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Review Article

The Dissociative Subtype of Post-Traumatic Stress Disorder: A Systematic Review of the Literature using the Latent Profile Analysis

, BScORCID Icon, , MSc, , PhD & , PhD
Pages 349-365 | Received 19 May 2022, Accepted 12 Aug 2022, Published online: 04 Sep 2022

References

  • American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders, 5th Edition, DSM-5. American Psychiatric Publishing.
  • Armour, C., Elklit, A., Lauterbach, D., & Elhai, J. D. (2014). The DSM-5 dissociative-PTSD subtype: Can levels of depression, anxiety, hostility, and sleeping difficulties differentiate between dissociative-PTSD and PTSD in rape and sexual assault victims? Journal of Anxiety Disorders, 28(4), 418–426. https://doi.org/10.1016/j.janxdis.2013.12.008
  • Armour, C., Karstoft, K.-I., & Richardson, J. D. (2014). The co-occurrence of PTSD and dissociation: Differentiating severe PTSD from dissociative-PTSD. Social Psychiatry and Psychiatric Epidemiology, 49(8), 1297–1306. https://doi.org/10.1007/s00127-014-0819-y
  • Bae, H., Kim, D., & Park, Y. C. (2016). Dissociation predicts treatment response in eye-movement desensitization and reprocessing for posttraumatic stress disorder. Journal of Trauma & Dissociation, 17(1), 112–130. https://doi.org/10.1080/15299732.2015.1037039
  • Benjet, C., Bromet, E., Karam, E. G., Kessler, R. C., McLaughlin, K. A., Ruscio, A. M., Shahly, V., Stein, D. J., Petukhova, M., Hill, E., Alonso, J., Atwoli, L., Bunting, B., Bruffaerts, R., Caldas-de-Almeida, J. M., de Girolamo, G., Florescu, S., Gureje, O., Huang, Y., … Koenen, K. C. (2016). The epidemiology of traumatic event exposure worldwide: Results from the World Mental Health Survey consortium. Psychological Medicine, 46(2), 327–343. https://doi.org/10.1017/S0033291715001981
  • Blevins, C. A., Weathers, F. W., & Witte, T. K. (2014). Dissociation and posttraumatic stress disorder: A latent profile analysis. Journal of Traumatic Stress, 27(4), 388–396. https://doi.org/10.1002/jts.21933
  • Burton, M. S., Feeny, N. C., Connell, A. M., & Zoellner, L. A. (2018). Exploring evidence of a dissociative subtype in PTSD: Baseline symptom structure, etiology, and treatment efficacy for those who dissociate. Journal of Consulting and Clinical Psychology, 86(5), 439–451. https://doi.org/10.1037/ccp0000297
  • Carlson, E. B., Dalenberg, C., & McDade-Montez, E. (2012). Dissociation in posttraumatic stress disorder part I: Definitions and review of research. Psychological Trauma: Theory, Research, Practice, and Policy, 4(5), 479–489. https://doi.org/10.1037/a0027748
  • Choi, K. R., Seng, J. S., Briggs, E. C., Munro-Kramer, M. L., Graham-Bermann, S. A., Lee, R. C., & Ford, J. D. (2017). The dissociative subtype of Posttraumatic Stress Disorder (PTSD) among adolescents: Co-occurring PTSD, depersonalization/ derealization, and other dissociation symptoms. Journal of the American Academy of Child & Adolescent Psychiatry, 56(12), 1062–1072. https://doi.org/10.1016/j.jaac.2017.09.425
  • Cloitre, M., Petkova, E., Wang, J., & Lu Lassell, F. (2012). An examination of the influence of a sequential treatment on the course and impact of dissociation among women with PTSD related to childhood abuse. Depression and Anxiety, 29(8), 709–717. https://doi.org/10.1002/da.21920
