The DOI matches its Crossref record; 59 of the 59 references it cites were found in a registry or an index.
Toward a Psychobiology of Posttraumatic Self‐Dysregulation: Reexperiencing, Hyperarousal, Dissociation, and Emotional Numbing
Abstract
In this article we propose a psychobiological model that construes PTSD fundamentally as a disorder of affect arousal regulation. Neuroimaging studies of emotion regulation in psychologically healthy populations are initially reviewed as a framework for interpreting the results of previously published investigations of the neural correlates of PTSD reexperiencing and dissociation. We then apply the emotion regulation framework toward understanding other perturbed affective states in PTSD. We conclude by discussing the clinical significance of this framework for psychological assessment and treatment of posttrauma psychopathology.
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“Evidence of distinct patterns of neural activity (Frewen and Lanius, 2006;Lanius et al., 2010Lanius et al., , 2012) )”
From A review of the relation between dissociation, memory, executive functioning and social cognition in military members and civilians with neuropsychiatric conditions (2016) · cites this paper as Frewen and Lanius, 2006
In the citing paper
“Within this literature, PTSD has been conceptualized as fundamentally a disorder of affect arousal regulation [53], such that dysregulated arousal can lead to altered or dissociative states.”
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 [53]
In the citing paper
“These findings are in line with established research on relationships between altered or dissociative states of consciousness and a history of childhood trauma and/or current trauma symptoms [27, 51–53].”
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 [53]
In the citing paper
“Notably, approximately 14–30% of traumatized individuals present with the dissociative subtype of PTSD characterized by additional depersonalization and derealization symptoms associated with emotional detachment (Bremner and Southwick, 1992; Sierra and Berrios, 1998; Frewen and Lanius, 2006; Lanius et al., 2010; Pain et al., 2010; Steuwe et al., 2012; Wolf et al., 2012; Stein et al., 2013; Armour”
From How Processing of Sensory Information From the Internal and External Worlds Shape the Perception and Engagement With the World in the Aftermath of Trauma: Implications for PTSD (2021) · cites this paper as Frewen and Lanius, 2006
In the citing paper
“On the behavioral and symptomatic level the disorder is characterized by a strongly impaired capability to regulate emotions (Etkin and Wager, 2007), which may contribute to the manifestation of other characteristic symptoms of the disorder – particularly hyperarousal or avoidance of trauma-related stimuli (Frewen and Lanius, 2006).”
From Rt-fMRI neurofeedback-guided cognitive reappraisal training modulates amygdala responsivity in posttraumatic stress disorder (2020) · cites this paper as Frewen and Lanius, 2006
Citations
Cites
The emerging field of emotion regulation: an integrative review
Gross, J. J. (1998) · Review of General Psychology · doi:10.1037/1089-2680.2.3.271 · Cited by 9,916
(1993) · Cited by 7,136
How do you feel? Interoception: The sense of the physiological condition of the body
Craig, A. D. (2002) · Nature Reviews Neuroscience · doi:10.1038/nrn894 · Cited by 6,006
The cognitive control of emotion
OCHSNER, K., & GROSS, J. (2005) · Trends in Cognitive Sciences · doi:10.1016/j.tics.2005.03.010 · Cited by 4,495
Editorial Office (1997) · Obesity Surgery · doi:10.1381/096089297765555359 · Cited by 3,941
Functional neuroanatomy of emotion: A meta-analysis of emotion activation studies in PET and fMRI
Phan, K. L., Wager, T., Taylor, S. F., & Liberzon, I. (2002) · NeuroImage · doi:10.1006/nimg.2002.1087 · Cited by 3,502
Rethinking feelings: an fMRI study of the cognitive regulation of emotion
Ochsner, K. N., Bunge, S. A., Gross, J. J., & Gabrieli, J. D. E. (2002) · Journal of Cognitive Neuroscience · doi:10.1162/089892902760807212 · Cited by 2,520
Neurobiology of emotion perception I: the neural basis of normal emotion perception
Phillips, M. L., Drevets, W. C., Rauch, S. L., & Lane, R. (2003) · Biological Psychiatry · doi:10.1016/s0006-3223(03)00168-9 · Cited by 2,173
Ochsner, K. N., Ray, R. D., Cooper, J. C., Robertson, E. R., Chopra, S., Gabrieli, J. D. E., & Gross, J. J. (2004) · NeuroImage · doi:10.1016/j.neuroimage.2004.06.030 · Cited by 2,113
The polyvagal theory: phylogenetic substrates of a social nervous system.
