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An osteopathic approach to post-traumatic stress disorder in sexually abused women: a case report 整骨疗法治疗性侵妇女创伤后应激障碍:一例报告
IF 2 Q3 PSYCHIATRY Pub Date : 2025-09-01 Epub Date: 2025-06-09 DOI: 10.1016/j.ejtd.2025.100567
Adriana Gutiv , Jérémie Mattatia

Case presentation

Sexual Assaults (SA) frequently lead to post-traumatic stress disorder (PTSD), with psychological and physical repercussions. This case report describes the effect of osteopathic treatment in regulating these symptoms in a woman who reported having been the victim of several assaults.

Materials and methods

The patient received five osteopathic treatments in response to neck and shoulder pain, nocturnal bruxism, sleep disorders, headaches and various musculoskeletal pains that the patient correlated chronologically with her various episodes of sexual and physical aggression.

Results

A significant improvement was observed in this patient using the PCL-5 scale. The patient also showed a marked improvement in her various somatic symptoms from the third consultation onwards.

Discussion

Osteopathy could be considered as a complementary, non-substitutive approach to psychological care. Several studies relating to PTSD have highlighted the added value of a bodily approach in helping patients progress towards recovery. This therapy has already been the subject of clinical cases with similar results in the context of war trauma.

Conclusion

The osteopathic approach could be a valuable aid in the management of post-traumatic stress linked to sexual assault. It notably could be a means of evoking in a different way the various physical sufferings that are sometimes imperceptible to imaging and to the various medical physical examinations.
性侵犯(SA)经常导致创伤后应激障碍(PTSD),具有心理和身体上的影响。本病例报告描述了整骨疗法在调节这些症状的妇女谁已报告了几次袭击的受害者的效果。材料和方法患者接受了5种骨科治疗,以应对颈肩疼痛、夜间磨牙、睡眠障碍、头痛和各种肌肉骨骼疼痛,患者的各种性侵犯和身体攻击发作按时间顺序相关。结果患者的PCL-5评分有明显改善。从第三次问诊开始,患者的各种躯体症状也有明显改善。整骨疗法可以被认为是一种补充性的、非替代性的心理治疗方法。几项与创伤后应激障碍有关的研究强调了身体疗法在帮助患者康复方面的附加价值。这种疗法已经成为临床案例的主题,在战争创伤的背景下产生了类似的结果。结论整骨疗法是治疗性侵犯创伤后应激的有效方法。很明显,它可以以不同的方式唤起各种身体上的痛苦这些痛苦有时是无法通过成像和各种医学体检察觉的。
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引用次数: 0
Trouble dissociatif complexe et régression dans un contexte de traumatisme transgénérationnel: Étude de cas clinique intégrative 代际创伤背景下复杂分离障碍与回归:综合临床案例研究
IF 1.9 Q3 PSYCHIATRY Pub Date : 2025-09-01 Epub Date: 2025-07-23 DOI: 10.1016/j.ejtd.2025.100583
Rimmel Ainad-Tabet, Rahma Nefzi

Introduction

Dissociative disorders often emerge as a response to early and persistent trauma, particularly in contexts of psychosocial and familial adversity.

Clinical observation

We present the case of a 50-year-old woman with a chronic dissociative disorder in a context marked by transgenerational trauma, family overload, and socioeconomic precarity. Symptoms included dissociative episodes, severe memory disturbances, regressive behaviors, and pseudodementia-like features.

Results

Neuropsychological assessments and medical investigations ruled out any neurodegenerative pathology. An integrative care approach — including psychiatric hospitalization, psychotherapeutic follow-up, and family support — led to a stabilization of dissociative episodes and improved functional autonomy.

Conclusion

This case highlights the importance of considering complex trauma and family history when assessing dissociative disorders. A global therapeutic strategy focused on psychological safety, emotional needs, and family engagement can foster a favorable clinical outcome.

Introduction

Les troubles dissociatifs apparaissent souvent en réponse à des traumatismes précoces et persistants, notamment dans des contextes socio-familiaux précaires.