  • Dalenberg, C., & Carlson, E. B. (2012). Dissociation in posttraumatic stress disorder part II: How theoretical models fit the empirical evidence and recommendations for modifying the diagnostic criteria for PTSD. Psychological Trauma: Theory, Research, Practice, and Policy, 4(6), 551–559. https://doi.org/10.1037/a0027900
  • Dalenberg, C. J., Glaser, D., & Alhassoon, O. M. (2012). Statistical support for subtypes in posttraumatic stress disorder: The how and why of subtype analysis. Depression and Anxiety, 29(8), 671–678. https://doi.org/10.1002/da.21926
  • Dorahy, M. J., & van der Hart, O. (2015). DSM–5ʹs posttraumatic stress disorder with dissociative symptoms: Challenges and future directions. Journal of Trauma & Dissociation, 16(1), 7–28. https://doi.org/10.1080/15299732.2014.908806
  • Durham, T. A., Byllesby, B. M., Elhai, J. D., & Wang, L. (2020). Latent profile analysis of PTSD and dissociation, and relations with anger. Current Psychology, 41(3), 1595–1602. https://doi.org/10.1007/s12144-020-00693-5
  • Forresi, B., Soncini, F., Bottosso, E., Di Pietro, E., Scarpini, G., Scaini, S., Aggazzotti, G., Caffo, E., & Righi, E. (2020). Post-traumatic stress disorder, emotional and behavioral difficulties in children and adolescents 2 years after the 2012 earthquake in Italy: An epidemiological cross-sectional study. European Child & Adolescent Psychiatry, 29(2), 227–238. https://doi.org/10.1007/s00787-019-01370-0
  • Frewen, P. A., Brown, M. F. D., Steuwe, C., & Lanius, R. A. (2015). Latent profile analysis and principal axis factoring of the DSM-5 dissociative subtype. European Journal of Psychotraumatology, 6(1), 26406. https://doi.org/10.3402/ejpt.v6.26406
  • Galatzer-Levy, I. R., & Bryant, R. A. (2013). 636,120 ways to have posttraumatic stress disorder. Perspectives on Psychological Science, 8(6), 651–662. https://doi.org/10.1177/1745691613504115
  • Gamache, D., Savard, C., Leclerc, P., Payant, M., Côté, A., Faucher, J., Lampron, M., & Tremblay, M. (2021). Latent profiles of patients with borderline pathology based on the alternative DSM-5 model for personality disorders. Borderline Personality Disorder and Emotion Dysregulation, 8(1), 4. https://doi.org/10.1186/s40479-021-00146-w
  • Guetta, R. E., Wilcox, E. S., Stoop, T. B., Maniates, H., Ryabchenko, K. A., Miller, M. W., & Wolf, E. J. (2019). Psychometric properties of the dissociative subtype of PTSD scale: Replication and extension in a clinical sample of trauma-exposed veterans. Behavior Therapy, 50(5), 952–966. https://doi.org/10.1016/j.beth.2019.02.003
  • Haagen, J. F. G., van Rijn, A., Knipscheer, J. W., van der Aa, N., & Kleber, R. J. (2018). The dissociative post-traumatic stress disorder (PTSD) subtype: A treatment outcome cohort study in veterans with PTSD. British Journal of Clinical Psychology, 57(2), 203–222. https://doi.org/10.1111/bjc.12169
  • Hansen, M., Ross, J., & Armour, C. (2017). Evidence of the dissociative PTSD subtype: A systematic literature review of latent class and profile analytic studies of PTSD. Journal of Affective Disorders, 213, 59–69. https://doi.org/10.1016/j.jad.2017.02.004
  • Hoeboer, C. M., De Kleine, R. A., Molendijk, M. L., Schoorl, M., Oprel, D. A. C., Mouthaan, J., Van der Does, W., & Van Minnen, A. (2020). Impact of dissociation on the effectiveness of psychotherapy for post-traumatic stress disorder: Meta-analysis. BJPsych Open, 6(3), e53. https://doi.org/10.1192/bjo.2020.30