Porges, S. W. (2001) · International Journal of Psychophysiology · doi:10.1016/s0167-8760(01)00162-3 · Cited by 1,582
Disorders of extreme stress: The empirical foundation of a complex adaptation to trauma
van der Kolk, B. A., Roth, S., Pelcovitz, D., Sunday, S., & Spinazzola, J. (2005) · Journal of Traumatic Stress · doi:10.1002/jts.20047 · Cited by 1,284
Human cingulate cortex and autonomic control: converging neuroimaging and clinical evidence
Critchley, H. D., Mathias, C. J., Josephs, O., O’Doherty, J., Zanini, S., Dewar, B., Cipolotti, L., Shallice, T., & Dolan, R. J. (2003) · Brain · doi:10.1093/brain/awg216 · Cited by 1,201
Functional neuroanatomy of emotions: A meta-analysis
MURPHY, F. C., NIMMO-SMITH, I., & LAWRENCE, A. D. (2003) · Cognitive, Affective, & Behavioral Neuroscience · doi:10.3758/cabn.3.3.207 · Cited by 1,135
Rauch, S. L., Whalen, P. J., Shin, L. M., McInerney, S. C., Macklin, M. L., Lasko, N. B., Orr, S. P., & Pitman, R. K. (2000) · Biological Psychiatry · doi:10.1016/s0006-3223(00)00828-3 · Cited by 1,111
Cloître, M., Koenen, K. C., Cohen, L. R., & Han, H. (2002) · Journal of Consulting and Clinical Psychology · doi:10.1037//0022-006x.70.5.1067 · Cited by 1,099
Cloitre, M., Koenen, K. C., Cohen, L. R., & Han, H. (2002) · Journal of Consulting and Clinical Psychology · doi:10.1037/0022-006x.70.5.1067 · Cited by 1,097
Goldapple, K., Segal, Z., Garson, C., Lau, M., Bieling, P., Kennedy, S., & Mayberg, H. (2004) · Archives of General Psychiatry · doi:10.1001/archpsyc.61.1.34 · Cited by 1,068
Neural correlates of conscious self-regulation of emotion
Beauregard, M., Lévesque, J., & Bourgouin, P. (2001) · The Journal of Neuroscience · doi:10.1523/jneurosci.21-18-j0001.2001 · Cited by 1,033
Phan, K. L., Fitzgerald, D. A., Nathan, P. J., Moore, G. J., Uhde, T. W., & Tancer, M. E. (2005) · Biological Psychiatry · doi:10.1016/j.biopsych.2004.10.030 · Cited by 892
Dissociation, somatization, and affect dysregulation: the complexity of adaptation of trauma
van der Kolk, B. A., Pelcovitz, D., Roth, S., Mandel, F. S., McFARLANE, A. C., & Herman, J. L. (1996) · American Journal of Psychiatry · doi:10.1176/ajp.153.7.83 · Cited by 886
Neural circuitry underlying voluntary suppression of sadness
Lévesque, J., Eugène, F., Joanette, Y., Paquette, V., Mensour, B., Beaudoin, G., Leroux, J.-M., Bourgouin, P., & Beauregard, M. (2003) · Biological Psychiatry · doi:10.1016/s0006-3223(02)01817-6 · Cited by 689
Forebrain emotional asymmetry: a neuroanatomical basis?