Observation clinique

Nous présentons le cas d’une femme de 50 ans présentant un trouble dissociatif chronique, dans un contexte de traumatismes transgénérationnels, de surcharge familiale et de précarité psychosociale. Les symptômes incluent des absences, des troubles mnésiques sévères, des comportements régressifs et des signes pseudodémentiels.

Résultats

Le bilan neuropsychologique et les examens médicaux ont exclu une pathologie neurodégénérative. Une prise en charge intégrative, incluant une hospitalisation, un suivi psychothérapeutique et le soutien familial, a permis une stabilisation des épisodes dissociatifs et une amélioration de l’autonomie fonctionnelle.

Conclusion

Ce cas illustre l’importance de prendre en compte les facteurs traumatiques complexes et l’histoire familiale dans l’évaluation des troubles dissociatifs. Une approche globale centrée sur la sécurité psychique, le soutien familial et la reconnaissance des besoins affectifs permet une évolution favorable.
解离性障碍通常是对早期和持续性创伤的反应,特别是在社会心理和家庭逆境的背景下。临床观察:我们报告一名患有慢性分离性障碍的50岁女性,她的背景是跨代创伤、家庭负担过重和社会经济不稳定。症状包括分离性发作、严重记忆障碍、行为退化和假性痴呆样特征。结果神经心理学评估和医学检查排除任何神经退行性病理。综合护理方法——包括精神病住院治疗、心理治疗随访和家庭支持——导致分离发作的稳定和功能自主性的提高。结论本病例强调了在评估分离性障碍时考虑复杂创伤和家族史的重要性。注重心理安全、情感需求和家庭参与的整体治疗策略可以促进良好的临床结果。简介:烦恼、解离、幻影、记忆、心理障碍、心理创伤、心理障碍、心理障碍、心理障碍、心理障碍、心理障碍、心理障碍等。临床观察:原发性变性人患有慢性分离性人格障碍,变性人患有创伤性人格障碍,变性人患有家族性人格障碍,变性人患有社会心理障碍。假的symptômes包括假的缺席,假的麻烦,假的渡假的渡假,假的渡假的渡假的渡假。所有的神经心理学检查都不能排除神经病学上的病变。1次康复治疗,包括1次住院治疗、1次精神康复治疗、1次家庭康复治疗、1次康复治疗、1次康复治疗、1次康复治疗、1次康复治疗。结论:病例分析表明,人格障碍、创伤性情结、家族史、人格障碍和人格障碍对人格障碍的影响。一个approche整体展开的质量安全炸药psychique le soutien家族等la侦察des甚至affectifs允许一个进化有利。
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引用次数: 0
Posttraumatic growth in children and adolescents induced by the COVID-19 pandemic: A scoping review COVID-19大流行导致的儿童和青少年创伤后生长:范围审查
IF 2 Q3 PSYCHIATRY Pub Date : 2025-09-01 Epub Date: 2025-06-08 DOI: 10.1016/j.ejtd.2025.100563
Alexandra Tamiolaki , Argyroula Kalaitzaki
The COVID-19 pandemic, a highly challenging life experience, may also be a chance for posttraumatic growth (PTG). This scoping review aimed to summarise the available evidence on PTG among children and adolescents induced by COVID-19 by reporting rates and identifying potential influencing factors. The literature search yielded twenty-one articles from eleven countries which were eventually included. Findings revealed heterogenous PTG prevalence rates, ranging from low to moderate/high, and scattered facilitators, including socio-demographic, psychological, and COVID-19-related factors, with relational factors (i.e., social support) consistently highlighted. Gaps in the literature were also identified, with the lack of robust longitudinal studies and the exploration of the illusory PTG being fundamental. These findings can inform public health authorities, policymakers, and clinicians to design and implement interventions to promote children's and adolescents’ growth in times of similar crises.
2019冠状病毒病大流行是一种极具挑战性的生活经历,也可能是创伤后成长(PTG)的机会。本综述旨在通过报告率和确定潜在影响因素来总结COVID-19引起的儿童和青少年PTG的现有证据。文献检索最终收录了来自11个国家的21篇文章。调查结果显示,PTG患病率存在异质性,从低到中/高不等,促进因素分散,包括社会人口、心理和covid -19相关因素,相关因素(即社会支持)始终突出。文献中的空白也被确定,缺乏强有力的纵向研究和对虚幻的PTG的探索是根本的。这些发现可以为公共卫生当局、政策制定者和临床医生提供信息,以设计和实施干预措施,在类似危机时期促进儿童和青少年的成长。
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引用次数: 0
Psychological methods and techniques for overcoming the emotional state of refugees (mothers, children, and adolescents) fleeing war 克服逃离战争的难民(母亲、儿童和青少年)情绪状态的心理学方法和技巧
IF 2 Q3 PSYCHIATRY Pub Date : 2025-09-01 Epub Date: 2025-05-29 DOI: 10.1016/j.ejtd.2025.100555
Svitlana Khadzhyradieva , Marianna Todorova , Mariana Palchynska

