首页 > 最新文献

Journal of Trauma & Dissociation最新文献

英文 中文
VIOLENCE, TRAUMA, AND COLONIALISM: A STRUCTURAL APPROACH TO UNDERSTANDING THE POLICY LANDSCAPE OF INDIGENOUS REPRODUCTIVE JUSTICE. 暴力、创伤和殖民主义:理解土著生殖正义政策格局的结构性方法。
IF 3.3 3区 医学 Q2 PSYCHIATRY Pub Date : 2023-07-01 DOI: 10.1080/15299732.2023.2212402
Autumn Asher BlackDeer

Indigenous peoples in the U.S. have the highest rates of violence against women, disproportionate representation in the child welfare system, and exorbitant amounts of traumatic injuries among all ethnic groups within the U.S. yet discussions of trauma and violence against Native communities fail to consider the ongoing influence of settler colonialism. Too often trauma-focused work takes an individualist approach while policy work focuses on the collective, leading to a siloed approach in which micro-trauma work misses policy influences and in which policy work fails to seriously consider the ongoing trauma and violence experienced by Native Nations. Through the application of three Indigenous theoretical models that account for both historic and ongoing colonial influence, this work introduces relevant issues in the policy landscape of reproductive justice for Indigenous communities that are essential for trauma scholars and practitioners to understand.

美国原住民对女性的暴力比例最高,在儿童福利体系中的比例不成比例,在美国所有种族群体中,创伤性伤害的数量过高。然而,关于针对原住民社区的创伤和暴力的讨论却没有考虑到移民殖民主义的持续影响。以创伤为重点的工作往往采取个人主义的方法,而政策工作则侧重于集体,导致一种孤立的方法,使微观创伤工作错过了政策影响,政策工作未能认真考虑土著民族正在经历的创伤和暴力。通过应用三种解释历史和当前殖民影响的土著理论模型,本工作介绍了土著社区生殖正义政策领域的相关问题,这些问题对于创伤学者和从业者来说是至关重要的。
{"title":"VIOLENCE, TRAUMA, AND COLONIALISM: A STRUCTURAL APPROACH TO UNDERSTANDING THE POLICY LANDSCAPE OF INDIGENOUS REPRODUCTIVE JUSTICE.","authors":"Autumn Asher BlackDeer","doi":"10.1080/15299732.2023.2212402","DOIUrl":"https://doi.org/10.1080/15299732.2023.2212402","url":null,"abstract":"<p><p>Indigenous peoples in the U.S. have the highest rates of violence against women, disproportionate representation in the child welfare system, and exorbitant amounts of traumatic injuries among all ethnic groups within the U.S. yet discussions of trauma and violence against Native communities fail to consider the ongoing influence of settler colonialism. Too often trauma-focused work takes an individualist approach while policy work focuses on the collective, leading to a siloed approach in which micro-trauma work misses policy influences and in which policy work fails to seriously consider the ongoing trauma and violence experienced by Native Nations. Through the application of three Indigenous theoretical models that account for both historic and ongoing colonial influence, this work introduces relevant issues in the policy landscape of reproductive justice for Indigenous communities that are essential for trauma scholars and practitioners to understand.</p>","PeriodicalId":47476,"journal":{"name":"Journal of Trauma & Dissociation","volume":"24 4","pages":"453-470"},"PeriodicalIF":3.3,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9945638","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 3
Reproductive Coercion Victimization and Associated Mental Health Outcomes Among Female-Identifying Young Adults. 生殖胁迫受害情况与女性青少年的相关心理健康结果。
IF 2.3 3区 医学 Q2 PSYCHIATRY Pub Date : 2023-07-01 Epub Date: 2023-05-17 DOI: 10.1080/15299732.2023.2212407
Emily A Muñoz, Ryan C Shorey, Jeff R Temple

Reproductive coercion is a serious public health problem. Victimization has been associated with poor mental health outcomes, including symptoms of posttraumatic stress disorder (PTSD) and depression in clinical and college samples. We build on these findings by examining the association between reproductive coercion victimization and mental and behavioral health outcomes, including depression, PTSD symptoms, anxiety, and drinking behaviors in a diverse community-derived sample of female-identifying young adults (mean age = 20; SD=.72). Participants (n = 368) were originally recruited as part of a study on dating violence in seven Texas public high schools. Participants completed an online study that included demographic questions and measures that assessed the variables of interest. Results of regression analyses showed that reproductive coercion victimization predicted depression, anxiety, and PTSD symptoms, after controlling for race, sexual orientation, and age. The findings also revealed that victims of reproductive coercion were more likely consume more drinks per drinking occasion compared to their non-victimized counterparts. These results add to the growing literature that experiencing reproductive coercion is a risk marker for poor mental and behavioral health. To develop targeted prevention and intervention programs, future research should examine potential mechanisms underlying this relationship.

