Cited by 50Child Abuse and TraumaPsychosomatic Disorders and Their TreatmentsPsychoanalysis and Psychopathology Research

Child abuse and neglect in complex dissociative disorder, abuse-related chronic PTSD, and mixed psychiatric samples

Dorahy, Martin J., Middleton, Warwick, Seager, Lenaire, Williams, Mary, Chambers, Ron·2016·Journal of Trauma & Dissociation

Abstract

Only a select number of studies have examined different forms of child maltreatment in complex dissociative disorders (DDs) in comparison to other groups. Few of these have used child abuse-related chronic posttraumatic stress disorder (C-PTSD) and mixed psychiatric (MP) patients with maltreatment as comparison groups. This study examined child sexual, physical, and emotional abuse as well as physical and emotional neglect in DD (n = 39), C-PTSD (n = 13), and MP (n = 21) samples, all with abuse and neglect histories. The predictive capacity of these different forms of maltreatment across the 3 groups was assessed for pathological dissociation, shame, guilt, relationship esteem, relationship anxiety, relationship depression, and fear of relationships. All forms of maltreatment differentiated the DD from the MP group, and sexual abuse differentiated the DD sample from the C-PTSD group. Childhood sexual abuse was the only predictor of pathological dissociation. Emotional abuse predicted shame, guilt, relationship anxiety, and fear of relationships. Emotional neglect predicted relationship anxiety and relationship depression. Physical neglect was associated with less relationship anxiety. Different forms of abuse and neglect are associated with different symptom clusters in psychiatric patients with maltreatment histories.

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Crossref · 10.1080/15299732.2015.1077916

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Authors
Dorahy, M. J., Middleton, W., Seager, L., Williams, M., & Chambers, R.
Affiliations
  • University of Canterbury (NZ)
  • Belmont Hospital (AU)
  • Canterbury District Health Board (NZ)
Corresponding author
Dorahy, Martin J.
Venue
Journal of Trauma & Dissociation
Published
2015-08-14
Volume
17
Issue
2
Pages
223-236
ISSN
  • 1529-9732 (ISSN-L)
  • 1529-9740
OpenAlex
W1935411662
Cited by
50
References
52
Citations by year
2026: 2 · 2025: 9 · 2024: 4 · 2023: 10 · 2022: 5 · 2021: 2 · 2020: 5 · 2019: 4 · 2018: 3 · 2017: 5
FWCI
3.31
Type
journal article
Language
en
Open access
closed
Locations
  • Journal of Trauma & Dissociation (publishedVersion)
  • PubMed (publishedVersion)
  • UC Research Repository (University of Canterbury) (submittedVersion)
Topics
  • Social Sciences › Psychology › Clinical Psychology › Child Abuse and Trauma
  • Health Sciences › Medicine › Psychiatry and Mental health › Psychosomatic Disorders and Their Treatments
  • Social Sciences › Psychology › Clinical Psychology › Psychoanalysis and Psychopathology Research
Keywords
child abuse, child neglect, chronic posttraumatic stress disorder, child sexual abuse, emotional abuse, physical abuse, emotional neglect, physical neglect, pathological dissociation, shame, guilt, relationship anxiety
MeSH terms
Aged, Chronic Disease, Dissociative Disorders, Female, Humans, Interpersonal Relations, Male, Middle Aged, Surveys and Questionnaires, Stress Disorders, Post-Traumatic, Adult Survivors of Child Abuse

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