Background

Russia’s full-scale invasion of Ukraine has led to an unprecedented need for effective psychosocial support methods for refugees, most of whom are women and children.

Objective

The aim of this study was to systematise the experience of psychosocial support professionals to create a comprehensive support system for Ukrainian refugees.

Method

Based on in-depth interviews with 30 experts working with refugees in Poland, Germany and Norway, the study examined the specifics of providing psychological assistance at different stages of adaptation.

Results

The study showed the dynamics of refugees’ psychological states during displacement: from the acute phase in the war zone, through the period of evacuation and arrival at a new place, to the stage of adaptation six months after resettlement. Experts identified methods of work at each stage and outlined nine main categories of psychological assistance. A comprehensive mentoring programme was developed, taking into account the specifics of working with different age groups and the socio-cultural characteristics of the host countries. Based on the analysis of expert experience, a structured system of psychological support for refugees was created, with specific recommendations on the use of various methods.

Conclusion

The practical significance of the study lies in the development of a training programme for specialists in the field of psychosocial assistance and the implementation of a differentiated approach to working with refugees at different stages of adaptation.
俄罗斯对乌克兰的全面入侵导致对难民的有效心理社会支持方法的空前需求,其中大多数是妇女和儿童。目的本研究的目的是系统化社会心理支持专业人员的经验,为乌克兰难民建立一个全面的支持系统。方法基于对30位在波兰、德国和挪威从事难民工作的专家的深度访谈,该研究考察了在不同适应阶段提供心理援助的细节。结果研究显示了流离失所期间难民心理状态的动态:从战区的急性阶段,经过撤离和到达新地方的时期,到重新安置后六个月的适应阶段。专家们确定了每个阶段的工作方法,并概述了心理援助的九个主要类别。考虑到与不同年龄组合作的具体情况和东道国的社会文化特点,制订了一项全面的指导方案。根据对专家经验的分析,建立了一个有组织的难民心理支助系统,并就使用各种方法提出了具体建议。这项研究的实际意义在于为心理社会援助领域的专家制定培训方案,并采取不同的方法来处理处于不同适应阶段的难民。
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引用次数: 0
Detention and psychological trauma during Gazacide: A qualitative study 加萨特期间拘留与心理创伤:一项定性研究
IF 2 Q3 PSYCHIATRY Pub Date : 2025-09-01 Epub Date: 2025-07-03 DOI: 10.1016/j.ejtd.2025.100575
Bilal Hamamra , Fayez Mahamid , Dana Bdier , Asala Mayaleh
This study examines the detention, torture, and mistreatment of Palestinians following the events of October 7, 2023. The research involved 30 male detainees from Gaza. By July 2024, the number of detainees had doubled within a year, highlighting the Israeli deliberate strategy to suppress Palestinian resistance and instill pervasive fear among Palestinians. This research analyzes the physical and psychological abuse inflicted on detainees, including sexual violence, sensory deprivation, and prolonged isolation. Furthermore, the study explores the secondary trauma experienced by detainees' families, exacerbating social and economic pressures within Palestinian communities. Despite