生殖胁迫是一个严重的公共健康问题。受害与不良的心理健康结果有关,包括临床和大学样本中的创伤后应激障碍(PTSD)和抑郁症状。在这些研究结果的基础上,我们研究了生殖胁迫受害与心理和行为健康结果之间的关系,包括抑郁症、创伤后应激障碍症状、焦虑和酗酒行为,研究对象是来自不同社区的女性认同的年轻成年人(平均年龄=20;SD=.72)。参与者(n = 368)最初是作为德克萨斯州七所公立高中约会暴力研究的一部分招募的。参与者完成了一项在线研究,其中包括人口统计学问题和评估相关变量的措施。回归分析结果表明,在控制了种族、性取向和年龄之后,生殖胁迫受害预测了抑郁、焦虑和创伤后应激障碍症状。研究结果还显示,与未受害的受害者相比,生殖胁迫受害者更有可能在每次饮酒时喝更多的酒。越来越多的文献指出,生殖胁迫是导致不良心理和行为健康的风险标志。为了制定有针对性的预防和干预计划,未来的研究应探讨这种关系的潜在机制。
{"title":"Reproductive Coercion Victimization and Associated Mental Health Outcomes Among Female-Identifying Young Adults.","authors":"Emily A Muñoz, Ryan C Shorey, Jeff R Temple","doi":"10.1080/15299732.2023.2212407","DOIUrl":"10.1080/15299732.2023.2212407","url":null,"abstract":"<p><p>Reproductive coercion is a serious public health problem. Victimization has been associated with poor mental health outcomes, including symptoms of posttraumatic stress disorder (PTSD) and depression in clinical and college samples. We build on these findings by examining the association between reproductive coercion victimization and mental and behavioral health outcomes, including depression, PTSD symptoms, anxiety, and drinking behaviors in a diverse community-derived sample of female-identifying young adults (mean age = 20; SD=.72). Participants (<i>n</i> = 368) were originally recruited as part of a study on dating violence in seven Texas public high schools. Participants completed an online study that included demographic questions and measures that assessed the variables of interest. Results of regression analyses showed that reproductive coercion victimization predicted depression, anxiety, and PTSD symptoms, after controlling for race, sexual orientation, and age. The findings also revealed that victims of reproductive coercion were more likely consume more drinks per drinking occasion compared to their non-victimized counterparts. These results add to the growing literature that experiencing reproductive coercion is a risk marker for poor mental and behavioral health. To develop targeted prevention and intervention programs, future research should examine potential mechanisms underlying this relationship.</p>","PeriodicalId":47476,"journal":{"name":"Journal of Trauma & Dissociation","volume":"24 4","pages":"538-554"},"PeriodicalIF":2.3,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10373799/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9880947","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
WHEN REPRODUCTION IS NO LONGER AUTONOMOUS: FEELING RESPECTED BY MATERNITY CARE PROVIDERS MODERATES THE ASSOCIATION BETWEEN AUTONOMY IN DECISION MAKING AND BIRTH-RELATED PTSD SYMPTOMS IN A COMMUNITY SAMPLE OF POSTPARTUM BLACK WOMEN. 当生育不再自主时:在黑人产后妇女的社区样本中,感觉受到产科护理提供者的尊重会调节决策自主权与与生育相关的创伤后应激障碍症状之间的关系。
IF 2.3 3区 医学 Q2 PSYCHIATRY Pub Date : 2023-07-01 Epub Date: 2023-05-26 DOI: 10.1080/15299732.2023.2212406
Emma C Lathan, Abby Britt, Meghna Ravi, Marcia J Ash, Elizabeth McAfee, Shimarith Wallace, Colin B Johnson, Briana Woods-Jaeger, Abigail Powers, Vasiliki Michopoulos

Black individuals are at particularly high risk for birth-related posttraumatic stress disorder (PTSD) symptoms, in part due to a lack of opportunity to lead maternity care decisions. Maternal care providers need evidence-based ways to reduce pregnant persons' risk for birth-related PTSD symptoms despite reduced autonomy in decision making resulting from heightened restrictions on reproductive rights. We investigated whether a potential relation between autonomy in decision making and birth-related PTSD symptoms would be moderated by being mistreated or feeling respected by maternity care providers in a community sample of Black women (N = 52; Mage = 28.2 years, SDage = 5.7 years) seeking maternity care at a public hospital in the southeastern United States. At six weeks postpartum, participants completed measures assessing autonomy in decision making, current birth-related PTSD symptoms, number of mistreatment events, and feelings of respect from providers during pregnancy, childbirth, and the postpartum period. Autonomy in decision making was negatively correlated with birth-related PTSD symptoms, r=-.43, p < .01. An interaction between autonomy in decision making and mistreatment by providers was trending toward significance, B=-.23, SE=.14, p = .10. Autonomy in decision making and feeling respected by maternity care provider interacted to predict birth-related PTSD symptoms, B = .05, SE=.01, p < .01. Feeling respected by providers may buffer against the negative effects of lack of autonomy in decision making on birth-related PTSD symptoms, highlighting the importance of providers' ability to convey respect to pregnant patients when they cannot lead care decisions.

