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The Effects of Somatoform and, Psychoform Dissociation and Hyperarousal on Posttraumatic Stress Symptoms: A Pilot Study

The Korean Journal of Health Psychology / The Korean Journal of Health Psychology, (P)1229-070X; (E)2713-9581
2017, v.22 no.1, pp.155-176
https://doi.org/10.17315/kjhp.2017.22.1.009


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Abstract

The purpose of the present study was to examine the effects of somatoform and, psychoform dissociation and hyperarousal on posttraumatic stress symptoms. We also investigated the differences between the two groups in heart rate variability (HRV) under different conditions. The experimental group included 14 individuals who had experienced traumatic events within 3 months. The control group included 14 healthy individuals who were matched for gender and age to the experimental group. All participants were asked to complete a series of self-report questionnaires pre- and post-treatment. Their heart rate variability (HRV) was recorded at baseline, recall, and during the recovery periods (for 5 minutes in each period). The results showed that experimental group reported lower heart rate variability at baseline than the control group. Furthermore, the hierarchical regression analysis indicated that only somatic dissociation contributed significantly to the prediction of posttraumatic stress symptoms among the prediction factors of the present study. Finally, the clinical implications and several limitations of the present study were discussed.

keywords
trauma, dissociation, hyperarousal, heart rate variability (HRV), 외상, 해리, 과각성, 심박변이도

Reference

1.

김인주 (2005). 정상 성인에서 우울, 불안 정도와 심박동 변이의 연관성. 한림대학교 대학원 석사학위청구논문.

2.

남보라, 권호인, 권정혜 (2010). 한국판 외상 후 스트레스 진단 척도의 신뢰도 및 타당도 연구. 한국심리학회지: 임상, 29, 147-167.

3.

박제민, 최병무, 김명정, 한홍무, 유승윤, 김성환 (1995). 한국어판 해리경험 척도의 표준화 연구(Ⅰ). 정신병리학, 4, 105-125.

4.

이영호, 송종용 (1991). BDI, SDS, MMPI-D 척도의 신뢰도 및 타당도에 대한 연구. 한국심리학회지: 임상, 10, 99-113.

5.

주승재, 김기석, 육동승, 이재우 (2005). 급성심근경색증환자에서 좌심실 이완기능과 심박수 변이성의 연관성. 대한내과학회지, 69, 167-176.

6.

최현정 (2006). 만성적 외상에 대한 해리경험이 성매매여성의 외상성 스트레스에 미치는 영향. 서울대학교 대학원 석사학위청구논문.

7.

Agelink, M. W., Malessa, R., Baumann, B., Majewski, T., Akila, F., Zeit, T., & Ziegler, D. (2001). Standardized tests of heart rate variability:Normal ranges obtained from 309 healthy humans, and effects of age, gender, and heart rate. Clinical Autonomic Research, 11, 99-108.

8.

Allen, J. G. (2010). 트라우마의 치유[Coping with trauma: Hope through understanding]. (권정혜, 김정범, 조용래, 최혜경, 최윤경, 권호인 공역). 서울: 학지사. (원전은 2005에 출판).

9.

American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders(5th ed.). Washington, DC: American Psychiatric Publishing.

10.

Armour, C., Karstoft, K. I., & Richardson, J. D. (2014). The co-occurence of PTSD and dissociation: differentiating severe PTSD from dissociative-PTSD. Soc. Psychiatry Psychiatr. Epidemiol, 49, 1297-1306.

11.

Beck, A. T. (1996). Beyond belief: A theory of modes, personality, and psychopathology. In P. M. Salkovskis (Ed.), Frontiers of cognitive therapy (pp. 1-25). New York: Guilford Press.

12.

Beck, A. T., Ward, C. H., Mendelson, M., Mock, J., & Erbaugh, J. (1961). An inventory for measuring depression. Archives of General Psychiatry, 4, 561-591.

13.

Bennett, D. C., Modrowski, C. A., Kerig, P. K., & Chaplo, S. D. (2015). Investigating the dissociative subtype of posttraumatic stress disorder in a sample of traumatized detained youth. Psychol. Trauma Theory, Res. Policy, 7, 465-472.

14.

Bernstein, E. M., & Putnam, F. W. (1986). Development, reliability, and validity of a dissociation scale. Journal of Nervous and Mental Disease, 174, 727-735.

15.

Blevins, C. A., Weathers, F. W., & Witte, T. K. (2014). Dissociation and posttraumatic stress disorder: a latent profile analysis. J. Trauma. Stress, 27, 388-396.

16.

Brown, T. A., Campbell, L. A., Lehman, C. L., Grisham, J. R., & Mancill, R. B. (2001). Current and lifetime comorbidity of the DSM-Ⅳ anxiety and mood disorders in a large clinical sample. Journal of Abnormal Psychology, 110, 585-599.

17.

Brunet, A., Weiss, D. S., Metzler, T. J., Best, S. R., Neylan, T. C., Rogers, C., ... Marmar, C. R. (2001). The peritraumatic distress inventory: A proposed measure of PTSD criterion A2. American Journal of Psychiatry, 158, 1480-1485.

