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Complex trauma and intimate relationships: the impact of shame, guilt and dissociation.

Abstract：

BACKGROUND:This study examined dissociation, shame, guilt and intimate relationship difficulties in those with chronic and complex PTSD. Little is known about how these symptom clusters interplay within the complex PTSD constellation. Dissociation was examined as a principle organizing construct within complex PTSD. In addition, the impact of shame, guilt and dissociation on relationship difficulties was explored. METHODS:Sixty five treatment-receiving adults attending a Northern Irish service for conflict-related trauma were assessed on measures of dissociation, state and trait shame, behavioral responses to shame, state and trait guilt, complex PTSD symptom severity and relationship difficulties. RESULTS:Ninety five percent (n=62) of participants scored above cut-off for complex PTSD. Those with clinical levels of dissociation (n=27) were significantly higher on complex PTSD symptom severity, state and trait shame, state guilt, withdrawal in response to shame and relationship preoccupation than subclinical dissociators (n=38). Dissociation and state and trait shame predicted complex PTSD. Fear of relationships was predicted by dissociation, complex PTSD and avoidance in response to shame, while complex PTSD predicted relationship anxiety and relationship depression. LIMITATIONS:The study was limited to a relatively homogeneous sample of individuals with chronic and complex PTSD drawn from a single service. CONCLUSIONS:Complex PTSD has significant consequences for intimate relationships, and dissociation makes an independent contribution to these difficulties. Dissociation also has an organizing effect on complex PTSD symptoms.

journal_name

J Affect Disord

journal_title

Journal of affective disorders

authors

Dorahy MJ,Corry M,Shannon M,Webb K,McDermott B,Ryan M,Dyer KF

doi

10.1016/j.jad.2012.10.010

subject

Has Abstract

pub_date

2013-05-01 00:00:00

pages

72-9

issue

1-3

eissn

0165-0327

issn

1573-2517

pii

S0165-0327(12)00687-8

journal_volume

147

pub_type

杂志文章

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