黑人罹患与分娩相关的创伤后应激障碍(PTSD)症状的风险特别高,部分原因是他们缺乏主导产妇护理决策的机会。孕产妇护理提供者需要循证方法来降低孕妇出现与分娩相关的创伤后应激障碍症状的风险,尽管对生育权的限制增加导致决策自主权降低。我们调查了在美国东南部一家公立医院寻求产科护理的黑人妇女(样本数:52;年龄:28.2 岁,平均年龄:5.7 岁)中,决策自主权与分娩相关创伤后应激障碍症状之间的潜在关系是否会因受到产科护理提供者的虐待或感觉受到尊重而受到调节。在产后六周,参与者完成了对决策自主性、当前与分娩相关的创伤后应激障碍症状、虐待事件的数量以及在怀孕、分娩和产后期间从提供者那里获得尊重的感受的评估。决策自主权与分娩相关创伤后应激障碍症状呈负相关,r=-.43,p<0.05。
{"title":"WHEN REPRODUCTION IS NO LONGER AUTONOMOUS: FEELING RESPECTED BY MATERNITY CARE PROVIDERS MODERATES THE ASSOCIATION BETWEEN AUTONOMY IN DECISION MAKING AND BIRTH-RELATED PTSD SYMPTOMS IN A COMMUNITY SAMPLE OF POSTPARTUM BLACK WOMEN.","authors":"Emma C Lathan, Abby Britt, Meghna Ravi, Marcia J Ash, Elizabeth McAfee, Shimarith Wallace, Colin B Johnson, Briana Woods-Jaeger, Abigail Powers, Vasiliki Michopoulos","doi":"10.1080/15299732.2023.2212406","DOIUrl":"10.1080/15299732.2023.2212406","url":null,"abstract":"<p><p>Black individuals are at particularly high risk for birth-related posttraumatic stress disorder (PTSD) symptoms, in part due to a lack of opportunity to lead maternity care decisions. Maternal care providers need evidence-based ways to reduce pregnant persons' risk for birth-related PTSD symptoms despite reduced autonomy in decision making resulting from heightened restrictions on reproductive rights. We investigated whether a potential relation between autonomy in decision making and birth-related PTSD symptoms would be moderated by being mistreated or feeling respected by maternity care providers in a community sample of Black women (N = 52; M<sub>age</sub> = 28.2 years, SD<sub>age</sub> = 5.7 years) seeking maternity care at a public hospital in the southeastern United States. At six weeks postpartum, participants completed measures assessing autonomy in decision making, current birth-related PTSD symptoms, number of mistreatment events, and feelings of respect from providers during pregnancy, childbirth, and the postpartum period. Autonomy in decision making was negatively correlated with birth-related PTSD symptoms, <i>r</i>=-.43, p < .01. An interaction between autonomy in decision making and mistreatment by providers was trending toward significance, B=-.23, SE=.14, p = .10. Autonomy in decision making and feeling respected by maternity care provider interacted to predict birth-related PTSD symptoms, B = .05, SE=.01, p < .01. Feeling respected by providers may buffer against the negative effects of lack of autonomy in decision making on birth-related PTSD symptoms, highlighting the importance of providers' ability to convey respect to pregnant patients when they cannot lead care decisions.</p>","PeriodicalId":47476,"journal":{"name":"Journal of Trauma & Dissociation","volume":"24 4","pages":"520-537"},"PeriodicalIF":2.3,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10330569/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10064572","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
TRAUMA, VIOLENCE, & REPRODUCTIVE RIGHTS. 创伤、暴力和生殖权利。
IF 3.3 3区 医学 Q2 PSYCHIATRY Pub Date : 2023-07-01 DOI: 10.1080/15299732.2023.2212401
Heather L McCauley, Maria-Ernestina Christl, Anne P DePrince
In June 2022, the Supreme Court overturned Roe v. Wade with the Dobbs decision (Davis, 2022). Early media coverage turned attention to whether socalled state “trigger” laws outlawing abortion care made exceptions in cases of rape or incest. The media frame relegated abortion access to an issue after victimization and a matter specific to sexual violence (Cineas, 2022). We assessed things differently as researchers working on intimate violence from disciplinary perspectives that span clinical psychology, social epidemiology, and social work. After all, our fields had a name for forcing people to stay pregnant: reproductive coercion, defined as behavior “that interferes with the autonomous decision-making” about reproductive health (Grace & Anderson, 2018). At the time of the Dobbs decision, research on reproductive coercion had been growing, documenting the prevalence and correlates of this form of intimate violence (Basile et al., 2018; Grace et al., 2022; Miller et al., 2010). A 2018 systematic review by Grace and Anderson outlined three interconnected forms of reproductive coercion: birth control sabotage (interfering with contraceptive and condom use), pregnancy coercion (threatening or pressuring a partner to get pregnant), and abortion coercion (threatening or pressuring a partner to get or not get an abortion). Empirical studies documented that reproductive coercion begins as early as adolescence (Hill et al., 2019; PettyJohn et al., 2021), and disproportionately affects marginalized and minoritized groups (Alexander et al., 2016; Holliday et al., 2017; McCauley et al., 2015). Yet, much remained unknown, particularly in terms of the structural determinants underpinning early patterns as well as the ways that broader family systems, communities, and governments may perpetrate reproductive coercion to maintain inequitable power systems. It was our sense at the time – and remains so today – that research would be critical to revealing the scope of the problem of reproductive coercion at this time of enormous policy change. Furthermore, we believed that trauma science and practice has an especially important role to play because of the field’s approach to understanding that individual, community, and system dynamics work together to shape risk for, response to, and healing from traumatic stress. Thus, this Special Issue of the Journal of Trauma & Dissociation (JTD) explores the intersection of trauma, violence, and reproductive rights. We include six articles that present theory, literature review, and empirical data to advance discourse about trauma and reproductive JOURNAL OF TRAUMA & DISSOCIATION 2023, VOL. 24, NO. 4, 445–452 https://doi.org/10.1080/15299732.2023.2212401
{"title":"TRAUMA, VIOLENCE, & REPRODUCTIVE RIGHTS.","authors":"Heather L McCauley,&nbsp;Maria-Ernestina Christl,&nbsp;Anne P DePrince","doi":"10.1080/15299732.2023.2212401","DOIUrl":"https://doi.org/10.1080/15299732.2023.2212401","url":null,"abstract":"In June 2022, the Supreme Court overturned Roe v. Wade with the Dobbs decision (Davis, 2022). Early media coverage turned attention to whether socalled state “trigger” laws outlawing abortion care made exceptions in cases of rape or incest. The media frame relegated abortion access to an issue after victimization and a matter specific to sexual violence (Cineas, 2022). We assessed things differently as researchers working on intimate violence from disciplinary perspectives that span clinical psychology, social epidemiology, and social work. After all, our fields had a name for forcing people to stay pregnant: reproductive coercion, defined as behavior “that interferes with the autonomous decision-making” about reproductive health (Grace & Anderson, 2018). At the time of the Dobbs decision, research on reproductive coercion had been growing, documenting the prevalence and correlates of this form of intimate violence (Basile et al., 2018; Grace et al., 2022; Miller et al., 2010). A 2018 systematic review by Grace and Anderson outlined three interconnected forms of reproductive coercion: birth control sabotage (interfering with contraceptive and condom use), pregnancy coercion (threatening or pressuring a partner to get pregnant), and abortion coercion (threatening or pressuring a partner to get or not get an abortion). Empirical studies documented that reproductive coercion begins as early as adolescence (Hill et al., 2019; PettyJohn et al., 2021), and disproportionately affects marginalized and minoritized groups (Alexander et al., 2016; Holliday et al., 2017; McCauley et al., 2015). Yet, much remained unknown, particularly in terms of the structural determinants underpinning early patterns as well as the ways that broader family systems, communities, and governments may perpetrate reproductive coercion to maintain inequitable power systems. It was our sense at the time – and remains so today – that research would be critical to revealing the scope of the problem of reproductive coercion at this time of enormous policy change. Furthermore, we believed that trauma science and practice has an especially important role to play because of the field’s approach to understanding that individual, community, and system dynamics work together to shape risk for, response to, and healing from traumatic stress. Thus, this Special Issue of the Journal of Trauma & Dissociation (JTD) explores the intersection of trauma, violence, and reproductive rights. We include six articles that present theory, literature review, and empirical data to advance discourse about trauma and reproductive JOURNAL OF TRAUMA & DISSOCIATION 2023, VOL. 24, NO. 4, 445–452 https://doi.org/10.1080/15299732.2023.2212401","PeriodicalId":47476,"journal":{"name":"Journal of Trauma & Dissociation","volume":"24 4","pages":"445-452"},"PeriodicalIF":3.3,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9589407","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
Experiences of Exploitation and Associations With Economic Abuse in Adolescent Dating Relationships: Findings From a U.S. Cross-Sectional Survey. 青少年约会关系中的剥削经历和经济虐待:来自美国横断面调查的结果。
IF 3.3 3区 医学 Q2 PSYCHIATRY Pub Date : 2023-07-01 DOI: 10.1080/15299732.2023.2212404
Sarah Scott, Daniel R Lavage, Geeta Acharya, Lauren Risser, Sarah Gonzalez Bocinski, Elizabeth A Walker, Kimberly A Randell, Maya I Ragavan, Elizabeth Miller

