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Cited by 21Posttraumatic Stress Disorder ResearchChild Abuse and TraumaPsychosomatic Disorders and Their Treatments

Standardized mirror confrontation: Body-related emotions, cognitions and level of dissociation in patients with Posttraumatic Stress Disorder after childhood sexual abuse

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Borgmann, Elisabeth, Kleindienst, Nikolaus, Vocks, Silja, Dyer, Anne Sibilla·2014·Borderline Personality Disorder and Emotion Dysregulation
DOI 10.1186/2051-6673-1-10PMC PMC4579512
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Abstract

BACKGROUND: A criterion for Posttraumatic Stress Disorder (PTSD) is the avoidance of trauma-associated stimuli that trigger emotional suffering. First studies on body image of patients with PTSD after childhood sexual abuse (CSA) support the hypothesis that awareness of the own body triggers emotional suffering. METHODS: Body-related emotions, cognitions and level of dissociation of n = 17 patients meeting DSM-IV criteria for PTSD and n = 29 healthy controls (HCs) during a standardized mirror confrontation while wearing a standard bikini were assessed. RESULTS: It was shown that expecting to be and while being confronted with one's own body, patients with PTSD showed significantly stronger negative emotionality and cognitions as well as higher dissociative states as compared to HCs. CONCLUSIONS: Findings suggest that in patients with PTSD after CSA, one's own body might function as a stimulus that leads to aversive emotional responses, negative cognitions and dissociative states. The elaboration of treatment for PTSD should consider these body-related aspects, e.g., by investigating the effects of body exposure.

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  • Among survivors of childhood sexual trauma, body awareness has been found to trigger strongly aversive emotions such as anxiety, shame, guilt, disgust, and anger, as well as dissociative states.

    “Among survivors of childhood sexual trauma, body awareness has been found to trigger strongly aversive emotions such as anxiety, shame, guilt, disgust, and anger, as well as dissociative states [45, 46].”

    From Childhood trauma and subclinical PTSD symptoms predict adverse effects and worse outcomes across two mindfulness-based programs for active depression (2025) · cites this paper as [46]

    The Results and discussion (page unavailable) report that mirror confrontation increased negative emotions in women with PTSD after childhood sexual abuse and that they showed higher dissociative states than healthy controls. Disgust, shame, guilt and anger increased significantly at points during confrontation, but anxiety did not significantly increase at its start. The claim also generalizes from this specific PTSD sample to survivors of childhood sexual trauma more broadly. (LLM, conf=0.86)

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Authors
Borgmann, E., Kleindienst, N., Vocks, S., & Dyer, A. S.
Affiliations
  • Heidelberg University (DE)
  • Osnabrück University (DE)
  • University of Mannheim (DE)
Corresponding author
Dyer, Anne Sibilla
ORCID
Venue
Borderline Personality Disorder and Emotion Dysregulation
Publisher
Springer Science and Business Media LLC
Published
2014-07-25
Volume
1
Issue
1
Pages
10-10
ISSN
2051-6673 (ISSN-L)
DOI
10.1186/2051-6673-1-10
PMC
PMC4579512
OpenAlex
W2140256000
Cited by
21
References
33
Citations by year
2025: 4 · 2024: 2 · 2023: 2 · 2021: 3 · 2020: 2 · 2019: 1 · 2018: 3 · 2017: 2 · 2016: 1 · 2015: 1
FWCI
1.58
Type
journal article
Language
en
Open access
Licence
cc-by
Locations
  • Borderline Personality Disorder and Emotion Dysregulation (publishedVersion, cc-by)
  • PubMed Central (publishedVersion, cc-by)
  • PubMed (publishedVersion)
  • osnaDocs (Osnabrück University) (submittedVersion, cc-by)
Topics
  • Social Sciences › Psychology › Clinical Psychology › Posttraumatic Stress Disorder Research
  • Social Sciences › Psychology › Clinical Psychology › Child Abuse and Trauma
  • Health Sciences › Medicine › Psychiatry and Mental health › Psychosomatic Disorders and Their Treatments
Keywords
post-traumatic stress disorder, child sexual abuse, body image, negative thinking, dissociation, trauma avoidance

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