The co-occurrence of depression and dissociation: The relevance of childhood trauma

Journal of Psychiatric Research, Год журнала: 2025, Номер 183, С. 157 - 163

Опубликована: Фев. 17, 2025

Язык: Английский

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Persistence and clinical consequences of post-traumatic and dissociative symptoms in people with depressive symptoms: a one-year follow-up study

European journal of psychotraumatology, Год журнала: 2023, Номер 14(2)

Опубликована: Окт. 11, 2023

Recent studies found that post-traumatic and dissociative symptoms are common in people with depressive symptoms. Although a trauma-related subtype of depression has been proposed, little is known about the persistence clinical consequences these symptoms.This one-year follow-up study investigated symptoms.We analyzed longitudinal data from an international sample self-reporting emotions (N = 152) (mean Patient Health Questionnaire-9 score 17.27; SD 6.31).More than half (58.4%) participants baseline stress disorder (PTSD) still met criteria for PTSD after one year. Participants at were significantly more likely to report lifetime psychiatric hospitalization (31.2% vs 14.7%), past-year use (10.4% 0%) emergency services (16.9% 4%) those without All symptom clusters cross-sectionally (r .286 .528, p < .001) longitudinally .181 .462, correlated A sense current threat (β .146, .05) negative self-concept .173, predicted year.These findings contribute increasing body knowledge regarding PTSD/dissociation-depression comorbidity. Given their consequences, we recommend be regularly screened settings. The existence possible should receive attention both research practice.Post-traumatic symptoms.These generally persist over year predict follow-up.Trauma-related

Язык: Английский

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Childhood experiences and dissociation among high school students in China: Theoretical reexamination and clinical implications

International Journal of Social Psychiatry, Год журнала: 2023, Номер 69(8), С. 1949 - 1957

Опубликована: Июнь 23, 2023

Dissociation remains a controversial topic in terms of its prevalence, cross-cultural validity, and relationship with childhood trauma adversities.This study investigated the prevalence dissociative symptoms probable disorders among Chinese high school students tested model dissociation.A total N = 1,720 completed standardized measures positive adverse experiences (PCEs ACEs), dissociation, depression, anxiety.The rates (probable) DSM-5 (DDs) were 11.2% 6.9%, respectively. was reliable construct (ICC .682 to .752, p < .001) moderately correlated general psychopathology (r .424 depressive symptoms, r .423 anxiety symptoms). Participants DD reported more ACEs, fewer PCEs, mental health than those without DD. ACEs significantly associated (β .107, even after controlling for age, depressive, symptoms. PCEs moderated between symptoms.This is first report DDs nonclinical children. We provide evidence that dissociation valid clinical phenomenon children across cultures. The findings partly support dissociation. This contributes limited literature on It also offers empirical data facilitate ongoing controversy about (childhood) Our imply cross-culturally adversities, but not only, sufficient cause. Theoretical implications are discussed.

Язык: Английский

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The bidirectional relationship between depression and dissociation: A longitudinal investigation

Asian Journal of Psychiatry, Год журнала: 2024, Номер 94, С. 103940 - 103940

Опубликована: Фев. 2, 2024

Язык: Английский

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Advances in stress and depression research

Current Opinion in Psychiatry, Год журнала: 2022, Номер 36(1), С. 8 - 13

Опубликована: Окт. 3, 2022

Stress plays a central role in the onset and course of depression. However, only subset people who encounter stressful life events go on to experience depressive episode. The current review highlights recent advances understanding when, why, for whom stress-depression link occurs, we identify avenues future research.In last 18 months, researchers have taken more nuanced perspective biopsychosocial mechanisms critical link. For example, examination specific facets emotion regulation, including regulation flexibility interpersonal has been its Similarly, refined investigations social support allowed distinct - occasionally opposite outcomes depending context or manner which was provided. Researchers also documented that enhanced by dysregulation several stress-sensitive biological systems, such as immune system, microbiome, endocrine neuroanatomical substrates.Recent studies highlight importance adopting moderators explain We encourage continued engagement collaborative, open science uses multiple methods study full breadth human diversity.

Язык: Английский

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A cross-cultural study of different facets of dissociation: Validity and relationship with childhood trauma

Child Abuse & Neglect, Год журнала: 2024, Номер 157, С. 107067 - 107067

Опубликована: Сен. 26, 2024

Язык: Английский

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Reliability and Mental Health Correlates of a Single-Item Measure of Self-Rated Mental Health (SRMH) in the Chinese Context

Healthcare, Год журнала: 2024, Номер 12(1), С. 122 - 122

Опубликована: Янв. 4, 2024

The use of single-item measures self-rated mental health (SRMH) has been increasingly valued in epidemiologic research. However, little is known about the reliability and correlates SRMH Chinese populations. This study examined three samples. We analyzed data collected from two convenience samples adults Hong Kong and/or Taiwan (Sample 1: N = 205; Sample 2: 377), a random sample psychiatric inpatients 3: 100). Our results showed that measure had moderate to good test–retest (intraclass correlation [ICC] 0.75) 1 acceptable between self-report interviewer-administered versions (ICC 0.58) 3. It high positive with self-esteem moderately negative depression. also consistently borderline personality disorder symptoms post-traumatic stress symptoms. score was associated service usage. These findings contribute body knowledge regarding assess overall self-perceived communities.

