Somatoform Dissociative Symptoms Have No Impact on the Outcome of Trauma-Focused Treatment for Severe PTSD
Abstract
:1. Introduction
2. Materials and Methods
2.1. Participants
2.2. Procedure
2.3. Treatment
2.4. Measurements
2.5. Data Analyses
3. Results
3.1. Patient Characteristics
3.2. Influence of Somatoform Dissociation on Treatment Outcome
3.3. Change in Somatoform Dissociative Symptoms Associated with Treatment
3.4. Exploration of Follow-Up Data
4. Discussion
5. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Acknowledgments
Conflicts of Interest
References
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Total Sample (n = 219) | Positive Screen on SDQ-20 (n = 29) | Negative Screen on SDQ-20 (n = 190) | |
---|---|---|---|
Gender Women (%) | 174 (79.5%) | 25 (86.2%) | 149 (78.4%) |
Mean age (SD) | 39.73 (12.27) | 36.34 (11.51) | 40.25 (12.32) |
Three most frequent types of trauma (%) | |||
Physical abuse | 90% | 96.6% | 88.9% |
Sexual abuse | 82.2% | 100% | 79.5% |
Armed violence | 55.3% | 62.1% | 54.2% |
Comorbidity | |||
Depression | 53.0% | 62.1% | 51.6% |
Anxiety disorder | 48.4% | 31.0% | 51.1% |
Suicidality | 74.4% | 89.7% | 72.1% |
Dissociative subtype (%) | 101 (46.1%) | 22 (75.9%) | 79 (41.6%) |
Pre-Treatment M (SD) | Post-Treatment M (SD) | Cohen’s d | ||
---|---|---|---|---|
CAPS (SD) | Positive screen | 45.10 (7.16) | 18.07 (13.30) | 2.53 |
Negative screen | 42.94 (7.49) | 15.62 (14.88) | 2.32 | |
Total | 43.22 (7.47) | 15.94 (14.68) | 2.34 | |
SDQ-20 (SD) | Positive screen | 40.93 (6.50) | 27.38 (6.82) | 2.03 |
Negative screen | 25.39 (4.13) | 22.59 (3.56) | 0.79 | |
Total | 27.45 (6.93) | 23.22 (4.43) | 0.73 |
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Zoet, H.A.; de Jongh, A.; van Minnen, A. Somatoform Dissociative Symptoms Have No Impact on the Outcome of Trauma-Focused Treatment for Severe PTSD. J. Clin. Med. 2021, 10, 1553. https://doi.org/10.3390/jcm10081553
Zoet HA, de Jongh A, van Minnen A. Somatoform Dissociative Symptoms Have No Impact on the Outcome of Trauma-Focused Treatment for Severe PTSD. Journal of Clinical Medicine. 2021; 10(8):1553. https://doi.org/10.3390/jcm10081553
Chicago/Turabian StyleZoet, Harmen A., Ad de Jongh, and Agnes van Minnen. 2021. "Somatoform Dissociative Symptoms Have No Impact on the Outcome of Trauma-Focused Treatment for Severe PTSD" Journal of Clinical Medicine 10, no. 8: 1553. https://doi.org/10.3390/jcm10081553