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The role of dissociation-related beliefs about memory in trauma-focused treatment

Authors: Robin P. A. van der Linde; Rafaële J. C. Huntjens; Nathan Bachrach; Marleen M. Rijkeboer; Ad de Jongh; Agnes van Minnen;

The role of dissociation-related beliefs about memory in trauma-focused treatment

Abstract

Dysfunctional cognitions play a central role in the development of post-traumatic stress disorder (PTSD). However the role of specific dissociation-related beliefs about memory has not been previously investigated. This study aimed to investigate the role of dissociation-related beliefs about memory in trauma-focused treatment. It was hypothesized that patients with the dissociative subtype of PTSD would show higher levels of dissociation-related beliefs, dissociation-related beliefs about memory would decrease after trauma-focused treatment, and higher pre-treatment dissociation-related beliefs would be associated with fewer changes in PTSD symptoms.Post-traumatic symptoms, dissociative symptoms, and dissociation-related beliefs about memory were assessed in a sample of patients diagnosed with PTSD (n = 111) or the dissociative subtype of PTSD (n = 61). They underwent intensive trauma-focused treatment consisting of four or eight consecutive treatment days. On each treatment day, patients received 90 min of individual prolonged exposure (PE) in the morning and 90 min of individual eye movement desensitization and reprocessing (EMDR) therapy in the afternoon. The relationship between dissociation-related beliefs about memory and the effects of trauma-focused treatment was investigated.Dissociation-related beliefs about memory were significantly associated with PTSD and its dissociative symptoms. In addition, consistent with our hypothesis, patients with the dissociative subtype of PTSD scored significantly higher on dissociation-related beliefs about memory pre-treatment than those without the dissociative subtype. Additionally, the severity of these beliefs decreased significantly after trauma-related treatment. Contrary to our hypothesis, elevated dissociation-related beliefs did not negatively influence treatment outcome.The results of the current study suggest that dissociation-related beliefs do not influence the outcome of trauma-focused treatment, and that trauma-focused treatment does not need to be altered specifically for patients experiencing more dissociation-related beliefs about memory because these beliefs decrease in association with treatment.

Keywords

trauma-focused treatment, Eye Movement Desensitization Reprocessing, Eye Movement Desensitization Reprocessing - methods, Ptsd, 150, TEPT, RC435-571, Meta-memory, Dissociative Disorders, dissociation, 关于记忆的解离相关信念, Experimental Psychopathology and Treatment, Trauma-focused treatment, Stress Disorders, Post-Traumatic, Creencias relacionadas con la disociación sobre los recuerdos, tratamiento centrado en el trauma, Dissociation-related beliefs about memory, disociación, 元记忆, 解离, Humans, meta-memoria, Stress Disorders, Psychiatry, Post-Traumatic - diagnosis, Basic Research Article, PTSD, Stress Disorders, Post-Traumatic - diagnosis, 创伤聚焦治疗, Dissociative Disorders - therapy - etiology, Treatment Outcome, Dissociation, meta-memory

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    popularity
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    Top 10%
    influence
    This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
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    impulse
    This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
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selected citations
These citations are derived from selected sources.
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
6
Top 10%
Average
Top 10%
Green
gold