The independent predictive value of peritraumatic dissociation for PTSD symptomatology after type I trauma: A systematic review of prospective studies

Abstract

The independent predictive value of peritraumatic dissociation for PTSD symptomatology after type I trauma: a systematic review of prospective studies van der Velden, P G; Wittmann, L van der Velden, P G; Wittmann, L (2008). The independent predictive value of peritraumatic dissociation for PTSD symptomatology after type I trauma: a systematic review of prospective studies. The independent predictive value of peritraumatic dissociation for PTSD symptomatology after type I trauma: a systematic review of prospective studies AbstractWe conducted a systematic review of prospective studies examining the independent predictive value of peritraumatic dissociation (PD) for posttraumatic stress disorder (PTSD) symptomatology following single traumatic events. Insight into the independent predictive value may help to identify victims at risk for PTSD symptomatology. For this purpose a literature search was carried out using the online databases PsycINFO, Medline/Pubmed, and PILOTS. Studies were included if they were published in peer-reviewed journals (before 2007), focused on more or less single traumatic events (Type I trauma), assessed PD within 1 month, had follow-ups 3 months or later, and which controlled for mental health problems at the time PD was assessed. The majority of the 17 identified studies showed no or only weak indications of an independent predictive value of PD for PTSD symptomatology following type I traumas. Only 3 of the 6 studies with positive results reported a strong independent predictive value of PD. Although bivariately associated with PTSD symptomatology, there is no general consensus across prospective Type I trauma studies that PD qualifies as an important independent predictor of PTSD symptomatology. AbstractWe conducted a systematic review of prospective studies examining the independent predictive value of peritraumatic dissociation (PD) for posttraumatic stress disorder (PTSD) symptomatology following single traumatic events. Insight into the independent predictive value may help to identify victims at risk for PTSD symptomatology. For this purpose a literature search was carried out using the online databases PsycINFO, Medline/Pubmed, and PILOTS.Studies were included if they were published in peer-reviewed journals (before 2007), focused on more or less single traumatic events (Type I trauma), assessed PD within 1 month, had followups 3 months or later, and which controlled for mental health problems at the time PD was assessed. The majority of the 17 identified studies showed no or only weak indications of an independent predictive value of PD for PTSD symptomatology following type I traumas. Only 3 of the 6 studies with positive results reported a strong independent predictive value of PD.Although bivariately associated with PTSD symptomatology, there is no general consensus across prospective Type I trauma studies that PD qualifies as an important independent predictor of PTSD symptomatology. Results indicate that initial mental health problems, among other factors, are better pre...

Trauma-related Symptoms after Violent Crime: The Role of Risk Factors before, during and Eight Months after Victimization

“…Assessing dissociation retrospectively is most likely difficult and is probably easier measured using prospective designs, e.g. Briere et al [46,47]. Finally, the self-reported continuous scores used for measuring trauma-related symptoms in this study actualizes the problem that the different ways of assessing traumarelated symptoms (e.g., interview vs. questionnaire) are not always equivalent, and that these methodological questions need to be given further attention.…”

Peritraumatic distress fully mediates the relationship between posttraumatic stress symptoms preoperative and three months postoperative in patients undergoing spine surgery

“…Although peritraumatic dissociation attained the highest effect size ( r  = .35) in the meta-analysis performed by Ozer et al (2003), more recent findings question whether peritraumatic dissociation can be considered an independent predictor (Hagenaars, van Minnen, & Hoogduin, 2007; van der Velden & Wittmann, 2008). Peritraumatic dissociation may rather be an epiphenomenon of high levels of peritraumatic distress (Fikretoglu et al, 2006).…”

Peritraumatic dissociation predicts posttraumatic stress disorder symptoms via dysfunctional trauma-related memory among war-affected children

“…Research suggests pre-, peri-, and post-trauma responses to be decisive for the development of PTSD (Olff et al, 2015), with acute stress disorder (ASD) and peritraumatic dissociation (PD) playing an important role (Kassam-Adams et al, 2012). Among adults there is evidence about PD predicting PTSD (for a meta-analysis, see Lensvelt-Mulders et al, 2008; Ozer, Best, Lipsey, & Weiss, 2003), especially in the short run (Thomas, Saumier, & Brunet, 2012; van der Velden & Wittman, 2008). Yet, among children and adolescents evidence is very limited and findings are inconclusive, as some research among young vehicle-accident survivors has confirmed that PD forms a severe risk for PTSD (Bui et al, 2010), while others showed minor importance (Dalgleish et al, 2008).…”