Adolescent relationship abuse (ARA) (i.e. physical, sexual, psychological, or economic abuse in the context of romantic relationships) is associated with adverse health outcomes, including anxiety, depression, suicidality, unintended pregnancy, and substance misuse. A related phenomenon, reproductive coercion involves interference with the reproductive decision making of a partner with the intention of promoting pregnancy or controlling outcomes of a pregnancy. Reproductive coercion is associated with unintended pregnancy, partner violence, and sexually transmitted infections. Little is known about the intersection between economic ARA, sexual exploitation, and reproductive coercion. This paper explores the intersections between reproductive coercion, transactional sex, and economic abuse victimization in adolescent dating relationships. In an online survey, 1,752 adolescents (ages 13-17) were asked about economic adolescent relationship abuse (educational, employment and financial interference), transactional sex, reproductive coercion, and contraceptive access within their relationships. We assessed associations with chi-square tests and logistic regression analysis. Youth who experienced economic ARA (70%, 1,232) reported financial dependence on their partner, contraceptive access, and reproductive coercion (74-83%; p-values<0.001) more often than their counterparts without economic ARA. Adolescents experiencing economic abuse were more likely to report transactional sex (aOR = 2.76, CI [2.12, 3.60], p < .001), depending on a partner to pay for contraception or birth control (aOR = 2.20, CI [1.71, 2.84], p < .001), and reproductive coercion (aOR = 3.20, CI [2.37, 4.32], p < .001). Youth-serving providers and agencies should be aware of intersections between economic ARA, transactional sex, financial dependence, and reproductive coercion, particularly for adolescents with health-related social needs.

青少年关系虐待(即恋爱关系中的身体、性、心理或经济虐待)与不良健康结果有关,包括焦虑、抑郁、自杀、意外怀孕和药物滥用。一个相关的现象是生殖强迫,它涉及干预伴侣的生殖决策,目的是促进怀孕或控制怀孕的结果。生殖强迫与意外怀孕、伴侣暴力和性传播感染有关。人们对经济ARA、性剥削和生殖强迫之间的交集知之甚少。本文探讨了青少年约会关系中生殖强迫、交易性行为和经济虐待受害之间的交叉点。在一项在线调查中,1752名青少年(13-17岁)被问及青少年关系中的经济虐待(教育、就业和经济干预)、交易性行为、生殖强迫和避孕措施。我们用卡方检验和逻辑回归分析来评估相关性。经历过经济ARA的青年(70%,1,232人)报告了对伴侣的经济依赖、获得避孕药具和生殖强迫(74-83%;p-valuesp p
{"title":"Experiences of Exploitation and Associations With Economic Abuse in Adolescent Dating Relationships: Findings From a U.S. Cross-Sectional Survey.","authors":"Sarah Scott,&nbsp;Daniel R Lavage,&nbsp;Geeta Acharya,&nbsp;Lauren Risser,&nbsp;Sarah Gonzalez Bocinski,&nbsp;Elizabeth A Walker,&nbsp;Kimberly A Randell,&nbsp;Maya I Ragavan,&nbsp;Elizabeth Miller","doi":"10.1080/15299732.2023.2212404","DOIUrl":"https://doi.org/10.1080/15299732.2023.2212404","url":null,"abstract":"<p><p>Adolescent relationship abuse (ARA) (i.e. physical, sexual, psychological, or economic abuse in the context of romantic relationships) is associated with adverse health outcomes, including anxiety, depression, suicidality, unintended pregnancy, and substance misuse. A related phenomenon, reproductive coercion involves interference with the reproductive decision making of a partner with the intention of promoting pregnancy or controlling outcomes of a pregnancy. Reproductive coercion is associated with unintended pregnancy, partner violence, and sexually transmitted infections. Little is known about the intersection between economic ARA, sexual exploitation, and reproductive coercion. This paper explores the intersections between reproductive coercion, transactional sex, and economic abuse victimization in adolescent dating relationships. In an online survey, 1,752 adolescents (ages 13-17) were asked about economic adolescent relationship abuse (educational, employment and financial interference), transactional sex, reproductive coercion, and contraceptive access within their relationships. We assessed associations with chi-square tests and logistic regression analysis. Youth who experienced economic ARA (70%, 1,232) reported financial dependence on their partner, contraceptive access, and reproductive coercion (74-83%; p-values<0.001) more often than their counterparts without economic ARA. Adolescents experiencing economic abuse were more likely to report transactional sex (aOR = 2.76, CI [2.12, 3.60], <i>p</i> < .001), depending on a partner to pay for contraception or birth control (aOR = 2.20, CI [1.71, 2.84], <i>p</i> < .001), and reproductive coercion (aOR = 3.20, CI [2.37, 4.32], <i>p</i> < .001). Youth-serving providers and agencies should be aware of intersections between economic ARA, transactional sex, financial dependence, and reproductive coercion, particularly for adolescents with health-related social needs.</p>","PeriodicalId":47476,"journal":{"name":"Journal of Trauma & Dissociation","volume":"24 4","pages":"489-505"},"PeriodicalIF":3.3,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9961896","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
BARRIERS TO REPORTING AND LACK OF EQUITABLE SUPPORT: ABORTION ACCESS FOR ADULTS WITH AUTISM EXPERIENCING RAPE-RELATED PREGNANCY POST-ROE. 报告的障碍和缺乏公平的支持:患有自闭症的成年人在产后经历与强奸有关的怀孕时的堕胎机会。
IF 3.3 3区 医学 Q2 PSYCHIATRY Pub Date : 2023-07-01 DOI: 10.1080/15299732.2023.2212405
Kirsten M Greer, Ivanka Simić Stanojević, Kyla M Cary, Morgan E PettyJohn, Jennifer J Piatt, William L Yarber

Following the overturning of Roe v. Wade, individuals with autism experience unique barriers to accessing abortion for rape-related pregnancies in states restricting reproductive health care. Barriers to reporting rape include inadequate sex education which contributes to a lack of information about sexual violence (SV), difficulties labeling and recognizing SV, and potential difficulties navigating the role of a caregiver or conservator when reporting SV. Individuals with autism often experience a lack of equitable support from formal SV support services. Both barriers to reporting and lack of equitable support from formal SV support services reflect that individuals with autism are marginalized and often overlooked when receiving sexual and reproductive health care. Suggestions are provided for sexuality educators, SV support services, police, healthcare providers and policymakers, for better supporting individuals with autism experiencing rape-related pregnancy in states with abortion restrictions.

