Reappraising the link between peritraumatic dissociation and PTSD symptom severity: Evidence from a longitudinal study of community violence survivors.
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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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).”
From Dissociation and memory fragmentation in post-traumatic stress disorder: An evaluation of the dissociative encoding hypothesis (2012) · cites this paper as 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).”
From Dissociation and memory fragmentation in post-traumatic stress disorder: An evaluation of the dissociative encoding hypothesis (2012) · cites this paper as Marshall & Schell, 2002
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- Authors
- Marshall, G. N., & Schell, T. L.
- Affiliations
- RAND Corporation (US)
- ORCID
- Schell, Terry L.
- 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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