Craig, A. D. (. (2005) · Trends in Cognitive Sciences · doi:10.1016/j.tics.2005.10.005 · Cited by 626
Lanius, R. A., Williamson, P. C., Densmore, M., Boksman, K., Gupta, M. A., Neufeld, R. W., Gati, J. S., & Menon, R. S. (2001) · American Journal of Psychiatry · doi:10.1176/appi.ajp.158.11.1920 · Cited by 521
Cognitive-behavioral treatment of borderline personality disorder
Brasfield, C. R. (1994) · Behaviour Research and Therapy · doi:10.1016/0005-7967(94)90183-x · Cited by 517
Lanius, R. A., Williamson, P. C., Boksman, K., Densmore, M., Gupta, M., Neufeld, R. W. J., Gati, J. S., & Menon, R. S. (2002) · Biological Psychiatry · doi:10.1016/s0006-3223(02)01367-7 · Cited by 505
Nagai, Y., Critchley, H., Featherstone, E., Trimble, M., & Dolan, R. J. (2004) · NeuroImage · doi:10.1016/j.neuroimage.2004.01.019 · Cited by 465
Arousal, numbing, and intrusion: symptom structure of PTSD following assault
Foa, E. B., Riggs, D. S., & Gershuny, B. S. (1995) · American Journal of Psychiatry · doi:10.1176/ajp.152.1.116 · Cited by 453
Objective assessment of peritraumatic dissociation: psychophysiological indicators
(1997) · American Journal of Psychiatry · doi:10.1176/ajp.154.8.1081 · Cited by 347
Cloitre, M., Chase Stovall-McClough, K., Miranda, R., & Chemtob, C. M. (2004) · Journal of Consulting and Clinical Psychology · doi:10.1037/0022-006x.72.3.411 · Cited by 333
Martin, S. D., Martin, E., Rai, S. S., Richardson, M. A., & Royall, R. (2001) · Archives of General Psychiatry · doi:10.1001/archpsyc.58.7.641 · Cited by 324
Recall of emotional states in posttraumatic stress disorder: an fMRI investigation
Lanius, R. A., Williamson, P. C., Hopper, J., Densmore, M., Boksman, K., Gupta, M. A., Neufeld, R. W. J., Gati, J. S., & Menon, R. S. (2003) · Biological Psychiatry · doi:10.1016/s0006-3223(02)01466-x · Cited by 311
Anxiety Reduction through Detachment: Subjective, Physiological, and Neural Effects
Kalisch, R., Wiech, K., Critchley, H. D., Seymour, B., O'Doherty, J. P., Oakley, D. A., Allen, P., & Dolan, R. J. (2005) · Journal of Cognitive Neuroscience · doi:10.1162/0898929054021184 · Cited by 303
Pitman, R. K. (1990) · Archives of General Psychiatry · doi:10.1001/archpsyc.1990.01810180041007 · Cited by 296
Functional Neuroanatomy of Grief: An fMRI Study
Gündel, H., O’Connor, M.-F., Littrell, L., Fort, C., & Lane, R. D. (2003) · American Journal of Psychiatry · doi:10.1176/appi.ajp.160.11.1946 · Cited by 293
Phenomenology and psychological assessment of complex posttraumatic states
Briere, J., & Spinazzola, J. (2005) · Journal of Traumatic Stress · doi:10.1002/jts.20048 · Cited by 287
Krystal, J. H., Webb, E., Cooney, N. L., Kranzler, H. R., Southwick, S. W., Heninger, G. R., & Charney, D. S. (1996) · American Journal of Psychiatry · doi:10.1176/ajp.153.1.83 · Cited by 268
The nature of traumatic memories: a 4-T FMRI functional connectivity analysis
Lanius, R. A., Williamson, P. C., Densmore, M., Boksman, K., Neufeld, R. W., Gati, J. S., & Menon, R. S. (2004) · American Journal of Psychiatry · doi:10.1176/appi.ajp.161.1.36 · Cited by 262
Self-citationLanius, R. A., Williamson, P. C., Bluhm, R. L., Densmore, M., Boksman, K., Neufeld, R. W. J., Gati, J. S., & Menon, R. S. (2005) · Biological Psychiatry · doi:10.1016/j.biopsych.2005.01.011 · Cited by 260
Treatment of complex posttraumatic self-dysregulation.
Lavasani, F., Courtois, C., Steele, K., van der Hart, O., & Nijenhuis, E. (2005) · Journal of Traumatic Stress · doi:10.1002/jts.20051 · Cited by 258
Depersonalisation disorder: clinical features of 204 cases
BAKER, D., Hunter, E. C. M., Lawrence, E., Medford, N., Patel, M. X., Senior, C., Sierra, M., Lambert, M. V., Phillips, M. L., & David, A. S. (2003) · The British Journal of Psychiatry · doi:10.1192/bjp.182.5.428 · Cited by 232
Volitional Control of Autonomic Arousal: A Functional Magnetic Resonance Study
Critchley, H. (2002) · NeuroImage · doi:10.1006/nimg.2002.1147 · Cited by 225
Autonomic Response in Depersonalization Disorder
Sierra, M., Senior, C., Dalton, J., McDonough, M., Bond, A., Phillips, M. L., O'Dwyer, A. M., & David, A. S. (2002) · Archives of General Psychiatry · doi:10.1001/archpsyc.59.9.833 · Cited by 225
Depersonalization disorder: thinking without feeling.
