A PTSD subtype with dissociative symptoms (D-PTSD) was included in the DSM-5 recognizing the existence of a more severe form of PTSD, associated to past trauma, high comorbidity, and complex clinical management. As research is rapidly growing and results are inconsistent, a better investigation of this subtype is of primary importance. We conducted a systematic review of studies using Latent Profile Analysis to investigate the existence of a D-PTSD subtype. Covariates of D-PTSD were included, to understand additional symptoms, risk factors and comorbidities. The search was performed on PubMed, EBSCOHost, and PTSDPubs according to 2020 PRISMA guidelines. Eligible articles assessed trauma exposure, PTSD symptoms and diagnosis, and dissociation, in adult samples. 13 of 165 articles met the inclusion criteria. All identified a dissociative subtype of PTSD, mainly characterized by higher levels of depersonalization and derealization. D-PTSD profile sometimes presented other dissociative symptoms, such as gaps in awareness and memory, other comorbid disorders, and a history of abuse. Despite some limitations, this review supports the existence of a dissociative subgroup of individuals among those with PTSD. More rigorous studies are needed to clarify these findings and their clinical implications.
引用
收藏
页码:349 / 365
页数:17
相关论文
共 44 条
[1]
American Psychiatric Association, 2013, Diagnostic and Statistical Manual of Mental Disorders: DSM-5, DOI [10.1176/appi.books.9780890425596, DOI 10.1176/APPI.BOOKS.9780890425596]
机构:
Peking Univ, Inst Mental Hlth, Beijing 100871, Peoples R ChinaInst Nacl Psiquiatria Ramon Fuente, Dept Epidemiol & Psychosocial Res, Mexico City 14370, DF, Mexico
Huang, Y.
Lepine, J. P.
论文数: 0引用数: 0
h-index: 0
机构:
Univ Paris Diderot & Paris Descartes, Hop Lariboisiere Fernand Widal, AP HP, Paris, FranceInst Nacl Psiquiatria Ramon Fuente, Dept Epidemiol & Psychosocial Res, Mexico City 14370, DF, Mexico
Lepine, J. P.
Kawakami, N.
论文数: 0引用数: 0
h-index: 0
机构:
Univ Tokyo, Sch Publ Hlth, Dept Mental Hlth, Tokyo, JapanInst Nacl Psiquiatria Ramon Fuente, Dept Epidemiol & Psychosocial Res, Mexico City 14370, DF, Mexico
Kawakami, N.
Kovess-Masfety, Viviane
论文数: 0引用数: 0
h-index: 0
机构:
Paris Descartes Univ, Paris, FranceInst Nacl Psiquiatria Ramon Fuente, Dept Epidemiol & Psychosocial Res, Mexico City 14370, DF, Mexico
Kovess-Masfety, Viviane
Medina-Mora, M. E.
论文数: 0引用数: 0
h-index: 0
机构:
Inst Nacl Psiquiatria Ramon Fuente, Dept Epidemiol & Psychosocial Res, Mexico City 14370, DF, MexicoInst Nacl Psiquiatria Ramon Fuente, Dept Epidemiol & Psychosocial Res, Mexico City 14370, DF, Mexico
Medina-Mora, M. E.
Navarro-Mateu, F.
论文数: 0引用数: 0
h-index: 0
机构:
IMIB Arrixaca, CIBERESP Murcia, Subdirec Gen Salud Mental & Asistencia Psiquiatri, Serv Murciano Salud, El Palmar, Murcia, SpainInst Nacl Psiquiatria Ramon Fuente, Dept Epidemiol & Psychosocial Res, Mexico City 14370, DF, Mexico
Navarro-Mateu, F.
Piazza, M.
论文数: 0引用数: 0
h-index: 0
机构:
Natl Inst Hlth, Lima, PeruInst Nacl Psiquiatria Ramon Fuente, Dept Epidemiol & Psychosocial Res, Mexico City 14370, DF, Mexico
Piazza, M.
Posada-Villa, J.