substantial evidence of human rights violations, international responses remain inadequate, allowing these Israeli abuses of Palestinian detainees to continue unchecked. However, the resilience of detainees through various coping mechanisms, such as community support and personal resilience strategies, offers a glimpse of hope. This research highlights the urgent need for enhanced international intervention, comprehensive mental health support, and robust accountability measures to address and mitigate the enduring trauma and genocidal actions perpetrated through arbitrary detention and torture in Gaza.
本研究考察了2023年10月7日事件后巴勒斯坦人的拘留、酷刑和虐待。这项研究涉及来自加沙的30名男性被拘留者。到2024年7月,被拘留的人数在一年内翻了一番,这凸显了以色列蓄意压制巴勒斯坦人抵抗并在巴勒斯坦人中灌输普遍恐惧的战略。这项研究分析了对被拘留者施加的身心虐待,包括性暴力、感官剥夺和长期隔离。此外,该研究还探讨了被拘留者家庭所经历的二次创伤,加剧了巴勒斯坦社区内的社会和经济压力。尽管有大量侵犯人权的证据,但国际反应仍然不足,使以色列对巴勒斯坦被拘留者的虐待继续不受控制。然而,被拘留者通过各种应对机制(如社区支持和个人恢复力策略)的恢复力让我们看到了希望。这项研究强调,迫切需要加强国际干预、全面的心理健康支持和强有力的问责措施,以处理和减轻在加沙通过任意拘留和酷刑犯下的持久创伤和种族灭绝行动。
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引用次数: 0
The utilisation of deep brain reorienting (DBR) in the treatment of two clients with dissociative identity disorder (DID) 脑深部定向治疗分离性身份认同障碍的临床观察
IF 2 Q3 PSYCHIATRY Pub Date : 2025-09-01 Epub Date: 2025-07-17 DOI: 10.1016/j.ejtd.2025.100579
Anna Gerge
<div><h3>Objective</h3><div>To (i) describe how the deep brain reorienting (DBR) theory can be applied in understanding the development of dissociative identity disorder (DID) and (ii) describe the implementation of the DBR method in two single cases with clients with DID.</div></div><div><h3>Methods</h3><div>This study aimed to assess the effectiveness of deep brain reorienting psychotherapy (DBR) related to the DBR theory as a lens of understanding of the development and treatment of DID, exemplified with two single-case vignettes of clients presenting DID. In the first part of the paper, the theory of DBR is briefly discussed in relation to the development of DID, a condition where severe relational trauma and adjacent childhood traumatisation is hypothesized to be connected to the development of the symptomatology. In the second part, two single-case studies with two DID-clients diagnosed with SCID-D aim to provide initial evidence of how clients with DID experienced and responded to DBR therapy as part of longer phase specific therapies. The client of case I was treated with 30 DBR sessions and the client of case II was treated with 70 DBR sessions. Their pre- and post-DBR treatment measures consisted of instruments to measure PTSD and complex PTSD symptoms, psychoform and somatoform dissociation, general symptomatology, and access to positive states of mind. The outcome measures were assessed through percentage of nonoverlapping data (PND) a nonparametric measure used to assess the effectiveness of interventions in single-case experimental designs (SCEDs). The clients also provided verbal and written statements regarding their experiences during and after the DBR intervention.