Phillips, M. L., Medford, N., Senior, C., Bullmore, E. T., Suckling, J., Brammer, M. J., Andrew, C., Sierra, M., Williams, S. C. R., & David, A. S. (2001) · Psychiatry Research: Neuroimaging · doi:10.1016/s0925-4927(01)00119-6 · Cited by 215
Neural basis of emotional self-regulation in childhood
Lévesque, J., Joanette, Y., Mensour, B., Beaudoin, G., Leroux, J.-M., Bourgouin, P., & Beauregard, M. (2004) · Neuroscience · doi:10.1016/j.neuroscience.2004.07.032 · Cited by 184
Animal defensive reactions as a model for trauma-induced dissociative reactions
Nijenhuis, E. R. S., Vanderlinden, J., & Spinhoven, P. (1998) · Journal of Traumatic Stress · doi:10.1023/a:1024447003022 · Cited by 182
Sack, M., Hopper, J. W., & Lamprecht, F. (2003) · Biological Psychiatry · doi:10.1016/s0006-3223(03)00677-2 · Cited by 163
Integrating DBT-based techniques and concepts to facilitate exposure treatment for PTSD
Becker, C. B., & Zayfert, C. (2001) · Cognitive and Behavioral Practice · doi:10.1016/s1077-7229(01)80017-1 · Cited by 138
Hooley, J. M., Gruber, S. A., Scott, L. A., Hiller, J. B., & Yurgelun-Todd, D. A. (2005) · Biological Psychiatry · doi:10.1016/j.biopsych.2005.01.012 · Cited by 132
Schaefer, A., Collette, F., Philippot, P., der Linden, M. V., Laureys, S., Delfiore, G., Degueldre, C., Maquet, P., Luxen, A., & Salmon, É. (2003) · NeuroImage · doi:10.1016/s1053-8119(03)00009-0 · Cited by 106
Event-related potential dysfunction in posttraumatic stress disorder: the role of numbing
Felmingham, K. L., Bryant, R. A., Kendall, C., & Gordon, E. (2002) · Psychiatry Research · doi:10.1016/s0165-1781(02)00003-3 · Cited by 93
Probing reward function in post-traumatic stress disorder with beautiful facial images
Elman, I., Dan Ariely, C., Mažar, N., Aharon, I., Lasko, N. B., Macklin, M. L., Orr, S. P., Lukas, S. E., & Pitman, R. K. (2005) · Psychiatry Research · doi:10.1016/j.psychres.2005.04.002 · Cited by 91
Alexithymia in PTSD: Psychometric and FMRI Studies
FREWEN, P. A., PAIN, C., DOZOIS, D. J. A., & LANIUS, R. A. (2006) · Annals of the New York Academy of Sciences · doi:10.1196/annals.1364.029 · Cited by 89
Self-citationHopper, J. W., Frewen, P. A., Sack, M., Lanius, R. A., & van der Kolk, B. A. (2007) · Journal of Psychopathology and Behavioral Assessment · doi:10.1007/s10862-007-9046-0 · Cited by 86
Self-citationNeurobiology of Dissociation: Unity and Disunity in Mind–Body–Brain
Frewen, P., & Lanius, R. A. (2006) · Psychiatric Clinics of North America · doi:10.1016/j.psc.2005.10.016 · Cited by 74
Self-citationAuditory Event-Related Potentials to Tone Stimuli in Combat-Related Posttraumatic Stress Disorder
Metzger, L. J., Orr, S. P., Lasko, N. B., & Pitman, R. K. (1997) · Biological Psychiatry · doi:10.1016/s0006-3223(97)00138-8 · Cited by 67
Koopman, C., Carrión, V. G., Butler, L. D., Sudhakar, S., Palmer, L., & Steiner, H. (2004) · Journal of Traumatic Stress · doi:10.1023/b:jots.0000014676.83722.35 · Cited by 55
Dynamic differentials of stress and coping.
