Psychological trauma at different developmental stages and ICD-11 CPTSD: The role of dissociation

dc.contributor.authorJowett, Sally
dc.contributor.authorKaratzias, Thanos
dc.contributor.authorShevlin, Mark
dc.contributor.authorHyland, Philip
dc.date.accessioned2023-07-31T21:56:00Z
dc.date.available2023-07-31T21:56:00Z
dc.date.issued2021-06-18
dc.description17 pagesen_US
dc.description.abstractBackground: Dissociation is commonly reported by individuals who meet criteria for posttraumatic stress disorder (PTSD) and complex posttraumatic stress disorder (CPTSD). However, the association between the age of trauma exposure, dissociation, and CPTSD is not well understood. This study aimed to test whether dissociation mediated the relationship between the developmental stage of trauma exposure and CPTSD symptoms. Method: A nationally representative sample from Ireland (N = 1020) completed self-report measures on trauma exposure in childhood, adolescence, adulthood, current trauma symptomatology, and dissociation symptoms. A mediation analysis was conducted. Results: Childhood, adolescent, and adulthood trauma exposure were all related to dissociation and ICD-11 CPTSD symptom clusters. Dissociation mediated the effect of developmental stage of trauma exposure on PTSD and disturbances in selforganization( DSO). The direct and indirect effect models provided the best fit of the data. Childhood trauma exposure was the only developmental stage that was directly associated with both PTSD and DSO symptoms in our sample. Conclusion: Dissociation mediates the relationship between reported trauma exposure and the presence of ICD-11 CPTSD symptom clusters, and this relationship appears at its strongest when trauma occurs in childhood. CPTSD interventions should also promote dissociation management to aid recovery from this debilitating condition.en_US
dc.identifier.citationSally Jowett, Thanos Karatzias, Mark Shevlin & Philip Hyland (2022) Psychological trauma at different developmental stages and ICD-11 CPTSD: The role of dissociation, Journal of Trauma & Dissociation, 23:1, 52-67, DOI: 10.1080/15299732.2021.1934936en_US
dc.identifier.doihttps://doi.org/10.1080/15299732.2021.1934936
dc.identifier.urihttps://www.tandfonline.com/doi/full/10.1080/15299732.2021.1934936
dc.identifier.urihttps://hdl.handle.net/1794/28631
dc.language.isoenen_US
dc.publisherTaylor & Francis Groupen_US
dc.rightsCreative Commons BY-NC-ND 4.0-USen_US
dc.subjectdissociationen_US
dc.subjectcomplex posttraumatic stress disorder (CPTSD)en_US
dc.subjecttraumaen_US
dc.subjectchildhood traumaen_US
dc.subjectpopulationen_US
dc.titlePsychological trauma at different developmental stages and ICD-11 CPTSD: The role of dissociationen_US
dc.typeArticleen_US

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