</div></div><div><h3>Results</h3><div>After the introduction of DBR in their therapies, when measured by the posttraumatic checklist (PCL-5), the international trauma questionnaire (ITQ), the somatoform dissociation questionnaire (SDQ-5), the Dissociative Experiences Scale II (DES-II), the DES-taxon (DES-T), the Symptom Checklist–90 revised (SCL–90-R), the symptomatology of client I was significantly lowered on all measures apart from the SDQ-5 when analysed with PND. For client II the measurements on PCL-5, SDQ-5 and SCL-90-R were significantly lowered. Their self-assessed positive states of mind, measured with the PSOM-scale, were heightened. Both clients expressed that DBR was a valuable treatment modality through their summarized verbal and written statements.</div></div><div><h3>Conclusions</h3><div>After 30 respectively during 70 DBR sessions, the clients' dissociation and comorbid symptoms decreased significantly, as measured by self-assessments measures and analysed with PND. Thus, a preliminary cautious enthusiasm is reasonable. Clients with DID may benefit from DBR. Future research is required to address generalizability to a larger population of dissociative clients. To examine whether DBR can be a treatment of choice for highly dissociative clients, includi
目的(i)描述深部脑重定向(DBR)理论如何应用于理解分离性身份认同障碍(DID)的发展;(ii)描述DBR方法在两个分离性身份认同障碍患者的案例中的实施。方法本研究旨在评估深层脑重定向心理治疗(DBR)的有效性,以DBR理论为视角来理解DID的发展和治疗,并以两例患有DID的患者为例。在本文的第一部分中,简要讨论了DBR理论与DID发展的关系,假设严重的关系创伤和相邻的童年创伤与症状学的发展有关。在第二部分中,对两名诊断为SCID-D的DID患者进行了两例单例研究,旨在提供DID患者如何将DBR治疗作为长期特异性治疗的一部分的初步证据。病例1的患者接受30次DBR治疗,病例2的患者接受70次DBR治疗。他们在dbr前和dbr后的治疗措施包括测量PTSD和复杂PTSD症状、精神和躯体形式分离、一般症状学和获得积极心态的工具。结果测量通过非重叠数据百分比(PND)进行评估,这是一种用于评估单例实验设计(SCEDs)干预措施有效性的非参数测量。客户还提供了口头和书面陈述关于他们在DBR干预期间和之后的经历。结果采用DBR治疗后,患者1在创伤后检查表(PCL-5)、国际创伤问卷(ITQ)、躯体形式解离问卷(SDQ-5)、解离体验量表(DES-II)、解离分类单元(DES-T)、症状检查表- 90修订版(SCL-90-R)中除SDQ-5外,其他各项指标均显著降低。对于患者II, PCL-5、SDQ-5和SCL-90-R的测量值显著降低。他们自我评估的积极心态(用psom量表测量)得到了提高。两位患者通过总结口头和书面陈述,表示DBR是一种有价值的治疗方式。结论在70个DBR疗程中,分别进行30次后,通过自我评估测量和PND分析,患者的分离和共病症状显著减少。因此,初步的谨慎热情是合理的。患有DID的客户可能会从DBR中受益。未来的研究需要解决的普遍性更大的人口分离的客户。为了检验DBR是否可以作为高度分离患者的治疗选择,包括DID,需要对DBR治疗分离性障碍的疗效进行随机对照试验。需要深入的现象学和神经科学评估来验证DBR治疗分离性障碍的可行性和改变作用。
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引用次数: 0
Hibuki therapy as a method of psychological support for war trauma in Ukrainian children Hibuki疗法作为乌克兰儿童战争创伤心理支持的一种方法
IF 2 Q3 PSYCHIATRY Pub Date : 2025-09-01 Epub Date: 2025-05-18 DOI: 10.1016/j.ejtd.2025.100546
Dafna Maksimov Sharon , Tetiana Melnychuk , Lesia Inzhyievska , Alona Sadykina , Valeriia Shynkarova