Neufeld, R. W. J. (1999) · Psychological Review · doi:10.1037/0033-295x.106.2.385 · Cited by 52
Nishith, P., Griffin, M. G., & Poth, T. L. (2002) · Biological Psychiatry · doi:10.1016/s0006-3223(01)01346-4 · Cited by 28
Brody, A. L., Saxena, S., Stoessel, P., Gillies, L. A., Fairbanks, L. A., Alborzian, S., Phelps, M. E., Huang, S.-C., Wu, H.-M., Ho, M. L., et al. (2001) · Archives of General Psychiatry · doi:10.1001/archpsyc.58.7.631 · Cited by 5
Flagged first, then by citations
Research works printed but not linked: 3
- Lanius R.A., 2005, A review of neuroimaging studies of hyperarousal and dissociation in PTSD: heterogeneity of response to symptom provocation, J. Psychiatr. Res.
- Vermetten E.&R.Pitman.2005.Pain processing in disorders related to traumatic stress. Symposium presented at the annual meeting of the International Society for Traumatic Stress Studies Toronto Ontario Canada .
- Cloitre M., 2000, Psychotherapy for the Interrupted Life: an Evidence‐Based Guide to Working Through the Complex Trauma of Childhood Abuse
Cited by
Sorted by citations
Cloitre, M., Stolbach, B. C., Herman, J. L., Kolk, B. V. D., Pynoos, R., Wang, J., & Petkova, E. (2009) · Journal of Traumatic Stress · doi:10.1002/jts.20444 · Cited by 1,473
Emotion Modulation in PTSD: Clinical and Neurobiological Evidence for a Dissociative Subtype
Lanius, R. A., Vermetten, E., Loewenstein, R. J., Brand, B., Schmahl, C., Bremner, J. D., & Spiegel, D. (2010) · American Journal of Psychiatry · doi:10.1176/appi.ajp.2009.09081168 · Cited by 1,123
MDMA-assisted therapy for severe PTSD: a randomized, double-blind, placebo-controlled phase 3 study
Mitchell, J. M., Bogenschutz, M., Lilienstein, A., Harrison, C., Kleiman, S., Parker-Guilbert, K., Ot’alora G., M., Garas, W., Paleos, C., Gorman, I., et al. (2021) · Nature Medicine · doi:10.1038/s41591-021-01336-3 · Cited by 1,004
Social Bonds and Posttraumatic Stress Disorder
Charuvastra, A., & Cloitre, M. (2008) · Annual Review of Psychology · doi:10.1146/annurev.psych.58.110405.085650 · Cited by 911
Ehring, T., & Quack, D. (2010) · Behavior Therapy · doi:10.1016/j.beth.2010.04.004 · Cited by 668
Metadata
- Authors
- FREWEN, P. A., & LANIUS, R. A.
- Affiliations
- Western University (CA)
- Corresponding author
- LANIUS, RUTH A.
- Venue
- Annals of the New York Academy of Sciences
- Publisher
- Wiley
- Published
- 2006-07
- Volume
- 1071
- Issue
- 1
- Pages
- 110-124
- ISSN
- 0077-8923 (ISSN-L)
- 1749-6632
- OpenAlex
- W2104622135
- Cited by
- 306
- References
- 58
- Citations by year
- 2026: 13 · 2025: 18 · 2024: 12 · 2023: 13 · 2022: 14 · 2021: 15 · 2020: 25 · 2019: 15 · 2018: 14 · 2017: 16 · 2016: 15 · 2015: 28 · 2014: 15 · 2013: 14 · 2012: 13
- FWCI
- 1.72
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Annals of the New York Academy of Sciences (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Posttraumatic Stress Disorder Research
- Social Sciences › Psychology › Clinical Psychology › Psychoanalysis and Psychopathology Research
- Health Sciences › Medicine › Clinical Neurology › Traumatic Brain Injury Research
- Keywords
- post-traumatic stress disorder, emotion regulation, psychobiological model, re-experiencing, dissociation, neural correlates, psychological assessment, PTSD treatment
- MeSH terms
- Adaptation, Psychological, Arousal, Dissociative Disorders, Emotions, Humans, Magnetic Resonance Imaging, Mental Recall, Stress Disorders, Post-Traumatic, Wounds and Injuries
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