在罗伊诉韦德案(Roe v. Wade)被推翻之后,在限制生殖保健的州,自闭症患者在因强奸而怀孕的堕胎方面遇到了独特的障碍。报告强奸的障碍包括性教育不足,导致性暴力(SV)信息的缺乏,难以标记和识别性暴力,以及在报告性暴力时可能难以定位照顾者或保护者的角色。自闭症患者通常缺乏来自正式的性行为支持服务的公平支持。报告方面的障碍和缺乏来自正式的性侵犯和性侵犯支助服务的公平支持,都反映出自闭症患者在接受性和生殖保健服务时被边缘化,往往被忽视。为性教育工作者、性侵犯者支持服务机构、警察、医疗保健提供者和政策制定者提供建议,以便在有堕胎限制的州更好地支持与强奸有关的怀孕的自闭症患者。
{"title":"BARRIERS TO REPORTING AND LACK OF EQUITABLE SUPPORT: ABORTION ACCESS FOR ADULTS WITH AUTISM EXPERIENCING RAPE-RELATED PREGNANCY POST-ROE.","authors":"Kirsten M Greer,&nbsp;Ivanka Simić Stanojević,&nbsp;Kyla M Cary,&nbsp;Morgan E PettyJohn,&nbsp;Jennifer J Piatt,&nbsp;William L Yarber","doi":"10.1080/15299732.2023.2212405","DOIUrl":"https://doi.org/10.1080/15299732.2023.2212405","url":null,"abstract":"<p><p>Following the overturning of Roe v. Wade, individuals with autism experience unique barriers to accessing abortion for rape-related pregnancies in states restricting reproductive health care. Barriers to reporting rape include inadequate sex education which contributes to a lack of information about sexual violence (SV), difficulties labeling and recognizing SV, and potential difficulties navigating the role of a caregiver or conservator when reporting SV. Individuals with autism often experience a lack of equitable support from formal SV support services. Both barriers to reporting and lack of equitable support from formal SV support services reflect that individuals with autism are marginalized and often overlooked when receiving sexual and reproductive health care. Suggestions are provided for sexuality educators, SV support services, police, healthcare providers and policymakers, for better supporting individuals with autism experiencing rape-related pregnancy in states with abortion restrictions.</p>","PeriodicalId":47476,"journal":{"name":"Journal of Trauma & Dissociation","volume":"24 4","pages":"506-519"},"PeriodicalIF":3.3,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9589834","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Situating reproductive coercion in the sociocultural context: An ecological model to inform research, practice, and policy in the United States. 社会文化背景下的生殖强迫:美国研究、实践和政策的生态模型。
IF 3.3 3区 医学 Q2 PSYCHIATRY Pub Date : 2023-07-01 DOI: 10.1080/15299732.2023.2212403
Jessica N Coleman, Samantha N Hellberg, Tiffany A Hopkins, Katherine A Thompson, Amanda B Bruening, Amanda C Jones

Reproductive coercion (RC) can be conceptualized as any behavior that limits one's ability to make decisions about their reproductive health. Here, we broaden this definition to consider the impact of systemic and sociocultural factors on RC using an ecological model. Specifically, we use Bronfenbrenner's model as a framework for organizing the multilevel factors that influence reproductive coercion (RC) and its impacts on individual health. This paper is intended to offer a primer to historical, sociocultural, community, interpersonal, and individual processes that may interact to shape reproductive decision-making and its effect on individual health outcomes. We emphasize the importance of conceptualizing RC within the broader sociocultural and community context, and the potential implications for reproductive and sexual health research, clinical care, and policy in the United States.

生殖强迫可以被定义为限制一个人就其生殖健康作出决定的能力的任何行为。在这里,我们扩大了这一定义,使用生态模型考虑系统和社会文化因素对RC的影响。具体而言,我们使用Bronfenbrenner的模型作为组织影响生殖强迫(RC)及其对个体健康影响的多层次因素的框架。本文旨在为历史、社会文化、社区、人际关系和个人过程提供基础,这些过程可能相互作用,形成生殖决策及其对个人健康结果的影响。我们强调在更广泛的社会文化和社区背景下概念化生殖健康的重要性,以及对美国生殖健康和性健康研究、临床护理和政策的潜在影响。
{"title":"Situating reproductive coercion in the sociocultural context: An ecological model to inform research, practice, and policy in the United States.","authors":"Jessica N Coleman,&nbsp;Samantha N Hellberg,&nbsp;Tiffany A Hopkins,&nbsp;Katherine A Thompson,&nbsp;Amanda B Bruening,&nbsp;Amanda C Jones","doi":"10.1080/15299732.2023.2212403","DOIUrl":"https://doi.org/10.1080/15299732.2023.2212403","url":null,"abstract":"<p><p>Reproductive coercion (RC) can be conceptualized as any behavior that limits one's ability to make decisions about their reproductive health. Here, we broaden this definition to consider the impact of systemic and sociocultural factors on RC using an ecological model. Specifically, we use Bronfenbrenner's model as a framework for organizing the multilevel factors that influence reproductive coercion (RC) and its impacts on individual health. This paper is intended to offer a primer to historical, sociocultural, community, interpersonal, and individual processes that may interact to shape reproductive decision-making and its effect on individual health outcomes. We emphasize the importance of conceptualizing RC within the broader sociocultural and community context, and the potential implications for reproductive and sexual health research, clinical care, and policy in the United States.</p>","PeriodicalId":47476,"journal":{"name":"Journal of Trauma & Dissociation","volume":"24 4","pages":"471-488"},"PeriodicalIF":3.3,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9588384","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Characteristics, Methods, And Functions Of Non-Suicidal Self-Injury Among Highly Dissociative Individuals. 高度分离性个体非自杀性自伤的特征、方法和功能。
IF 3.3 3区 医学 Q2 PSYCHIATRY Pub Date : 2023-05-01 DOI: 10.1080/15299732.2023.2181475
M Shae Nester, Nicholas A Pierorazio, Gavi Shandler, Bethany L Brand