This comprehensive study delves into the effectiveness of Hibuki therapy, a unique psychological intervention blending psychoanalytic principles and art therapy techniques, in supporting children who have suffered trauma due to the ongoing war in Ukraine. In this comprehensive study conducted from September 2022 to March 2023, we evaluated the efficacy of Hibuki therapy across a diverse cohort of 400 Ukrainian children, each affected by PTSD due to the war in Ukraine. These children, representing a wide range of regions within Ukraine, were methodically divided into two groups: a control group and an experimental group, with each group consisting of 200 children. The study scrutinizes the impact of Hibuki therapy, a psychological intervention uniquely combining psychoanalytic principles with art therapy techniques. This approach was specifically tailored to assist children who have endured the trauma associated with the ongoing conflict. By integrating sensory integration and other neuropsychological methods, the study enhanced the scope of traditional art therapy to address the complex needs more effectively of traumatized children. Our findings indicate significant progress in the children's emotional expression, stress management capabilities, and social engagement. These improvements highlight the potential of Hibuki therapy as an efficacious tool in aiding the trauma recovery process. Crucially, the involvement of parents emerged as a pivotal factor in the healing journey, emphasizing the necessity of a supportive and nurturing environment. The study underscores the value of bespoke therapy approaches that acknowledge the varied responses and healing trajectories of children. These insights make a substantial contribution to the ongoing discourse in child-centered, innovative, and holistic trauma therapy approaches, especially pertinent in areas plagued by conflict. The outcomes of this research pave the way for developing adaptable, culturally attuned trauma therapies, emphasizing the importance of continuous innovation in child psychology and trauma treatment methods.
这项综合研究深入研究了Hibuki疗法的有效性,这是一种独特的心理干预,融合了精神分析原理和艺术治疗技术,用于支持因乌克兰持续战争而遭受创伤的儿童。在这项于2022年9月至2023年3月进行的综合研究中,我们评估了Hibuki疗法对400名乌克兰儿童的疗效,这些儿童都因乌克兰战争而受到创伤后应激障碍的影响。这些儿童代表了乌克兰境内广泛的地区,被有条不紊地分为两组:对照组和实验组,每组由200名儿童组成。这项研究仔细研究了Hibuki疗法的影响,Hibuki疗法是一种独特的心理干预,将精神分析原理与艺术治疗技术相结合。这种方法是专门为帮助那些因持续的冲突而遭受创伤的儿童而量身定制的。通过整合感觉统合和其他神经心理学方法,该研究扩大了传统艺术治疗的范围,以更有效地解决创伤儿童的复杂需求。我们的研究结果表明,儿童在情绪表达、压力管理能力和社会参与方面取得了重大进展。这些改进突出了Hibuki疗法作为帮助创伤恢复过程的有效工具的潜力。至关重要的是,父母的参与成为治疗过程中的关键因素,强调了一个支持性和养育性环境的必要性。这项研究强调了定制治疗方法的价值,这种治疗方法承认儿童的不同反应和愈合轨迹。这些见解对以儿童为中心的、创新的、整体的创伤治疗方法的持续讨论做出了重大贡献,特别是在受冲突困扰的地区。本研究的结果为开发适应性强、文化协调的创伤治疗铺平了道路,强调了儿童心理学和创伤治疗方法不断创新的重要性。
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引用次数: 0
For a living memory of psychotraumatology: creation of a section entitled " Pathways: Translations and Heritage of Psychotraumatology " 精神创伤学的鲜活记忆:创建题为“途径:精神创伤学的翻译和遗产”的部分
IF 2 Q3 PSYCHIATRY Pub Date : 2025-09-01 Epub Date: 2025-06-03 DOI: 10.1016/j.ejtd.2025.100562
Cyril Tarquinio
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引用次数: 0
Helpful aspects of a psychoeducational program for individuals with complex dissociation: An update for the Finding Solid Ground program 对患有复杂分离的个体的心理教育项目的有益方面:寻找坚实基础项目的更新
