PersonEntity:
          Name:
            NameFull: Burgess, Aaron
      – PersonEntity:
          Name:
            NameFull: Dalgleish, Tim
      – PersonEntity:
          Name:
            NameFull: Dixon, Clare
      – PersonEntity:
          Name:
            NameFull: Halligan, Sarah L.
      – PersonEntity:
          Name:
            NameFull: Hiller, Rachel M.
      – PersonEntity:
          Name:
            NameFull: McKinnon, Anna
      – PersonEntity:
          Name:
            NameFull: Smith, Patrick
      – PersonEntity:
          Name:
            NameFull: Meiser‐Stedman, Richard
    IsPartOfRelationships:
      – BibEntity:
          Dates:
            – D: 01
              M: 09
              Text: Sep2024
              Type: published
              Y: 2024
          Identifiers:
            – Type: issn-print
              Value: 01446657
          Numbering:
            – Type: volume
              Value: 63
            – Type: issue
              Value: 3
          Titles:
            – TitleFull: British Journal of Clinical Psychology
              Type: main
ResultId 1