Upto 86% of dissociative individuals engage in non-suicidal self-injury (NSSI). Research suggests that people who dissociate utilize NSSI to regulate posttraumatic and dissociative experiences, as well asrelated emotions. Despite high rates of NSSI, no quantitative study has examined the characteristics, methods, and functions of NSSIwithin a dissociative population. The present study examined thesedimensions of NSSI among dissociative individuals, as well aspotential predictors of intrapersonal functions of NSSI. The sample included 295 participants who indicated experiencing one or more dissociative symptoms and/or having been diagnosed with a trauma- or dissociation-related disorder. Participants were recruited through online trauma- and dissociation- related forums. Approximately 92% of participants endorsed a history of NSSI. The most common methods of NSSI were interfering with wound healing (67%), hitting oneself (66%), and cutting (63%). After controlling for age and gender, dissociation was uniquely associated with cutting, burning, carving, interfering with wound healing, rubbing skin against rough surfaces, swallowing dangerous substances, and other forms of NSSI. Dissociation was correlated with affect regulation, self-punishment,anti-dissociation, anti-suicide, and self-care functions of NSSI;however, after controlling for age, gender, depressive symptoms, emotion dysregulation, and PTSD symptoms, dissociation was no longer associated with any function of NSSI. Instead, only emotion dysregulation was associated with the self-punishment function ofNSSI and only PTSD symptoms were associated with the anti-dissociation function of NSSI. Understanding the unique properties of NSSI among dissociative individuals may improve the treatment of people who dissociate and engage in NSSI.

高达86%的分离性个体从事非自杀性自伤(NSSI)。研究表明,分离的人利用自伤来调节创伤后和分离的经历,以及相关的情绪。尽管自伤率很高,但目前还没有定量研究调查离解人群中自伤的特征、方法和功能。本研究考察了分离个体自伤的这些维度,以及自伤的人际功能的潜在预测因素。样本包括295名参与者,他们表示经历一种或多种分离症状和/或被诊断患有创伤或分离相关障碍。参与者是通过在线创伤和分离相关论坛招募的。大约92%的参与者承认有自伤史。最常见的自伤方式是干扰伤口愈合(67%)、自伤(66%)和割伤(63%)。在控制了年龄和性别之后,分离与切割、烧伤、雕刻、干扰伤口愈合、在粗糙表面摩擦皮肤、吞咽危险物质和其他形式的自伤有关。解离与自伤的情感调节、自我惩罚、抗解离、抗自杀和自我照顾功能相关,但在控制年龄、性别、抑郁症状、情绪失调和PTSD症状后,解离不再与自伤的任何功能相关。相反,只有情绪失调与自伤的自我惩罚功能相关,只有PTSD症状与自伤的抗分离功能相关。了解解离性个体自伤的独特特性可以改善对解离性自伤者的治疗。
{"title":"Characteristics, Methods, And Functions Of Non-Suicidal Self-Injury Among Highly Dissociative Individuals.","authors":"M Shae Nester,&nbsp;Nicholas A Pierorazio,&nbsp;Gavi Shandler,&nbsp;Bethany L Brand","doi":"10.1080/15299732.2023.2181475","DOIUrl":"https://doi.org/10.1080/15299732.2023.2181475","url":null,"abstract":"<p><p>Upto 86% of dissociative individuals engage in non-suicidal self-injury (NSSI). Research suggests that people who dissociate utilize NSSI to regulate posttraumatic and dissociative experiences, as well asrelated emotions. Despite high rates of NSSI, no quantitative study has examined the characteristics, methods, and functions of NSSIwithin a dissociative population. The present study examined thesedimensions of NSSI among dissociative individuals, as well aspotential predictors of intrapersonal functions of NSSI. The sample included 295 participants who indicated experiencing one or more dissociative symptoms and/or having been diagnosed with a trauma- or dissociation-related disorder. Participants were recruited through online trauma- and dissociation- related forums. Approximately 92% of participants endorsed a history of NSSI. The most common methods of NSSI were interfering with wound healing (67%), hitting oneself (66%), and cutting (63%). After controlling for age and gender, dissociation was uniquely associated with cutting, burning, carving, interfering with wound healing, rubbing skin against rough surfaces, swallowing dangerous substances, and other forms of NSSI. Dissociation was correlated with affect regulation, self-punishment,anti-dissociation, anti-suicide, and self-care functions of NSSI;however, after controlling for age, gender, depressive symptoms, emotion dysregulation, and PTSD symptoms, dissociation was no longer associated with any function of NSSI. Instead, only emotion dysregulation was associated with the self-punishment function ofNSSI and only PTSD symptoms were associated with the anti-dissociation function of NSSI. Understanding the unique properties of NSSI among dissociative individuals may improve the treatment of people who dissociate and engage in NSSI.</p>","PeriodicalId":47476,"journal":{"name":"Journal of Trauma & Dissociation","volume":"24 3","pages":"333-347"},"PeriodicalIF":3.3,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9263739","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Heterogeneity In Women's Trauma Histories: Impact On Substance Use Disorder Severity. 女性创伤史的异质性:对物质使用障碍严重程度的影响。
IF 3.3 3区 医学 Q2 PSYCHIATRY Pub Date : 2023-05-01 DOI: 10.1080/15299732.2023.2181476
C Gallagher, C Brunelle

Trauma and substance use disorders (SUDs) frequently co-occur, especially in women. Previous studies have attempted to determine if individual differences in trauma histories could be meaningfully categorized but few studies have focused solely on women, especially those reporting substance use problems. A total of 130 women (M age = 30.7, SD = 7.9) self reporting past-year substance use problems completed comprehensive measures assessing lifetime exposure to a variety of traumatic events as well as substance use patterns and severity. Using latent class analysis, three classes emerged, a Low Lifetime Interpersonal Trauma class (40%, n = 52), a Moderate Lifetime Interpersonal Trauma class (23.8%, n = 31) and a High Lifetime Interpersonal Trauma class (36.2%, n = 47). Groups did not vary on daily/almost daily use of different types of substances and polysubstance use frequency but were significantly different on SUD severity, with the Moderate and the High Lifetime Interpersonal Trauma classes reporting severe SUD severity in comparison to moderate severity for the Low Interpersonal Trauma class. The findings of the current study indicate that women experiencing substance use problems should receive SUD treatment in a trauma-informed manner but that not all may require integrated trauma and substance use interventions.

