Journal of Dual Diagnosis,
Journal Year:
2024,
Volume and Issue:
20(1), P. 52 - 85
Published: Jan. 2, 2024
The
opioid
epidemic
has
exposed
a
gulf
in
mental
health
research,
treatment,
and
policy:
Most
patients
with
comorbid
trauma-related
disorder
(TRD)
use
(OUD)
(TRD
+
OUD)
remain
undiagnosed
or
unsuccessfully
treated
for
the
combination
of
TRD
symptoms
use.
treatments
tend
to
be
psychotherapies
that
are
not
accessible
practical
many
individuals
OUD,
due
treatment
models
systematically
incorporating
principles
harm
reduction
(HR).
HR
practices
prioritize
flexibility
unequivocally
improve
outcomes
save
lives
OUD.
Considering
urgent
need
OUD
outcomes,
we
propose
fields
can
meaningfully
reconciled
by
integrating
classic
phasic
TRD.
Adding
"prestabilization"
phase
–
largely
analogous
precontemplation
Stage
Change
creates
opportunities
advance
clinical
practice,
policies
potentially
patient
outcomes.
Medicina,
Journal Year:
2024,
Volume and Issue:
60(3), P. 408 - 408
Published: Feb. 28, 2024
Background
and
Objectives:
Traumatic
events
adversely
affect
the
clinical
course
of
obsessive–compulsive
disorder
(OCD).
Our
study
explores
correlation
between
prolonged
interpersonal
trauma
severity
symptoms
related
to
OCD
anxiety
disorders.
Materials
Methods:
The
follows
a
cross-sectional
observational
design,
employing
International
Trauma
Questionnaire
(ITQ)
examine
areas
linked
trauma,
Hamilton
Anxiety
Rating
Scale
(HAM-A),
Yale–Brown
Obsessive–Compulsive
(Y-BOCS)
assess
anxious
symptoms,
respectively.
Descriptive
analysis,
analysis
variance
(ANOVA),
logistic
regression
analyses
were
conducted.
Results:
We
recruited
107
OCD-diagnosed
patients,
categorizing
them
into
subgroups
based
on
presence
or
absence
complex
post-traumatic
stress
(cPTSD).
ANOVA
revealed
statistically
significant
differences
two
groups
in
onset
age
(p
=
0.083),
psychiatric
familial
history
0.023),
HAM-A,
Y-BOCS
<
0.0001).
Logistic
indicated
association
cPTSD
scores
Conclusions:
coexistence
exacerbates
increases
burden
anxiety.
Further
advancements
this
field
are
crucial
for
mitigating
impact
early
trajectory
associated
symptoms.
Frontiers in Psychiatry,
Journal Year:
2025,
Volume and Issue:
15
Published: Jan. 15, 2025
Background
Previous
research
has
indicated
cognitive
impairments
in
patients
with
post-traumatic
stress
disorder
(PTSD),
specifically
attention,
memory,
and
executive
functioning.
However,
there
is
limited
knowledge
about
the
profile
of
individuals
complex
PTSD
(cPTSD),
a
new
diagnosis
ICD-11.
Moreover,
predictors
impairment
remain
unclear.
The
present
study
aims
to
enhance
understanding
functioning
its
cPTSD
compared
non-complex
(ncPTSD).
Methods
N
=
64
participants
(
n
34
cPTSD,
30
ncPTSD)
completed
psychometric
questionnaires
neuropsychological
test
set
Cognitive
Basic
Assessment
(COGBAT)
assessing
general
index,
visual
First,
results
both
groups
were
COGBAT
norm
sample.
Secondly,
group
differences
domains
analyzed
using
student
t
-tests
independent
samples
(cPTSD
vs.
ncPTSD).
Thirdly,
bivariate
multivariate
regressions
examined
influencing
factors
impairment.
Results
Both
showed
comparison
group.
Significant
between
ncPTSD
found
memory
p
.003)
selective
attention
.004).
In
regression,
type
age
significantly
impact
while
PTSD,
age,
psychotropic
medication
significant
effects
on
attention.
Conclusions
Given
higher
symptom
severity
deficits
more
intensive
diverse
interventions
should
be
considered
comprehensive
treatment
plans,
for
instance,
training.
Frontiers in Psychology,
Journal Year:
2025,
Volume and Issue:
16
Published: March 4, 2025
This
paper
introduces
the
hypothesis
of
Psychedelic
Iatrogenic
Structural
Dissociation
(PISD),
proposing
that
psychedelics
may
reactivate
dissociated
traumatic
material,
increasing
risk
psychological
destabilization
in
trauma-exposed
individuals.
Grounded
structural
dissociation
theory,
this
framework
suggests
can
disrupt
balance
between
daily
functioning
(the
Apparently
Normal
Personality,
ANP)
and
trauma-related
responses
Emotional
EP),
leading
to
resurfacing
unintegrated
memories.
A
review
recent
studies
highlights
persistent
adverse
effects
associated
with
psychedelic
use,
including
emotional
dysregulation,
identity
fragmentation,
derealization,
perceptual
disturbances,
particularly
among
individuals
early
trauma
histories.
To
mitigate
these
risks
facilitate
processing,
integration
practices,
body-focused
therapies,
structured
social
support
systems
are
proposed
as
key
interventions.