18.

Büchel, C., Morris, J., Dolan, R. J., & Friston, K. J. (1998). Brain systems mediating aversive conditioning: An event-related fMRI study. Neuron, 20, 947-957.

19.

Butcher, J. N., Mineka, S., & Hooley, J. M. (2009). Abnormal Psychology. Harlow: Allyn & Bacon.

20.

Carney, R. M., Blumenthal, J. A., Stein, P. K., Watkins, L., Catellier, D., Berkman, L. F., ... Freedland, K. E. (2001). Depression, heart rate variability, and acute myocardial infarction. Circulation, 104, 2024-2028.

21.

Carney, R. M., Freedlan, K. E., Stein, P. K., Skala, J. A., Hoffman, P., & Jaffe, A. S. (2000). Change in heart rate and heart rate variability during treatment for depression in patients with coronary heart disease. Psychosomatic Medicine, 62, 639-647.

22.

Charney, D. S., Deutch, A., Ktystal, J., Southwick, S., & Davis, M. (1993). Psychobiologic mechanisms of Posttraumatic Stress Disorder. Archives of General Psychiatry, 50, 294-305.

23.

Cohen, H., Benjamin, J., Geva, A. B., Matar, M. A., Kaplan, Z., & Kotler, M. (2000). Autonomic dysregulation in panic disorder and in post-traumatic stress disorder: Application of power spectrum analysis of heart rate variability at rest and in response to recollection of trauma or panic attacks. Psychiatry Research, 96, 1-13.

24.

Cohen, H., Kotler, M., Matar, M. A., Kaplan, Z., Miodownik, H., & Cassuto, Y. (1997). Power spectral analysis of heart rate variability in posttraumatic stress disorder patients. Biological Psychiatry, 41, 627-629.

25.

Dancu, C. V., Riggs, D. S., Hearst-Ikeda, D., Shoyer, B. G., & Foa, E. B. (1996). Dissociative experiences and posttraumatic stress disorder among female victims of criminal assault and rape. Journal of Traumatic Stress, 9, 253-267.

26.

Dell, P. F. (2002). Dissociative phenomenology of dissociative identity disorder. Journal of Nervous and Mental Disease, 190, 10-15.

27.

Ehlers, A., & Clark, D. M. (2000). A cognitive model of posttraumatic stress disorder. Behaviour Research and Therapy, 38, 319-345.

28.

Ehlers, A., Suendermann, O., Boellinghaus, I., Vossbeck-Elsebusch, A., Gamer, M., Briddon, E., ... Glucksman, E. (2010). Heart rate responses to standardized trauma-related pictures in acute posttraumatic stress disorder. International Journal of Psychophysiology, 78, 27-34.

29.

Favaro, A., Maiorani, M., Colombo, G., & Santonastaso, P. (1999). Traumatic experiences, posttraumatic stress disorder, and dissociative symptoms in a group of refugees from former Yugoslavia. The Journal of nervous and mental disease, 187, 306-308.

30.

Foa, E. B., Cashman, L., Jaycox, L., & Perry, K. (1997). The validation of a self-report measure of posttraumatic stress disorder: The posttraumatic diagnostic scale. Psychological Assessment, 9, 445-451.

31.

Foa, E. B., Zinbarg, R., & Rothbaum, B. O. (1992). Uncontrollability and unpredictability in post-traumatic stress disorder: An animal model. Psychological Bulletin, 112, 218-238.

32.

Friedman, M. J. (2000). What might psychobiology of posttraumatic stress disorder teach us about future approaches to pharmacotherapy? Journal of Clinical Psychiatry, 61, 44-51.

33.

Gros, D. F., Simms, L. J., & Acierno, R. (2010). Specificity of posttrauamtic stress disorder symptoms: An investigation of comorbidity between posttraumatic stress disorder symptoms and depression in treatment-seeking veterans. The Journal of Nervous and Mental Disease, 198, 885-890.

34.

Hauschildt, M., Peters, M. J. V., Moritz, S., & Jelinek, L. (2011). Heart rate variability in response to affective scenes in posttraumatic stress disorder. Biological Psychology, 88, 215-222.

35.

Heller, D. P., & Heller, L. (2004). Somatic experiencing in the treatment of automobile accident trauma. U. S. Association for Body Psycho-Therapy Journal, 3, 42-52.

36.

Jelinek, L., Hottenrott, B., Randjbar, S., Peters, M. J., & Moritz, S. (2009). Visual false memories in post-traumatic stress disorder(PTSD). Journal of Behavior Therapy and Experimental Psychiatry, 40, 374-383.

37.

Keary, T. A., Hughes, J. W., & Palmieri, P. A. (2009). Women with posttraumatic stress disorder have larger decreases in heart rate variability during stress tasks. International Journal of Psychophysiology, 73, 257-264.

38.

Leitch, M. L. (2007). Somatic experiencing therapy with tsunami survivors in Thailand: Broadening the scope of early intervention. Traumatology, 13, 11-20.

39.

Levine, P., & Frederick, A. (1997). Walking the tiger:Healing trauma through the innate capacity to transform overwhelming experiences. Berkeley, CA: North Atlantic Books.