创伤和物质使用障碍(sud)经常同时发生,尤其是在女性中。以前的研究试图确定创伤史的个体差异是否可以有意义地分类,但很少有研究只关注女性,尤其是那些报告药物使用问题的女性。共有130名女性(M年龄= 30.7,SD = 7.9)自我报告过去一年的物质使用问题,完成了综合测量,评估终生暴露于各种创伤事件以及物质使用模式和严重程度。利用潜在类别分析,出现了低终身人际创伤类别(40%,n = 52)、中度终身人际创伤类别(23.8%,n = 31)和高终身人际创伤类别(36.2%,n = 47)三个类别。各组在每天/几乎每天使用不同类型的物质和多物质使用频率上没有差异,但在SUD严重程度上存在显著差异,中度和高度终身人际创伤类别报告严重的SUD严重程度,而轻度人际创伤类别报告中度严重程度。目前的研究结果表明,经历药物使用问题的女性应该以创伤知情的方式接受SUD治疗,但并非所有女性都需要综合创伤和药物使用干预。
{"title":"Heterogeneity In Women's Trauma Histories: Impact On Substance Use Disorder Severity.","authors":"C Gallagher,&nbsp;C Brunelle","doi":"10.1080/15299732.2023.2181476","DOIUrl":"https://doi.org/10.1080/15299732.2023.2181476","url":null,"abstract":"<p><p>Trauma and substance use disorders (SUDs) frequently co-occur, especially in women. Previous studies have attempted to determine if individual differences in trauma histories could be meaningfully categorized but few studies have focused solely on women, especially those reporting substance use problems. A total of 130 women (<i>M</i> age = 30.7, <i>SD</i> = 7.9) self reporting past-year substance use problems completed comprehensive measures assessing lifetime exposure to a variety of traumatic events as well as substance use patterns and severity. Using latent class analysis, three classes emerged, a <i>Low Lifetime Interpersonal Trauma</i> class (40%, <i>n</i> = 52), a <i>Moderate Lifetime Interpersonal Trauma</i> class (23.8%, <i>n</i> = 31) and a <i>High Lifetime Interpersonal Trauma</i> class (36.2%, <i>n</i> = 47). Groups did not vary on daily/almost daily use of different types of substances and polysubstance use frequency but were significantly different on SUD severity, with the <i>Moderate</i> and the <i>High Lifetime Interpersonal Trauma</i> classes reporting severe SUD severity in comparison to moderate severity for the <i>Low Interpersonal Trauma</i> class. The findings of the current study indicate that women experiencing substance use problems should receive SUD treatment in a trauma-informed manner but that not all may require integrated trauma and substance use interventions.</p>","PeriodicalId":47476,"journal":{"name":"Journal of Trauma & Dissociation","volume":"24 3","pages":"395-409"},"PeriodicalIF":3.3,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9263732","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
The Relationship Between Obsessive-Compulsive Symptoms and Dissociation: A Systematic Review and Meta-Analysis. 强迫症状与分离的关系:系统回顾与元分析。
IF 3.3 3区 医学 Q2 PSYCHIATRY Pub Date : 2023-05-01 DOI: 10.1080/15299732.2023.2181477
Lucia Sideli, Gianluca Santoro, Andrea Fontana, Fanny Guglielmucci, Vincenzo Caretti, Adriano Schimmenti

This systematic review and meta-analysis aimed to investigate the relationship between dissociation and obsessive-compulsive symptoms (OCS) and disorder (OCD). Specifically, the study aimed to (a) estimate the pooled prevalence of dissociative disorders among individuals with OCD; (b) systematically review the prevalence of OCD among individuals with dissociative disorders; (c) compare the severity of dissociative symptoms between individuals with OCD and non-clinical controls; (d) estimate the association between OCS and dissociative symptoms in the clinical and non-clinical populations. A systematic search was carried out in biomedical databases from inception to January 2022 according to PRISMA guidelines. A total of 41 studies met inclusion criteria (n = 9,438, 34.3% males). The pooled prevalence of dissociative disorders in adult samples with OCD was 8% (95% CI [3, 15], k = 5). Studies on adolescent and adult patients with dissociative disorders found that 17-32% reported comorbid OCD, while a prospective study of patients with early-onset dissociative disorders found no evidence of association with OCD. Individuals affected by OCD reported more dissociative symptoms than non-clinical controls (g = .67, 95% CI [.18, 1.16], k = 9). A moderate correlation between dissociative symptoms and OCS was detected (r = .43, 95% CI [.36, .51], k = 18). Sensitivity analyses showed small/moderate correlations between dissociative experiences and specific types of obsessions and compulsions. Findings suggest that dissociative symptoms are moderately related to OCS in both clinical and non-clinical populations. Interventions aimed to reduce dissociation might improve treatment response of patients suffering from OCD.

