Fantasy proneness (FP) is a personality trait associated with dissociation and psychopathology; however, it is also helpful in creative pursuits and part of normative human experiences. This study examined the role of thought suppression factors in the relationship between FP, measured by the Creative Experiences Questionnaire (CEQ), and dissociative experiences, measured by the Dissociative Experiences Scale II (DES-II), in a nonclinical sample (N = 187). Results from a principal component analysis (PCA) supported a two-factor structure of the White Bear Suppression Inventory (WBSI), consisting of thought intrusion and suppression effort. Results from a parallel mediation analysis indicated that thought intrusion mediated the relationship between FP and dissociation, while suppression effort did not. Furthermore, the mediation effect of thought intrusion was particularly strong for the relationship between FP and the DES-Taxon (DES-T), a subscale that captures potential pathological dissociative experiences. Our findings provide insight into a mechanism that may connect the adaptive use of fantasy to the development of maladaptive dissociative behaviors.
Objective: The aim of this study was to assess the prevalence of brain injury (BI) and its relationship to cognitive and psychological outcomes in women survivors of intimate partner violence (IPV) in Colombia, South America. Setting: Women's shelters and organizations in Barranquilla, Colombia. Participants: Seventy women from the city of Barranquilla, Colombia, who experienced any form of IPV. Design: Cross-sectional, retrospective. Main Measures: Participants were administered the computerized EMBRACED neuropsychological battery to assess learning, working and long-term memory, cognitive flexibility, and processing speed. Participants also completed measures of psychological symptoms. Partner violence severity was assessed with a semistructured interview for survivors of domestic violence. Presence and severity of IPV-related BI were assessed using the Brain Injury Severity Assessment (BISA). Results: Thirty-one percent of women sustained at least one BI during an abusive relationship, and 10% sustained repetitive BIs. Furthermore, BI was negatively associated with measures of long-term and working memory, cognitive flexibility, as well as a trending (P = .05) positive association with depression. With the exception of the relationship between BI and cognitive flexibility, which was substantially reduced and no longer significant, all of these relationships were nearly identical in strength when controlling for abuse severity, socioeconomic status, and educational level. Conclusion: These data are the first to specifically examine IPV-related BI in relation to cognitive and psychological functioning in a sample of Colombian women. These data add cross-cultural knowledge to the limited work in this area that has largely focused on women in North America.
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