IF 2 Q3 PSYCHIATRY Pub Date : 2025-09-01 Epub Date: 2025-06-08 DOI: 10.1016/j.ejtd.2025.100566
Nicholas A. Pierorazio , Jerrica L. Robertson , Briana L. Snyder , Bethany L. Brand , Hygge J. Schielke , Ruth A. Lanius
The Finding Solid Ground program is a psychoeducational program that is grounded in research on individuals with complex trauma histories and dissociative symptoms, experiences that can be distressing and impairing. A randomized controlled trial examining the use of the Finding Solid Ground program in conjunction with individual therapy found the program to outperform individual therapy alone and have large effect sizes after one year (Brand et al., 2025). The current study investigated interim qualitative data from clients who participated in the randomized controlled trial. The primary aim of this study was to understand clients’ experiences of the Finding Solid Ground program. In the current study, we conducted a deductive content analysis using Pierorazio et al.’s (2024) framework for coding. Results revealed that clients experienced the components of the Finding Solid Ground program as helpful (i.e., its content and structure). They experienced improved therapeutic processes (i.e., increased sense of connection, receiving empathy, contributing to something larger, and improved therapeutic work) and outcomes (i.e., increased insight, hope, self-compassion, safety, and functioning). These findings are consistent with clients’ experiences of an earlier version of the Finding Solid Ground program and suggest that the program facilitates helpful processes and outcomes when used as an adjunct to individual psychotherapy. This research is positioned in dialogue with promising quantitative results from the Finding Solid Ground randomized controlled trial (Brand et al., 2025). Together, this study and other research on the Finding Solid Ground program suggest therapists can use the program to promote clients’ healing from complex trauma and dissociation.
“寻找坚实基础”项目是一个心理教育项目,它基于对具有复杂创伤史和分离症状的个体的研究,这些个体的经历可能是痛苦和损害的。一项随机对照试验检查了“寻找坚实基础”项目与个体治疗相结合的使用情况,发现该项目在一年后的效果优于单独的个体治疗,并且效果显著(Brand et al., 2025)。目前的研究调查了参与随机对照试验的客户的中期定性数据。本研究的主要目的是了解客户对“寻找坚实基础”项目的体验。在目前的研究中,我们使用Pierorazio等人(2024)的编码框架进行了演绎内容分析。结果显示,客户体验到“寻找坚实基础”项目的组成部分是有帮助的(即,它的内容和结构)。他们经历了改善的治疗过程(即,增加了联系感,接受同情,为更大的事情做出贡献,改善了治疗工作)和结果(即,增加了洞察力,希望,自我同情,安全和功能)。这些发现与客户对早期“寻找坚实基础”项目的体验一致,并表明该项目作为个人心理治疗的辅助手段,有助于促进有益的过程和结果。这项研究定位于与“寻找坚实基础”随机对照试验(Brand et al., 2025)中有希望的定量结果对话。总之,这项研究和其他关于寻找坚实基础项目的研究表明,治疗师可以使用该项目来促进客户从复杂的创伤和分离中康复。
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引用次数: 0
The cortical functional connectivity basis of dissociative absorption tendency: A study using weighted Phase Lag Index 分离吸收倾向的皮质功能连通性基础:加权相位滞后指数的研究
IF 2 Q3 PSYCHIATRY Pub Date : 2025-09-01 Epub Date: 2025-06-15 DOI: 10.1016/j.ejtd.2025.100570
Shun Sasaki , Hideki Ohira , Masahiro Kawahara