本系统综述和荟萃分析旨在探讨分离与强迫症(OCS)和障碍(OCD)之间的关系。具体来说,该研究旨在(a)估计强迫症患者中分离性障碍的总体患病率;(b)系统地审查分离性障碍患者中强迫症的流行情况;(c)比较强迫症患者和非临床对照者之间分离症状的严重程度;(d)估计临床和非临床人群中OCS与分离症状之间的关联。根据PRISMA指南,对生物医学数据库进行了系统检索,从成立到2022年1月。共有41项研究符合纳入标准(n = 9438,男性34.3%)。成年强迫症患者中分离性障碍的总患病率为8% (95% CI [3,15], k = 5)。对青少年和成人解离性障碍患者的研究发现,17-32%的患者报告了强迫症的合并症,而一项对早发性解离性障碍患者的前瞻性研究没有发现与强迫症相关的证据。受OCD影响的个体报告的解离症状比非临床对照多(g =。67, 95% ci[。[18,1.16], k = 9)。分离症状与OCS之间存在中度相关性(r =。43, 95% ci[。36, .51], k = 18)。敏感性分析显示,分离体验与特定类型的强迫和强迫之间存在小/中度相关性。研究结果表明,在临床和非临床人群中,分离症状与OCS有中度相关性。旨在减少分离的干预措施可能会改善强迫症患者的治疗反应。
{"title":"The Relationship Between Obsessive-Compulsive Symptoms and Dissociation: A Systematic Review and Meta-Analysis.","authors":"Lucia Sideli,&nbsp;Gianluca Santoro,&nbsp;Andrea Fontana,&nbsp;Fanny Guglielmucci,&nbsp;Vincenzo Caretti,&nbsp;Adriano Schimmenti","doi":"10.1080/15299732.2023.2181477","DOIUrl":"https://doi.org/10.1080/15299732.2023.2181477","url":null,"abstract":"<p><p>This systematic review and meta-analysis aimed to investigate the relationship between dissociation and obsessive-compulsive symptoms (OCS) and disorder (OCD). Specifically, the study aimed to (a) estimate the pooled prevalence of dissociative disorders among individuals with OCD; (b) systematically review the prevalence of OCD among individuals with dissociative disorders; (c) compare the severity of dissociative symptoms between individuals with OCD and non-clinical controls; (d) estimate the association between OCS and dissociative symptoms in the clinical and non-clinical populations. A systematic search was carried out in biomedical databases from inception to January 2022 according to PRISMA guidelines. A total of 41 studies met inclusion criteria (<i>n</i> = 9,438, 34.3% males). The pooled prevalence of dissociative disorders in adult samples with OCD was 8% (95% CI [3, 15], <i>k</i> = 5). Studies on adolescent and adult patients with dissociative disorders found that 17-32% reported comorbid OCD, while a prospective study of patients with early-onset dissociative disorders found no evidence of association with OCD. Individuals affected by OCD reported more dissociative symptoms than non-clinical controls (<i>g</i> = .67, 95% CI [.18, 1.16], <i>k</i> = 9). A moderate correlation between dissociative symptoms and OCS was detected (<i>r</i> = .43, 95% CI [.36, .51], <i>k</i> = 18). Sensitivity analyses showed small/moderate correlations between dissociative experiences and specific types of obsessions and compulsions. Findings suggest that dissociative symptoms are moderately related to OCS in both clinical and non-clinical populations. Interventions aimed to reduce dissociation might improve treatment response of patients suffering from OCD.</p>","PeriodicalId":47476,"journal":{"name":"Journal of Trauma & Dissociation","volume":"24 3","pages":"362-379"},"PeriodicalIF":3.3,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9316922","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
期刊
Journal of Trauma & Dissociation
全部 Acc. Chem. Res. ACS Applied Bio Materials ACS Appl. Electron. Mater. ACS Appl. Energy Mater. ACS Appl. Mater. Interfaces ACS Appl. Nano Mater. ACS Appl. Polym. Mater. ACS BIOMATER-SCI ENG ACS Catal. ACS Cent. Sci. ACS Chem. Biol. ACS Chemical Health & Safety ACS Chem. Neurosci. ACS Comb. Sci. ACS Earth Space Chem. ACS Energy Lett. ACS Infect. Dis. ACS Macro Lett. ACS Mater. Lett. ACS Med. Chem. Lett. ACS Nano ACS Omega ACS Photonics ACS Sens. ACS Sustainable Chem. Eng. ACS Synth. Biol. Anal. Chem. BIOCHEMISTRY-US Bioconjugate Chem. BIOMACROMOLECULES Chem. Res. Toxicol. Chem. Rev. Chem. Mater. CRYST GROWTH DES ENERG FUEL Environ. Sci. Technol. Environ. Sci. Technol. Lett. Eur. J. Inorg. Chem. IND ENG CHEM RES Inorg. Chem. J. Agric. Food. Chem. J. Chem. Eng. Data J. Chem. Educ. J. Chem. Inf. Model. J. Chem. Theory Comput. J. Med. Chem. J. Nat. Prod. J PROTEOME RES J. Am. Chem. Soc. LANGMUIR MACROMOLECULES Mol. Pharmaceutics Nano Lett. Org. Lett. ORG PROCESS RES DEV ORGANOMETALLICS J. Org. Chem. J. Phys. Chem. J. Phys. Chem. A J. Phys. Chem. B J. Phys. Chem. C J. Phys. Chem. Lett. Analyst Anal. Methods Biomater. Sci. Catal. Sci. Technol. Chem. Commun. Chem. Soc. Rev. CHEM EDUC RES PRACT CRYSTENGCOMM Dalton Trans. Energy Environ. Sci. ENVIRON SCI-NANO ENVIRON SCI-PROC IMP ENVIRON SCI-WAT RES Faraday Discuss. Food Funct. Green Chem. Inorg. Chem. Front. Integr. Biol. J. Anal. At. Spectrom. J. Mater. Chem. A J. Mater. Chem. B J. Mater. Chem. C Lab Chip Mater. Chem. Front. Mater. Horiz. MEDCHEMCOMM Metallomics Mol. Biosyst. Mol. Syst. Des. Eng. Nanoscale Nanoscale Horiz. Nat. Prod. Rep. New J. Chem. Org. Biomol. Chem. Org. Chem. Front. PHOTOCH PHOTOBIO SCI PCCP Polym. Chem.
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
0
微信
客服QQ
Book学术公众号 扫码关注我们
反馈
×
意见反馈
请填写您的意见或建议
请填写您的手机或邮箱
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
现在去查看 取消
×
提示
确定
Book学术官方微信
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术
文献互助 智能选刊 最新文献 互助须知 联系我们:info@booksci.cn
Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。
Copyright © 2023 Book学术 All rights reserved.
ghs 京公网安备 11010802042870号 京ICP备2023020795号-1