Язык: Английский

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Is childhood trauma screening distressing? Preliminary findings from two culturally different samples of young people

European Journal of Trauma & Dissociation, Год журнала: 2024, Номер 8(1), С. 100393 - 100393

Опубликована: Фев. 11, 2024

Язык: Английский

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Trauma and dissociation among inpatients diagnosed with schizophrenia spectrum disorders in Taiwan

European journal of psychotraumatology, Год журнала: 2022, Номер 13(2)

Опубликована: Авг. 11, 2022

Background: The overlapping symptoms of schizophrenia and dissociation have been increasingly recognized. This paper explains why it is reasonable to expect that there would be a substantial subgroup patients diagnosed with spectrum disorders (SSDs) who suffer from pathological dissociation. Objective: As little known about the prevalence dissociative among SSDs, we investigated SSDs. Method: We used both self-report measures structured interviews examine in randomly recruited sample inpatients clinical diagnosis SSDs Taiwan (N = 100). Results: Over 60% participants exhibited dissociation, 54% had disorder according interview data; three met DSM-5 diagnostic criteria for identity disorder. concurrent validity this was similar depression reported literature. Participants were more likely report high-betrayal traumas meet post-traumatic stress disorder; they also psychotic than those without Conclusions: one very few studies results indicate not uncommon. Clinical assessment should include facilitate early identification.Antecedentes: Los síntomas superpuestos de Esquizofrenia y Disociación han sido cada vez más reconocidos. Este artículo explica por qué es razonable esperar que estos sean un subgrupo sustancial pacientes diagnosticados con trastornos del espectro la esquizofrenia (SSDs sus siglas en ingles) sufren disociación patológica.Objetivos: Como se conoce poco sobre prevalencia los disociativos entre nosotros investigamos SSDs.Método: Utilizamos medidas autoinforme entrevistas estructuradas para examinar disociativos, una muestra reclutada al azar hospitalizados diagnóstico clínico Taiwán 100).Resultados: Más participantes exhibieron patológica, el tuvo trastorno disociativo según datos estructuradas; tres cumplieron Criterios diagnósticos identidad disociativo. La validez concurrente patológica esta muestra, fue depresión reportada literatura.Los tuvieron probabilidad informar alta-traición cumplían criterios estrés postraumático; también informaron psicóticos aquellos sin disociativo.Conclusiones: uno pocos estudios utilizó resultados indican no infrecuente. evaluación clínica debe incluir facilitar identificación temprana.背景: 思覺失調症和解離在症狀上之重疊漸漸為人所關注。本文解釋為何我們預料不少被診斷患有思覺失調類群障礙症(SSD)之患者可能有病態解離。目的: 由於我們對解離症狀及解離症在SSD患者之盛行率知之甚少，我們探討SSD患者中解離症狀及解離症之普遍性。方法: 我們隨機招募台灣臨床診斷為SSD之住院患者(N 100)，以自評問卷及結構性晤談來探討他們的解離症狀及解離症。結果: 根據結構性晤談的數據，超過60% 的參加者呈現病態解離，54%患有解離症；三名參加者符合DSM-5 解離性身份障礙之診斷標準。在我們的樣本中，病態解離的效度與文獻中思覺失調症患者的抑鬱之效度相近。跟沒有解離症的參加者相比，有解離症的參加者更有可能報告高度背叛創傷，並更大機會符合創傷後壓力症之診斷標準，而他們也報告更多精神病症狀。結論: 這是少數使用結構式晤談來探討SSD 患者之病態解離的研究。結果表明SSD患者之病態解離並不罕見，臨床評估應該包括解離的評估工具，以助及早識別相關狀況。.

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Interpersonal stress mediates the relationship between childhood trauma and depressive symptoms: Findings from two culturally different samples

Australian & New Zealand Journal of Psychiatry, Год журнала: 2022, Номер 57(7), С. 1052 - 1061

Опубликована: Ноя. 28, 2022

Childhood trauma is associated with adulthood depressive symptoms, but very few studies explored potential social and interpersonal mediators behind this association. This study made the first attempt to test mediating effects of stress in associations between childhood betrayal non-betrayal symptoms.We analyzed data a sample English-speaking adults from diverse backgrounds (from 19 different countries, mainly Western countries) (N = 468). We then replicated compared results those another convenience Chinese-speaking younger cultural mental health status 205).The both samples indicated that (1) had stronger relationship symptoms than (2) was significant mediator even when included as covariate. The indirect effect on through not consistent two samples.Our findings point importance taking contexts into account investigating, preventing managing depression trauma-exposed populations. Early interventions such family interventions, skills training building resources may have change trajectory development problems survivors.

Язык: Английский

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