Background

Dissociative absorption is a dissociative experience characterized by deep immersion in activities such as imagination and daydreaming, leading to a diminished awareness of surroundings. Previous research has suggested that dissociative experiences may be associated with lower cortical functional connectivity.

Purpose

This study aimed to investigate the relationship between dissociative absorption tendency and resting-state electroencephalographic (EEG) functional connectivity using the weighted Phase Lag Index (wPLI).

Methods

Forty-four healthy participants underwent resting-state EEG recordings. Dissociative absorption tendency was assessed using the Dissociative Experiences Scale (DES). Functional connectivity was analyzed across multiple frequency bands using wPLI, and spectral power was also examined.

Results

Significant negative partial correlations were found between dissociative absorption tendency and functional connectivity in the delta (C3–P3, C3–T6, T4–T6) and theta (P4–O1) bands, with Bayes factors exceeding 3. In contrast, positive partial correlations were observed in the alpha2 (Fp1–T3, F3–T3) band. Spectral power analysis further indicated higher delta power in individuals with higher dissociative absorption tendency.

Conclusions

The lower functional connectivity in the delta and theta bands is consistent with previous research. In contrast, the alpha2 band exhibited a higher connectivity pattern, suggesting the need for a more comprehensive investigation of its relationship with cortical neural activity across different frequency bands. Based on our findings, the relationship between dissociative absorption, functional connectivity, and a mixed state between wakefulness and sleep is discussed.
游离性吸收是一种游离性体验,其特征是深度沉浸在想象和白日梦等活动中,导致对周围环境的意识减弱。先前的研究表明,分离体验可能与较低的皮质功能连通性有关。目的应用加权相位滞后指数(wPLI)研究分离吸收倾向与静息状态脑电图(EEG)功能连通性的关系。方法对44名健康受试者进行静息状态脑电图记录。使用分离体验量表(DES)评估分离吸收倾向。使用wPLI分析了多个频段的功能连通性,并检查了频谱功率。结果δ波段(C3-P3、C3-T6、T4-T6)和θ波段(P4-O1)游离吸收倾向与功能连接呈显著负偏相关,且贝叶斯因子大于3。相反,在alpha2 (Fp1-T3, F3-T3)波段观察到正偏相关。光谱功率分析进一步表明,具有较高解离吸收倾向的个体具有较高的δ功率。结论delta和θ波段的功能连通性较低,与以往的研究结果一致。相比之下,alpha2波段表现出更高的连通性模式,这表明需要更全面地研究其与不同频段皮层神经活动的关系。基于我们的研究结果,我们讨论了分离吸收、功能连接和清醒与睡眠混合状态之间的关系。
{"title":"The cortical functional connectivity basis of dissociative absorption tendency: A study using weighted Phase Lag Index","authors":"Shun Sasaki ,&nbsp;Hideki Ohira ,&nbsp;Masahiro Kawahara","doi":"10.1016/j.ejtd.2025.100570","DOIUrl":"10.1016/j.ejtd.2025.100570","url":null,"abstract":"<div><h3>Background</h3><div>Dissociative absorption is a dissociative experience characterized by deep immersion in activities such as imagination and daydreaming, leading to a diminished awareness of surroundings. Previous research has suggested that dissociative experiences may be associated with lower cortical functional connectivity.</div></div><div><h3>Purpose</h3><div>This study aimed to investigate the relationship between dissociative absorption tendency and resting-state electroencephalographic (EEG) functional connectivity using the weighted Phase Lag Index (wPLI).</div></div><div><h3>Methods</h3><div>Forty-four healthy participants underwent resting-state EEG recordings. Dissociative absorption tendency was assessed using the Dissociative Experiences Scale (DES). Functional connectivity was analyzed across multiple frequency bands using wPLI, and spectral power was also examined.</div></div><div><h3>Results</h3><div>Significant negative partial correlations were found between dissociative absorption tendency and functional connectivity in the delta (C3–P3, C3–T6, T4–T6) and theta (P4–O1) bands, with Bayes factors exceeding 3. In contrast, positive partial correlations were observed in the alpha2 (Fp1–T3, F3–T3) band. Spectral power analysis further indicated higher delta power in individuals with higher dissociative absorption tendency.</div></div><div><h3>Conclusions</h3><div>The lower functional connectivity in the delta and theta bands is consistent with previous research. In contrast, the alpha2 band exhibited a higher connectivity pattern, suggesting the need for a more comprehensive investigation of its relationship with cortical neural activity across different frequency bands. Based on our findings, the relationship between dissociative absorption, functional connectivity, and a mixed state between wakefulness and sleep is discussed.</div></div>","PeriodicalId":29932,"journal":{"name":"European Journal of Trauma & Dissociation","volume":"9 3","pages":"Article 100570"},"PeriodicalIF":2.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144366127","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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European Journal of Trauma & Dissociation
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