40.

Marmar, C. R., Metzler, T. J., & Otte, C. (1997). The peritraumatic dissociative experiences questionnaire. In J. P. Wilson & T. M. Keane (Eds.), Assessing psychological trauma and PTSD (pp. 144-167). New York: Guilford Press.

41.

Michael, T., & Ehlers, A. (2007). Enhanced perceptual priming for neutral stimuli occurring in a traumatic context: Two experimental investigations. Behaviour Research and Therapy, 45, 341-358.

42.

Mitani, S., Fujita, M., Sakamoto, S., & Shirakawa, T. (2006). Effect of autogenic training on cardiac autonomic nervous activity in high-risk fire service workers for posttraumatic stress disorder. Journal of Psychosomatic Research, 60, 439-444.

43.

Näring, G., & Nijenhuis, E. R. S. (2005). Relationships between self-reported potentially traumatizing events, psychoform and somatoform dissociation, and absorption, in two non-clinical populations. Australian and New Zealand Journal of Psychiatry, 39, 982-988.

44.

Nijenhuis, E. R. S., Spinhoven, P., Vanderlinden, J., Van Dyck, R., & Van der Hart, O. (1998). Somatoform dissociative symptoms as related to animal defensive reactions to predatory imminence and injury. Journal of Abnormal Psychology, 107, 63-73.

45.

Nijenhuis, E. R. S., Van der Hart, O., Kruger, K., & Steele, K. (2004). Somatoform dissociation, reported abuse and animal defence-like reactions. Australian and New Zealand Journal of Psychiatry, 38, 678-686.

46.

Nijenhuis, E. R. S., Van Dyck, R., Spinhoven, P., Van der Hart, O., Chatrou, M., Vanderlinden, J., & Moene, F. (1999). Somatoform dissociation discriminates among diagnostic categories over and above general psychopathology. Australian and New Zealand Journal of Psychiatry, 33, 511-520.

47.

Ogden, P., & Minton, K. (2000). Sensorimotor Psychotherapy: One Method for Processing Traumatic Memory. Traumatology, 3, 149-173.

48.

Olsen, S. A., & Beck, J. G. (2012). The effect of dissociation on information processing for analogue trauma and neutral stimuli: A laboratory study. Journal of Anxiety Disorders, 26, 225-232.

49.

Porges, S. W. (2007). The polyvagal perspective. Biological Psychology, 74, 116-143.

50.

Price, M., Kearns, M., Houry, D., & Rothbaum, B. O. (2014). Emergency department predictors of posttraumatic stress reduction of traumaexposed individuals with and without an early intervention. J. Consult. Clin. Psychol, 82, 336-341.

51.

Rechlin, T. (1994). Decreased parameters of heart rate variation in amitriptyline treated patients: Low parameters in melancholic depression than in neurotic depression-a biological marker? Biological Psychiatry, 36, 705-707.

52.

Sack, M., Hopper, J. W., & Lamprecht, F. (2004). Low respiratory sinus arrhythmia and prolonged psychophysiological arousal in posttraumatic stress disorder: Heart rate dynamics and individual differences in arousal regulation. Biological Psychiatry, 55, 284-290.

53.

Schell, T. L., Marshall, G. N., & Jaycox, L. H. (2004). All symptoms are not created equal: The prominent role of hyperarousal in the natural course of posttraumatic psychological distress. Journal of Abnormal Psychology, 113, 189-197.

54.

Schwartz, G. E., Davidson, R. J., & Goleman, D. J. (1978). Patterning of cognitive and somatic processes in the self-regulation of anxiety:Effects of meditation versus exercise. Psychosomatic Medicine, 40, 321-328.

55.

Spiegel, D., Koopman, C., Cardeña, E., & Classen, C. (1996). Dissociative symptoms in the diagnosis of acute distress disorder. In L. K. Michelson & W. J. Ray (Eds.), Handbook of dissociation (pp. 367-380). New York: Plenum.

56.

Van der Hart, O., Nijenhuis, E. R. S., & Steele, K. (2006). The haunted self: Structural dissociation and the treatment of chronic traumatization. New York: W. W. Norton.

57.

Van der Kolk, B. A., Van der Hart, O., & Marmar, C. (1996). Dissociation and information processing in posttraumatic stress disorder. In Van der Kolk, B., McFlarlan, A. C., & Weisaeth, L.(Eds.), Traumatic stress: The effects of overwhelming experience on mind, body, and sociery(pp. 303-322). New York: Guilford.

58.

Wagner, A. W., & Linehan, M. M. (1998). Dissociative behavior. In V. M. Follette, J. I. Ruzek, & F. R. Abueg (Eds.), Cognitive-Behavioral Therapies for Trauma (pp. 191-225). New York: Guilford Press.

59.

Waller, G., Hamilton, K., Elliott, P., Lewendon, J., Stopa, L., Waters, A., ... Chalkley, J. (2000). Somatoform dissociation, psychological dissociation, and specific forms of trauma. Journal of Trauma and Dissociation, 1, 81-98.

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