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A network analysis of posttraumatic stress disorder and dissociation in trauma-exposed adolescents
•Recurrent memories was the most central PTSD symptom.•Concentration problems was the PTSD symptom with highest bridge centrality.•Amnesia and Recurrent memories also had high bridge centrality.•Can’t remember things was dissociative symptom with highest bridge centrality.•Memory problems were bridg...
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| Published in: | Journal of anxiety disorders 2020-05, Vol.72, p.102222-102222, Article 102222 |
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| container_title | Journal of anxiety disorders |
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| creator | Ross, Jana Armour, Cherie Kerig, Patricia K. Kidwell, Mallory C. Kilshaw, Robyn E. |
| description | •Recurrent memories was the most central PTSD symptom.•Concentration problems was the PTSD symptom with highest bridge centrality.•Amnesia and Recurrent memories also had high bridge centrality.•Can’t remember things was dissociative symptom with highest bridge centrality.•Memory problems were bridge symptoms between PTSD and dissociation.
Posttraumatic stress disorder (PTSD) and dissociation have long been recognized to co-occur, leading the DSM-5 to introduce a dissociative subtype of PTSD into its nomenclature. Most research to date on the dissociative subtype has focused on adults. The current study aimed to extend this research to an adolescent sample and to examine symptom-level associations between PTSD and dissociation using network analysis. The analysis was conducted with 448 trauma-exposed detained US adolescents (24.55% female; mean age 15.98 ± 1.25 years). A network consisting of 20 DSM-5 PTSD symptoms was constructed, followed by a network consisting of 20 PTSD symptoms and five dissociative items. Expected influence bridge centrality was estimated to examine items with the most/strongest cross-construct connections (i.e. between PTSD and dissociation). The PTSD symptoms concentration problems, amnesia and recurrent memories and the dissociative items depersonalization, derealisation and can’t remember things that happened had the highest bridge centrality values. These symptom-level associations extend our understanding of the PTSD-dissociation relationship by pointing to specific symptoms of PTSD and dissociation that may drive the co-morbidity between the two constructs. These findings may inform future intervention efforts. |
| doi_str_mv | 10.1016/j.janxdis.2020.102222 |
| format | article |
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Posttraumatic stress disorder (PTSD) and dissociation have long been recognized to co-occur, leading the DSM-5 to introduce a dissociative subtype of PTSD into its nomenclature. Most research to date on the dissociative subtype has focused on adults. The current study aimed to extend this research to an adolescent sample and to examine symptom-level associations between PTSD and dissociation using network analysis. The analysis was conducted with 448 trauma-exposed detained US adolescents (24.55% female; mean age 15.98 ± 1.25 years). A network consisting of 20 DSM-5 PTSD symptoms was constructed, followed by a network consisting of 20 PTSD symptoms and five dissociative items. Expected influence bridge centrality was estimated to examine items with the most/strongest cross-construct connections (i.e. between PTSD and dissociation). The PTSD symptoms concentration problems, amnesia and recurrent memories and the dissociative items depersonalization, derealisation and can’t remember things that happened had the highest bridge centrality values. These symptom-level associations extend our understanding of the PTSD-dissociation relationship by pointing to specific symptoms of PTSD and dissociation that may drive the co-morbidity between the two constructs. These findings may inform future intervention efforts.</description><identifier>ISSN: 0887-6185</identifier><identifier>EISSN: 1873-7897</identifier><identifier>DOI: 10.1016/j.janxdis.2020.102222</identifier><identifier>PMID: 32272318</identifier><language>eng</language><publisher>Netherlands: Elsevier Ltd</publisher><subject>Adolescent ; Adolescents ; Child ; Comorbidity ; Depersonalization ; Diagnostic and Statistical Manual of Mental Disorders ; Dissociation ; Dissociative Disorders - complications ; Dissociative Disorders - epidemiology ; Dissociative Disorders - psychology ; Dissociative subtype ; Female ; Humans ; Male ; Memory ; Network analysis ; Psychological Trauma - complications ; Psychological Trauma - epidemiology ; Psychological Trauma - psychology ; PTSD ; Stress Disorders, Post-Traumatic - complications ; Stress Disorders, Post-Traumatic - epidemiology ; Stress Disorders, Post-Traumatic - psychology ; Young Adult ; Youth</subject><ispartof>Journal of anxiety disorders, 2020-05, Vol.72, p.102222-102222, Article 102222</ispartof><rights>2020</rights><rights>Copyright © 2020. Published by Elsevier Ltd.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c445t-5cad13bdb864834348235a888794c8689fa385bc7809f946b80d69533d1320f53</citedby><cites>FETCH-LOGICAL-c445t-5cad13bdb864834348235a888794c8689fa385bc7809f946b80d69533d1320f53</cites><orcidid>0000-0003-4339-8437</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>315,786,790,27957,27958</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/32272318$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Ross, Jana</creatorcontrib><creatorcontrib>Armour, Cherie</creatorcontrib><creatorcontrib>Kerig, Patricia K.</creatorcontrib><creatorcontrib>Kidwell, Mallory C.</creatorcontrib><creatorcontrib>Kilshaw, Robyn E.</creatorcontrib><title>A network analysis of posttraumatic stress disorder and dissociation in trauma-exposed adolescents</title><title>Journal of anxiety disorders</title><addtitle>J Anxiety Disord</addtitle><description>•Recurrent memories was the most central PTSD symptom.•Concentration problems was the PTSD symptom with highest bridge centrality.•Amnesia and Recurrent memories also had high bridge centrality.•Can’t remember things was dissociative symptom with highest bridge centrality.•Memory problems were bridge symptoms between PTSD and dissociation.