Additionally,
emerging
neurophysiological
models
suggest
reconfigure
dissociative
processes
through
modulation
entrenched
patterns,
potentially
facilitating
or
vulnerability
destabilization,
depending
on
individual
contextual
factors.
These
findings
underscore
necessity
trauma-informed
screening,
preparation,
protocols
enhance
safety
efficacy
for
vulnerable
populations.
General Psychiatry,
Journal Year:
2025,
Volume and Issue:
38(2), P. e101277 - e101277
Published: March 1, 2025
Background
Non-suicidal
self-injury
(NSSI)
is
a
significant
health
concern
among
adolescents
and
young
adults,
often
resulting
from
adverse
childhood
experiences
(ACEs).
Dissociation,
post-traumatic
symptoms
attachment
style
may
have
role
in
shaping
such
associations.
Aims
This
study
aims
to
provide
unified
model
of
the
impact
ACEs
on
NSSI,
exploring
complex
stress
disorder
(cPTSD)
dissociation
as
potential
mediators
predominant
affecting
Methods
1010
individuals
attending
last
year
high
school
participated
this
cross-sectional
study.
ACEs,
cPTSD,
NSSI
were
evaluated
using
self-report
questionnaires.
We
fitted
path
with
exogenous
variables
cPTSD
sequential
mediators.
Secure,
fearful
preoccupied
styles
modelled
grouping
variables.
Results
Our
findings
showed
that
mediated
subjects
style,
opposed
those
for
whom
ACEs-NSSI
association.
Conclusions
Attachment
moderate
relationship
between
either
or
symptomatology
mediating
depending
style.
results
highlight
importance
pathway
modifier
relationships
different
psychopathology
dimensions,
providing
useful
framework
better
conceptualise
Psychiatry Research,
Journal Year:
2024,
Volume and Issue:
339, P. 116076 - 116076
Published: June 30, 2024
The
extent
to
which
complex
post-traumatic
stress
disorder
(C-PTSD)
can
be
conceptualized
as
a
dissociative
remains
an
ongoing
debate.
This
study
investigated
the
prevalence
and
correlates
of
symptoms
in
people
with
C-PTSD.
We
analyzed
baseline
data
from
international
randomized
controlled
trial.
A
total
165
intervention
seekers
who
met
ICD-11
criteria
for
C-PTSD
completed
standardized
self-report
measures
trauma,
symptoms,
depressive
work
social
impairments.
In
this
sample,
only
42.3
%
participants
exhibited
clinically
significant
symptoms.
Dissociative
had
unique
association
impairments
our
C-PTSD,
even
after
controlling
trauma
exposure
does
not
support
theory
that
is
disorder.
However,
findings
highlight
importance
recognizing
dissociation
Journal of Loss and Trauma,
Journal Year:
2023,
Volume and Issue:
29(5), P. 544 - 564
Published: Oct. 18, 2023
Recent
studies
showed
that
the
ICD-11
C-PTSD
is
associated
with
considerable
individual
and
social
consequences.
This
study
focused
on
persistence
psychological
predictors
of
C-PTSD.
We
analyzed
longitudinal
survey
data
from
a
sample
Hong
Kong
adults
(N
=
230)
an
interval
approximately
six
months.
Participants
completed
standardized
self-report
measures
various
factors
(including
self-criticism,
self-compassion,
ruminative
response,
event
centrality,
experiential
avoidance)
at
both
timepoints.
Over
80%
participants
probable
baseline
remained
to
meet
criteria
for
PTSD/C-PTSD
follow-up,
while
over
50%
PTSD
remitted
follow-up.
were
characterized
by
greater
use
mental
health
services
Additionally,
hierarchical
multiple
regression
that,
among
variety
factors,
avoidance
was
only
significant
predictor
(β
0.271,
p
.001)
disturbances
in
self-organization
(DSO)
0.200,
.011)
symptoms,
after
controlling
symptom
severity
treatment
usage.
shows
persists
time
its
symptoms
are
predicted
avoidance.
More
efforts
needed
prevent
address
community.
also
offer
insights
into
management
trauma-related
disorders.
Journal of Trauma & Dissociation,
Journal Year:
2023,
Volume and Issue:
25(2), P. 153 - 167
Published: July 9, 2023
The
impacts
of
adverse
childhood
experiences
(ACEs)
have
been
well
documented.
One
possible
consequence
ACEs
is
dissociation,
which
a
major
feature
post-traumatic
psychopathology
and
also
associated
with
considerable
impairment
health
care
costs.
Although
are
known
to
be
both
psychoform
somatoform
much
less
about
the
mechanisms
behind
this
relationship.
Little
whether
social
interpersonal
factors
such
as
family
environments
would
moderate
relationship
between
dissociation.
This
paper
discusses
importance
having
positive
healthy
environment
in
trauma
recovery.
We
then
report
findings
preliminary
study
we
examined
association
dissociation
moderated
by
well-being
convenience
sample
Hong
Kong
adults
(N
=
359).
number
was
positively
dissociative
symptoms,
but
level
well-being.
only
when
scores
were
low.
These
moderating
effects
medium.
point
potential
using
education
intervention
programs
prevent
treat
trauma-related
further
investigation
needed.