  • Kim, D., Kim, D., Lee, H., Cho, Y., Min, J. Y., & Kim, S. H. (2019). Prevalence and clinical correlates of dissociative subtype of posttraumatic stress disorder at an outpatient trauma clinic in South Korea. European Journal of Psychotraumatology, 10(1), 1657372. https://doi.org/10.1080/20008198.2019.1657372
  • Kleindienst, N., Priebe, K., Görg, N., Dyer, A., Steil, R., Lyssenko, L., Winter, D., Schmahl, C., & Bohus, M. (2016). State dissociation moderates response to dialectical behavior therapy for posttraumatic stress disorder in women with and without borderline personality disorder. European Journal of Psychotraumatology, 7(1), 30375. https://doi.org/10.3402/ejpt.v7.30375
  • Lamanna, J., Isotti, F., Ferro, M., Racchetti, G., Anchora, L., Rucco, D., & Malgaroli, A. (2021). Facilitation of dopamine‐dependent long‐term potentiation in the medial prefrontal cortex of male rats follows the behavioral effects of stress. Journal of Neuroscience Research, 99(2), 662–678. https://doi.org/10.1002/jnr.24732
  • Lanius, R. A., Boyd, J. E., McKinnon, M. C., Nicholson, A. A., Frewen, P., Vermetten, E., Jetly, R., & Spiegel, D. (2018). A review of the neurobiological basis of trauma-related dissociation and its relation to cannabinoid- and opioid-mediated stress response: A transdiagnostic, translational approach. Current Psychiatry Reports, 20(12), 118. https://doi.org/10.1007/s11920-018-0983-y
  • Műllerová, J., Hansen, M., Contractor, A. A., Elhai, J. D., & Armour, C. (2016). Dissociative features in posttraumatic stress disorder: A latent profile analysis. Psychological Trauma: Theory, Research, Practice, and Policy, 8(5), 601–608. https://doi.org/10.1037/tra0000148
  • Nijenhuis, E. R. S. (2014). Ten reasons for conceiving and classifying posttraumatic stress disorder as a dissociative disorder. Psichiatria e Psicoterapia, 1(33), 74–106.
  • Nijenhuis, E. R. S., & van der Hart, O. (2011). Dissociation in trauma: A new definition and comparison with previous formulations. Journal of Trauma & Dissociation, 12(4), 416–445. https://doi.org/10.1080/15299732.2011.570592
  • Page, M. J., McKenzie, J. E., Bossuyt, P. M., Boutron, I., Hoffmann, T. C., Mulrow, C. D., Shamseer, L., Tetzlaff, J. M., Akl, E. A., Brennan, S. E., Chou, R., Glanville, J., Grimshaw, J. M., Hróbjartsson, A., Lalu, M. M., Li, T., Loder, E. W., Mayo-Wilson, E., McDonald, S., and Moher, D. (2021). The PRISMA 2020 statement: An updated guideline for reporting systematic reviews. BMJ, 372(8284), n71. https://doi.org/10.1136/bmj.n71
  • Resick, P. A., Suvak, M. K., Johnides, B. D., Mitchell, K. S., & Iverson, K. M. (2012). The impact of dissociation on PTSD treatment with cognitive processing therapy. Depression and Anxiety, 29(8), 718–730. https://doi.org/10.1002/da.21938
  • Ross, C. A. (2021). Problems with the dissociative subtype of posttraumatic stress disorder in DSM-5. European Journal of Trauma & Dissociation, 5(4), 100081. https://doi.org/10.1016/j.ejtd.2018.08.005
  • Ross, J., Baník, G., Dědová, M., Mikulášková, G., & Armour, C. (2017). Assessing the structure and meaningfulness of the dissociative subtype of PTSD. Social Psychiatry and Psychiatric Epidemiology, 53(1), 87–97. https://doi.org/10.1007/s00127-017-1445-2
  • Schimmenti, A., & Caretti, V. (2014). Dissociation as a transdiagnostic construct. A commentary on Ellert R. S. Nijenhuis’ paper “Ten reasons for conceiving and classifying posttraumatic stress disorder as a dissociative disorder.” Psichiatria e Psicoterapia, 33(4), 366–370.