Posttraumatic stress disorder (PTSD) and dissociation have long been recognized to co-occur, leading the DSM-5 to introduce a dissociative subtype of PTSD into its nomenclature. Most research to date on the dissociative subtype has focused on adults. The current study aimed to extend this research to an adolescent sample and to examine symptom-level associations between PTSD and dissociation using network analysis. The analysis was conducted with 448 trauma-exposed detained US adolescents (24.55% female; mean age 15.98 ± 1.25 years). A network consisting of 20 DSM-5 PTSD symptoms was constructed, followed by a network consisting of 20 PTSD symptoms and five dissociative items. Expected influence bridge centrality was estimated to examine items with the most/strongest cross-construct connections (i.e. between PTSD and dissociation). The PTSD symptoms concentration problems, amnesia and recurrent memories and the dissociative items depersonalization, derealisation and can’t remember things that happened had the highest bridge centrality values. These symptom-level associations extend our understanding of the PTSD-dissociation relationship by pointing to specific symptoms of PTSD and dissociation that may drive the co-morbidity between the two constructs. These findings may inform future intervention efforts.</description><subject>Adolescent</subject><subject>Adolescents</subject><subject>Child</subject><subject>Comorbidity</subject><subject>Depersonalization</subject><subject>Diagnostic and Statistical Manual of Mental Disorders</subject><subject>Dissociation</subject><subject>Dissociative Disorders - complications</subject><subject>Dissociative Disorders - epidemiology</subject><subject>Dissociative Disorders - psychology</subject><subject>Dissociative subtype</subject><subject>Female</subject><subject>Humans</subject><subject>Male</subject><subject>Memory</subject><subject>Network analysis</subject><subject>Psychological Trauma - complications</subject><subject>Psychological Trauma - epidemiology</subject><subject>Psychological Trauma - psychology</subject><subject>PTSD</subject><subject>Stress Disorders, Post-Traumatic - complications</subject><subject>Stress Disorders, Post-Traumatic - epidemiology</subject><subject>Stress Disorders, Post-Traumatic - psychology</subject><subject>Young Adult</subject><subject>Youth</subject><issn>0887-6185</issn><issn>1873-7897</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><recordid>eNqFkElPwzAQhS0EgrL8BJCPXFK8ZHFOCCE2CYkLnC3HnkguaVw8LtB_j6sUrvgysud78zyPkHPO5pzx-moxX5jx23mcCya2byKfPTLjqpFFo9pmn8yYUk1Rc1UdkWPEBWO8YXVzSI6kEI2QXM1Id0NHSF8hvlMzmmGDHmno6SpgStGslyZ5SzFFQKTZLEQHMZNue8Fgfe6HkfqRTnQB31kKjhoXBkALY8JTctCbAeFsV0_I2_3d6-1j8fzy8HR781zYsqxSUVnjuOxcp-pSyVKWSsjKqLxCW1pVq7Y3UlWdbRRr-7asO8Vc3VZSZpVgfSVPyOU0dxXDxxow6aXPPxgGM0JYoxYyDxOiZG1Gqwm1MSBG6PUq-qWJG82Z3sarF3oXr97Gq6d4s-5iZ7HuluD-VL95ZuB6AiAv-ukharQeRgvOR7BJu-D_sfgBL3uO7w</recordid><startdate>202005</startdate><enddate>202005</enddate><creator>Ross, Jana</creator><creator>Armour, Cherie</creator><creator>Kerig, Patricia K.</creator><creator>Kidwell, Mallory C.</creator><creator>Kilshaw, Robyn E.</creator><general>Elsevier Ltd</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0003-4339-8437</orcidid></search><sort><creationdate>202005</creationdate><title>A network analysis of posttraumatic stress disorder and dissociation in trauma-exposed adolescents</title><author>Ross, Jana ; Armour, Cherie ; Kerig, Patricia K. ; Kidwell, Mallory C. ; Kilshaw, Robyn E.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c445t-5cad13bdb864834348235a888794c8689fa385bc7809f946b80d69533d1320f53</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Adolescent</topic><topic>Adolescents</topic><topic>Child</topic><topic>Comorbidity</topic><topic>Depersonalization</topic><topic>Diagnostic and Statistical Manual of Mental Disorders</topic><topic>Dissociation</topic><topic>Dissociative Disorders - complications</topic><topic>Dissociative Disorders - epidemiology</topic><topic>Dissociative Disorders - psychology</topic><topic>Dissociative subtype</topic><topic>Female</topic><topic>Humans</topic><topic>Male</topic><topic>Memory</topic><topic>Network analysis</topic><topic>Psychological Trauma - complications</topic><topic>Psychological Trauma - epidemiology</topic><topic>Psychological Trauma - psychology</topic><topic>PTSD</topic><topic>Stress Disorders, Post-Traumatic - complications</topic><topic>Stress Disorders, Post-Traumatic - epidemiology</topic><topic>Stress Disorders, Post-Traumatic - psychology</topic><topic>Young Adult</topic><topic>Youth</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Ross, Jana</creatorcontrib><creatorcontrib>Armour, Cherie</creatorcontrib><creatorcontrib>Kerig, Patricia K.