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Bitte verwenden Sie diesen Link, wenn Sie dieses Dokument zitieren oder verlinken wollen: https://nbn-resolving.org/urn:nbn:de:gbv:9-opus-30903

From Childhood Trauma to Adult Dissociation: The Role of PTSD and Alexithymia

  • Background: The mechanism of how childhood trauma leads to increased risk for adult dissociation is not sufficiently understood. We sought to investigate the predicting effects and the putatively mediating roles of PTSD and alexithymia on the path from childhood trauma to adult dissociation. Methods: A total of 666 day-clinic outpatients were administered the Childhood Trauma Questionnaire (CTQ), the Toronto Alexithymia Scale (TAS-20), the Posttraumatic Diagnostic Scale (PDS), and the Dissociative Experiences Scale (DES) and controlled for sex, age, and the Global Symptom Index (GSI). Linear regression analyses and mediation analyses were applied. Results: Independent predictive effects on dissociation were found for childhood trauma, alexithymia and PDS, even after adjusting for GSI. Effects of childhood neglect on dissociation were slightly stronger than of abuse. Alexithymia did not mediate the path from childhood trauma to dissociation. Mediation by PDS was specific for childhood abuse, with all PTSD symptom clusters being significantly involved. Conclusions: Childhood abuse and neglect are important predictors of dissociation. While the effects of abuse are mediated by PTSD, the mechanism of how neglect leads to dissociation remains unclear. The results further support the predictive value of alexithymia for adult dissociation above and beyond the effects of childhood trauma, PTSD, and GSI scores.

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Author: Jan Terock, Sandra Van der Auwera, Deborah Janowitz, Carsten Spitzer, Sven Barnow, Martin Miertsch, Harald J. Freyberger, Hans-Jörgen Grabe
URN:urn:nbn:de:gbv:9-opus-30903
URL:http://www.karger.com/
DOI:https://doi.org/10.1159/000449004
ISSN:0254-4962
ISSN:1423-033X
Pubmed Id:https://pubmed.ncbi.nlm.nih.gov/27623153
Parent Title (English):Psychopathology
Publisher:S. Karger AG
Place of publication:Basel, Switzerland
Document Type:Article
Language:English
Date of first Publication:2016/09/14
Release Date:2020/09/29
Tag:Alexithymia; Childhood trauma; Dissociation; Mediation analysis; PTSD
GND Keyword:-
Volume:49
Issue:5
First Page:374
Last Page:382
Faculties:Universitätsmedizin / Klinik für Psychiatrie und Psychotherapie
Licence (German):License LogoUrheberrechtlich geschützt