Cited by 162Posttraumatic Stress Disorder ResearchPsychosomatic Disorders and Their TreatmentsChild Abuse and Trauma

Reappraising the link between peritraumatic dissociation and PTSD symptom severity: Evidence from a longitudinal study of community violence survivors.

Marshall, Grant N., Schell, Terry L.·2002·Journal of Abnormal Psychology

Abstract

Cross-lagged panel analysis of longitudinal data collected from young adult survivors of community violence was used to examine the relationship between recall of peritraumatic dissociation and posttraumatic stress disorder (PTSD) symptom severity. Recollections of peritraumatic dissociation assessed within days of exposure differed from recollections measured at 3- and 12-month follow-up interviews. Peritraumatic dissociation was highly correlated with PTSD symptoms within each wave of data collection. Baseline recollections of peritraumatic dissociation were not predictive of follow-up PTSD symptom severity after controlling for baseline PTSD symptom severity. This pattern of results replicates previous work demonstrating a correlation between peritraumatic dissociation and subsequent symptom severity. However, findings are not consistent with the prevailing view that peritraumatic dissociation leads to increased PTSD symptom severity.

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Crossref · 10.1037/0021-843x.111.4.626

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  • Although dissociation is commonly reported in trauma survivors, it is not necessary for the development of PTSD.

    “Investigations of specificity and sensitivity find that, although dissociation is commonly reported in survivors of trauma, it is not necessary for the development of PTSD (Briere, 2006; Holen, 1993; Marshall & Schell, 2002).”
  • The relationship between peritraumatic dissociation and chronic PTSD may be mediated by arousal-related factors such as fears of death and loss of control or initial symptom severity.

    “Indeed, the relationship between peritraumatic dissociation and chronic PTSD may be mediated by factors related to arousal such as fears of death and loss of control (Gershuny, Cloitre, & Otto, 2003) or initial symptom severity (Marshall & Schell, 2002; Marx & Sloan, 2005).”

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Authors
Marshall, G. N., & Schell, T. L.
Affiliations
RAND Corporation (US)
Venue
Journal of Abnormal Psychology
Published
2002-11
Volume
111
Issue
4
Pages
626-636
ISSN
  • 0021-843X (ISSN-L)
  • 1939-1846
OpenAlex
W2116768023
Cited by
162
References
9
Citations by year
2025: 1 · 2024: 2 · 2022: 1 · 2020: 3 · 2019: 4 · 2018: 5 · 2017: 4 · 2016: 6 · 2015: 5 · 2014: 11 · 2013: 6 · 2012: 15
FWCI
11.48
Type
journal article
Language
en
Open access
closed
Locations
  • Journal of Abnormal Psychology (publishedVersion)
  • PubMed (publishedVersion)
Funders
National Institute of Mental Health (R01MH056122)
Topics
  • Social Sciences › Psychology › Clinical Psychology › Posttraumatic Stress Disorder Research
  • Health Sciences › Medicine › Psychiatry and Mental health › Psychosomatic Disorders and Their Treatments
  • Social Sciences › Psychology › Clinical Psychology › Child Abuse and Trauma
Keywords
peritraumatic dissociation, post-traumatic stress disorder, PTSD symptom severity, young adults, cross-lagged panel model, longitudinal prediction, trauma exposure
MeSH terms
Adolescent, Adult, Dissociative Disorders, Female, Follow-Up Studies, Humans, Interviews as Topic, Longitudinal Studies, Male, Models, Psychological, Mental Recall, Severity of Illness Index, Stress Disorders, Post-Traumatic, Violence, Survivors

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