Douleur chronique et traumatisme psychique: données épidémiologiques discussion clinique et psychopatologique = Chronic pain and psychic traumatism, epidemiology, clinical discussion and psychopathology

Si les cooccurrences entre l'état de stress post-traumatique (ESPT) et d'autres troubles psychiatriques sont bien connues, celles entre ESPT et douleurs physiques sont moins établies. Plusieurs études épidémiologiques mettent en évidence la fréquence de symptômes douloureux chez les patients traumatisés d'une part, et la forte prévalence de l'ESPT chez des sujets souffrant de douleurs chroniques d'autre part. Nous évoquerons les liens de causalité décrits dans la littérature entre douleur et traumatisme psychique.

Does Bullying Victimization Suppress IQ? The Effects of Bullying Victimization on IQ in Iraqi and African American Adolescents: A Traumatology Perspective

This study explored the effects of bullying victimization (BV), as a Type II traumatic stressor, on intelligence quotient (IQ), posttraumatic stress disorder (PTSD), and complex PTSD symptoms. Participants were 390 African American and Iraqi refugee adolescents. Measures of BV, cumulative life trauma, PTSD, discrimination, and IQ were administered. Correlational, multilevel regression, and path analyses were conducted.

Doden tijdens een militaire missie: een onderzoek

Dit artikel behandelt het proces van doden en onderzoekt de vraag welke rol schuldgevoelens hebben bij het verwerkingsproces. Hoe komt een militair ertoe om te doden? Welke barrières moet hij daarvoor overwinnen? Hoe verwerkt hij deze ervaring vervolgens? En welke rol spelen morele gevoelens daarbij?

Do soldiers seek more mental health care after deployment? Analysis of mental health consultations in the Netherlands Armed Forces following deployment to Afghanistan

BACKGROUND: Military deployment to combat zones puts military personnel to a number of physical and mental challenges that may adversely affect mental health.

Dissociative symptoms and reported trauma among patients with spirit possession and matched healthy controls in Uganda

Spirit possession is a common, worldwide phenomenon with dissociative features. Studies in Europe and the United States have revealed associations among psychoform and somatoform dissociation and (reported) potential traumatic events. The aim of this study was to explore the relationships among spirit possession, dissociative symptoms and reported potentially traumatizing events in Uganda. One hundred nineteen persons with spirit possession, diagnosed by traditional healers, were compared to a matched control group of 71 nonpossessed persons.

Dissociative disorders in DSM-5

The rationale, research literature, and proposed changes to the dissociative disorders and conversion disorder in the fifth edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5) are presented. Dissociative identity disorder will include reference to possession as well as identity fragmentation, to make the disorder more applicable to culturally diverse situations. Dissociative amnesia will include dissociative fugue as a subtype, since fugue is a rare disorder that always involves amnesia but does not always include confused wandering or loss of personality identity.

Dissociation, PTSD, and Substance Abuse: An Empirical Study

Few studies have examined the relationship between posttraumatic stress disorder (PTSD), substance use disorder, and dissociation. We studied 77 women with current PTSD and substance dependence, classified into high- versus low-dissociation groups per the Dissociative Experiences Scale. They were compared on trauma- and substance-related symptoms, cognitions, coping skills, social adjustment, trauma history, psychiatric symptoms, and self-harm/suicidal behaviors. We found the high-dissociation group consistently more impaired than the low-dissociation group.

Dissemination of Psychotherapy for Trauma Spectrum Disorders in Postconflict Settings: A Randomized Controlled Trial in Rwanda

Background: Dissemination of psychotherapeutic modules to local counselors seems a key requirement for coping with mental health disasters in conflict regions. We tested a train-the-trainer (TTT) dissemination model for the treatment of posttraumatic stress disorder (PTSD). Methods: We randomly assigned widowed or orphaned survivors of the 1994 Rwandan genocide with a PTSD diagnosis to narrative exposure therapy (NET) treatment (NET-1, n = 38) or to a 6-month waiting list (WL) condition to be followed by treatment (WL/NET-2, n = 38).

Disentangling the relationship between different types of childhood maltreatment and personality disorders

This study investigated the relationship between five forms of childhood maltreatment (sexual, physical and emotional abuse, emotional and physical neglect) and 10 personality disorders (PDs). PDs were assessed by means of SCID II, and childhood maltreatment was retrospectively measured with the Interview for Traumatic Events in Childhood. Both PDs and childhood maltreatment were expressed continuously, and relations were assessed by means of structural equation modelling in a sample of 409 participants.

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