Investigating the dissociative subtype of post‐traumatic stress disorder in single‐ and multi‐event trauma‐exposed youth: Prevalence, course, prognosis, severity and functional impairment.
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| 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. |
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| 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 |
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| Header | DbId: pbh DbLabel: Psychology and Behavioral Sciences Collection An: 178974164 AccessLevel: 6 PubType: Academic Journal PubTypeId: academicJournal PreciseRelevancyScore: 0 |
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| 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.) |
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| 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 |
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