Evidence for a dissociative subtype of post-traumatic stress disorder among help-seeking childhood sexual abuse survivors
Abstract
This study examined evidence for a dissociative subtype of post-traumatic stress disorder (PTSD) among women seeking psychotherapy for childhood sexual abuse (CSA). One hundred and twenty-two women seeking treatment for CSA completed a battery of questionnaires assessing PTSD, dissociative symptoms, and child maltreatment. Using signal detection analysis, we identified high and low dissociation PTSD subgroups. A constellation of three PTSD symptoms-hypervigilance, sense of foreshortened future, and sleep difficulties-discriminated between these two subgroups (OR = 8.15). Further evidence was provided by the finding of a nonlinear relationship between severity of childhood maltreatment and dissociation in the women with PTSD. These results provide support for a dissociative subtype of PTSD that may stem from more severe childhood experiences of neglect and abuse.
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Early work indicated that a subset of individuals with PTSD experienced chronically higher levels of dissociation.
“Early work, including that of Putnam et al. (1996), indicated that a subset of individuals with PTSD experienced chronically higher levels of dissociation (see also Ginzburg et al., 2006).”
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 Ginzburg et al., 2006
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References 51 · Cited by 101
- Authors
- Ginzburg, K., Koopman, C., Butler, L. D., Palesh, O., Kraemer, H. C., Classen, C. C., & Spiegel, D.
- Affiliations
- Tel Aviv University (IL)
- Stanford Medicine (US)
- Women's College of Ambulatory Care Centre
- Venue
- Journal of Trauma & Dissociation
- Publisher
- Informa UK Limited
- Published
- 2006-06-05
- Volume
- 7
- Issue
- 2
- Pages
- 7-27
- ISSN
- 1529-9732 (ISSN-L)
- 1529-9740
- OpenAlex
- W2018772727
- Cited by
- 101
- References
- 51
- Citations by year
- 2026: 3 · 2025: 3 · 2023: 2 · 2022: 2 · 2021: 3 · 2020: 5 · 2019: 7 · 2018: 7 · 2017: 6 · 2016: 3 · 2015: 7 · 2014: 16 · 2013: 6 · 2012: 14
- FWCI
- 2.21
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Trauma & Dissociation (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institute of Mental Health (1R01MH60556, R01MH060556)
- 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, dissociation, hypervigilance, sleep disorders, child abuse, child neglect, women, help-seeking
- MeSH terms
- Adolescent, Adult, Child, Child Abuse, Sexual, Child, Preschool, Dissociative Disorders, Female, Humans, Middle Aged, Psychotherapy, Surveys and Questionnaires, Stress Disorders, Post-Traumatic, Stress, Psychological
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