Back to Search
Start Over
Dissociative Subtype of Posttraumatic Stress Disorder and its Correlates Among Treatment-Seeking Refugees.
- Source :
-
Journal of Trauma & Dissociation . Sep2024, p1-14. 14p. - Publication Year :
- 2024
-
Abstract
- The dissociative subtype of posttraumatic stress disorder (PTSD-DS) denotes a severe type of PTSD associated with complex trauma exposure and psychiatric comorbidity. Refugees may be at heightened risk of developing PTSD-DS, but research is lacking. This cross-sectional study aimed to examine PTSD-DS and its demographic, trauma-related, and clinical correlates among a convenience sample of refugee patients over 18 years old who were diagnosed with PTSD according to DSM-5. PTSD-DS (Clinician-Administered PTSD Scale for DSM-5), trauma exposure (Life Events Checklist for DSM-5) and general psychopathology (Brief Symptom Inventory) were assessed at intake. T-tests, chi-square tests, and logistical regression analysis were conducted. The final sample consisted of 552 participants (177 (32.1%) women; 375 (67.9%) men; average age 40.0 years (SD = 11.2)) who originated from 63 countries. Of those, 158 (28.6%) met criteria for PTSD-DS. Participants with PTSD-DS scored significantly higher on PTSD symptom severity (<italic>t</italic>(550)=-5.270, <italic>p</italic> < .001), number of traumatic event types (<italic>t</italic>(456)=-3.499, <italic>p</italic> < .001), and exposure to sexual assault (<italic>χ</italic>(1) = 6.471, <italic>p</italic> = .01) than those without PTSD-DS. The odds of having PTSD-DS increased by 14.1% with exposure to each additional traumatic event type (OR = 1.141, CI 0.033–1.260). In conclusion, around 29% of adult treatment-seeking refugees with PTSD met the criteria for PTSD-DS. Those exposed to multiple traumatic event types including sexual assault, regardless of sex, were especially at risk. Having PTSD-DS was associated with more severe PTSD. Prioritizing trauma-focused treatment for those with PTSD-DS is recommended. [ABSTRACT FROM AUTHOR]
Details
- Language :
- English
- ISSN :
- 15299732
- Database :
- Academic Search Index
- Journal :
- Journal of Trauma & Dissociation
- Publication Type :
- Academic Journal
- Accession number :
- 179928576
- Full Text :
- https://doi.org/10.1080/15299732.2024.2407765