</creatorcontrib><creatorcontrib>Kidwell, Mallory C.</creatorcontrib><creatorcontrib>Kilshaw, Robyn E.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of anxiety disorders</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Ross, Jana</au><au>Armour, Cherie</au><au>Kerig, Patricia K.</au><au>Kidwell, Mallory C.</au><au>Kilshaw, Robyn E.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>A network analysis of posttraumatic stress disorder and dissociation in trauma-exposed adolescents</atitle><jtitle>Journal of anxiety disorders</jtitle><addtitle>J Anxiety Disord</addtitle><date>2020-05</date><risdate>2020</risdate><volume>72</volume><spage>102222</spage><epage>102222</epage><pages>102222-102222</pages><artnum>102222</artnum><issn>0887-6185</issn><eissn>1873-7897</eissn><notes>ObjectType-Article-1</notes><notes>SourceType-Scholarly Journals-1</notes><notes>ObjectType-Feature-2</notes><notes>content type line 23</notes><abstract>•Recurrent memories was the most central PTSD symptom.•Concentration problems was the PTSD symptom with highest bridge centrality.•Amnesia and Recurrent memories also had high bridge centrality.•Can’t remember things was dissociative symptom with highest bridge centrality.•Memory problems were bridge symptoms between PTSD and dissociation.
Posttraumatic stress disorder (PTSD) and dissociation have long been recognized to co-occur, leading the DSM-5 to introduce a dissociative subtype of PTSD into its nomenclature. Most research to date on the dissociative subtype has focused on adults. The current study aimed to extend this research to an adolescent sample and to examine symptom-level associations between PTSD and dissociation using network analysis. The analysis was conducted with 448 trauma-exposed detained US adolescents (24.55% female; mean age 15.98 ± 1.25 years). A network consisting of 20 DSM-5 PTSD symptoms was constructed, followed by a network consisting of 20 PTSD symptoms and five dissociative items. Expected influence bridge centrality was estimated to examine items with the most/strongest cross-construct connections (i.e. between PTSD and dissociation). The PTSD symptoms concentration problems, amnesia and recurrent memories and the dissociative items depersonalization, derealisation and can’t remember things that happened had the highest bridge centrality values. These symptom-level associations extend our understanding of the PTSD-dissociation relationship by pointing to specific symptoms of PTSD and dissociation that may drive the co-morbidity between the two constructs. These findings may inform future intervention efforts.</abstract><cop>Netherlands</cop><pub>Elsevier Ltd</pub><pmid>32272318</pmid><doi>10.1016/j.janxdis.2020.102222</doi><tpages>1</tpages><orcidid>https://orcid.org/0000-0003-4339-8437</orcidid><oa>free_for_read</oa></addata></record> |
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| subjects | Adolescent Adolescents Child Comorbidity Depersonalization Diagnostic and Statistical Manual of Mental Disorders Dissociation Dissociative Disorders - complications Dissociative Disorders - epidemiology Dissociative Disorders - psychology Dissociative subtype Female Humans Male Memory Network analysis Psychological Trauma - complications Psychological Trauma - epidemiology Psychological Trauma - psychology PTSD Stress Disorders, Post-Traumatic - complications Stress Disorders, Post-Traumatic - epidemiology Stress Disorders, Post-Traumatic - psychology Young Adult Youth |
| title | A network analysis of posttraumatic stress disorder and dissociation in trauma-exposed adolescents |
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