  • Schnyder, U., Ehlers, A., Elbert, T., Foa, E. B., Gersons, B. P. R., Resick, P. A., Shapiro, F., & Cloitre, M. (2015). Psychotherapies for PTSD: What do they have in common? European Journal of Psychotraumatology, 6(1), 28186. https://doi.org/10.3402/ejpt.v6.28186
  • Spurk, D., Hirschi, A., Wang, M., Valero, D., & Kauffeld, S. (2020). Latent profile analysis: A review and “how to” guide of its application within vocational behavior research. Journal of Vocational Behavior, 120, 103445. https://doi.org/10.1016/j.jvb.2020.103445
  • Stein, D. J., Koenen, K. C., Friedman, M. J., Hill, E., McLaughlin, K. A., Petukhova, M., Ruscio, A. M., Shahly, V., Spiegel, D., Borges, G., Bunting, B., Caldas-de-Almeida, J. M., de Girolamo, G., Demyttenaere, K., Florescu, S., Haro, J. M., Karam, E. G., Kovess-Masfety, V., Lee, S., … Kessler, R. C. (2013). Dissociation in posttraumatic stress disorder: Evidence from the World Mental Health Surveys. Biological Psychiatry, 73(4), 302–312. https://doi.org/10.1016/j.biopsych.2012.08.022
  • Steuwe, C., Lanius, R. A., & Frewen, P. A. (2012). Evidence for a dissociative subtype of PTSD by latent profile and confirmatory factor analyses in a civilian sample. Depression and Anxiety, 29(8), 689–700. https://doi.org/10.1002/da.21944
  • van Der Kolk, B. A., Ford, J. D., & Spinazzola, J. (2019). Comorbidity of developmental trauma disorder (DTD) and post-traumatic stress disorder: Findings from the DTD field trial. European Journal of Psychotraumatology, 10(1), 1562841. https://doi.org/10.1080/20008198.2018.1562841
  • White, W. F., Burgess, A., Dalgleish, T., Halligan, S., Hiller, R., Oxley, A., Smith, P., & Meiser-Stedman, R. (2022). Prevalence of the dissociative subtype of post-traumatic stress disorder: A systematic review and meta-analysis. Psychological Medicine, 52(9), 1629–1644. https://doi.org/10.1017/S0033291722001647
  • Wolf, E. J., Lunney, C. A., Miller, M. W., Resick, P. A., Friedman, M. J., & Schnurr, P. P. (2012). The dissociative subtype of PTSD: A replication and extension. Depression and Anxiety, 29(8), 679–688. https://doi.org/10.1002/da.21946
  • Wolf, E. J., Lunney, C. A., & Schnurr, P. P. (2016). The influence of the dissociative subtype of posttraumatic stress disorder on treatment efficacy in female veterans and active duty service members. Journal of Consulting and Clinical Psychology, 84(1), 95–100. https://doi.org/10.1037/ccp0000036
  • Wolf, E. J., Mitchell, K. S., Sadeh, N., Hein, C., Fuhrman, I., Pietrzak, R. H., & Miller, M. W. (2017). The dissociative subtype of PTSD scale: Initial evaluation in a national sample of trauma-exposed veterans. Assessment, 24(4), 503–516. https://doi.org/10.1177/1073191115615212
  • World Health Organization. (2022). Complex post traumatic stress disorder. ICD-11 for Mortality and Morbidity Statistics. https://icd.who.int/browse11/l-m/en#/http%3a%2f%2fid.who.int%2ficd%2fentity%2f585833559

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