TY - JOUR
T1 - Evidence for a dissociative subtype of post-traumatic stress disorder among help-seeking childhood sexual abuse survivors
AU - Ginzburg, Karni
AU - Koopman, Cheryl
AU - Butler, Lisa D.
AU - Palesh, Oxana
AU - Kraemer, Helena C.
AU - Classen, Catherine C.
AU - Spiegel, David
N1 - Funding Information:
Karni Ginzburg is affiliated with the Bob Shappel School of Social Work, Tel Aviv University, Tel Aviv, Israel. Cheryl Koopman, Lisa D. Butler, Oxana Palesh, Helena C. Kraemer, and David Spiegel are affiliated with the Department of Psychiatry and Behavioral Sciences, Stanford University School of Medicine, Stanford, CA. Catherine C. Classen is affiliated with Women’s College of Ambulatory Care Centre, Toronto, Canada. Address correspondence to: Karni Ginzburg, The Bob Shapell School of Social Work, Tel Aviv University, Tel Aviv 69978, Israel (E-mail: [email protected]). The authors express their gratitude to Charles R. Marmar, Lori Peterson, Helen Marlo, Rashi Aggarwal, Courtenay Cavanaugh, Renee Schneider, Ruth Nevo, Nadia Yousef, Elisabeth Thurston, Vicci Smith, and the project participants and interviewers. This study was funded by a grant from the National Institute of Mental Health, MH R01 # 1RO1MH60556 with David Spiegel, as Principal Investigator.
PY - 2006/6/5
Y1 - 2006/6/5
N2 - This study examined evidence for a dissociative subtype of post-traumatic stress disorder (PTSD) among women seeking psychotherapy for childhood sexual abuse (CSA). One hundred and twenty-two women seeking treatment for CSA completed a battery of questionnaires assessing PTSD, dissociative symptoms, and child maltreatment. Using signal detection analysis, we identified high and low dissociation PTSD subgroups. A constellation of three PTSD symptoms-hypervigilance, sense of foreshortened future, and sleep difficulties-discriminated between these two subgroups (OR = 8.15). Further evidence was provided by the finding of a nonlinear relationship between severity of childhood maltreatment and dissociation in the women with PTSD. These results provide support for a dissociative subtype of PTSD that may stem from more severe childhood experiences of neglect and abuse.
AB - This study examined evidence for a dissociative subtype of post-traumatic stress disorder (PTSD) among women seeking psychotherapy for childhood sexual abuse (CSA). One hundred and twenty-two women seeking treatment for CSA completed a battery of questionnaires assessing PTSD, dissociative symptoms, and child maltreatment. Using signal detection analysis, we identified high and low dissociation PTSD subgroups. A constellation of three PTSD symptoms-hypervigilance, sense of foreshortened future, and sleep difficulties-discriminated between these two subgroups (OR = 8.15). Further evidence was provided by the finding of a nonlinear relationship between severity of childhood maltreatment and dissociation in the women with PTSD. These results provide support for a dissociative subtype of PTSD that may stem from more severe childhood experiences of neglect and abuse.
KW - Child maltreatment
KW - Dissociation
KW - Post-traumatic stress disorder
KW - Sexual abuse
KW - Subtype
UR - http://www.scopus.com/inward/record.url?scp=33746573822&partnerID=8YFLogxK
U2 - 10.1300/J229v07n02_02
DO - 10.1300/J229v07n02_02
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C2 - 16769663
AN - SCOPUS:33746573822
SN - 1529-9732
VL - 7
SP - 7
EP - 27
JO - Journal of Trauma and Dissociation
JF - Journal of Trauma and Dissociation
IS - 2
ER -