论文数: 0引用数: 0
h-index: 0
机构:
Colegio Mayor Cundinamarca Univ, Bogota, ColombiaInst Nacl Psiquiatria Ramon Fuente, Dept Epidemiol & Psychosocial Res, Mexico City 14370, DF, Mexico
Posada-Villa, J.
Scott, K. M.
论文数: 0引用数: 0
h-index: 0
机构:
Univ Otago, Dept Psychol Med, Dunedin, New ZealandInst Nacl Psiquiatria Ramon Fuente, Dept Epidemiol & Psychosocial Res, Mexico City 14370, DF, Mexico
Scott, K. M.
Shalev, A.
论文数: 0引用数: 0
h-index: 0
机构:
NYU, Sch Med, New York, NY USAInst Nacl Psiquiatria Ramon Fuente, Dept Epidemiol & Psychosocial Res, Mexico City 14370, DF, Mexico
Shalev, A.
Slade, T.
论文数: 0引用数: 0
h-index: 0
机构:
Univ New S Wales, Natl Drug & Alcohol Res Ctr, Sydney, NSW, AustraliaInst Nacl Psiquiatria Ramon Fuente, Dept Epidemiol & Psychosocial Res, Mexico City 14370, DF, Mexico
[1]
American Psychiatric Association, 2013, Diagnostic and Statistical Manual of Mental Disorders: DSM-5, DOI [10.1176/appi.books.9780890425596, DOI 10.1176/APPI.BOOKS.9780890425596]
机构:
Peking Univ, Inst Mental Hlth, Beijing 100871, Peoples R ChinaInst Nacl Psiquiatria Ramon Fuente, Dept Epidemiol & Psychosocial Res, Mexico City 14370, DF, Mexico
Huang, Y.
Lepine, J. P.
论文数: 0引用数: 0
h-index: 0
机构:
Univ Paris Diderot & Paris Descartes, Hop Lariboisiere Fernand Widal, AP HP, Paris, FranceInst Nacl Psiquiatria Ramon Fuente, Dept Epidemiol & Psychosocial Res, Mexico City 14370, DF, Mexico
Lepine, J. P.
Kawakami, N.
论文数: 0引用数: 0
h-index: 0
机构:
Univ Tokyo, Sch Publ Hlth, Dept Mental Hlth, Tokyo, JapanInst Nacl Psiquiatria Ramon Fuente, Dept Epidemiol & Psychosocial Res, Mexico City 14370, DF, Mexico
Kawakami, N.
Kovess-Masfety, Viviane
论文数: 0引用数: 0
h-index: 0
机构:
Paris Descartes Univ, Paris, FranceInst Nacl Psiquiatria Ramon Fuente, Dept Epidemiol & Psychosocial Res, Mexico City 14370, DF, Mexico
Kovess-Masfety, Viviane
Medina-Mora, M. E.
论文数: 0引用数: 0
h-index: 0
机构:
Inst Nacl Psiquiatria Ramon Fuente, Dept Epidemiol & Psychosocial Res, Mexico City 14370, DF, MexicoInst Nacl Psiquiatria Ramon Fuente, Dept Epidemiol & Psychosocial Res, Mexico City 14370, DF, Mexico
Medina-Mora, M. E.
Navarro-Mateu, F.
论文数: 0引用数: 0
h-index: 0
机构:
IMIB Arrixaca, CIBERESP Murcia, Subdirec Gen Salud Mental & Asistencia Psiquiatri, Serv Murciano Salud, El Palmar, Murcia, SpainInst Nacl Psiquiatria Ramon Fuente, Dept Epidemiol & Psychosocial Res, Mexico City 14370, DF, Mexico
Navarro-Mateu, F.
Piazza, M.
论文数: 0引用数: 0
h-index: 0
机构:
Natl Inst Hlth, Lima, PeruInst Nacl Psiquiatria Ramon Fuente, Dept Epidemiol & Psychosocial Res, Mexico City 14370, DF, Mexico
Piazza, M.
Posada-Villa, J.
论文数: 0引用数: 0
h-index: 0
机构:
Colegio Mayor Cundinamarca Univ, Bogota, ColombiaInst Nacl Psiquiatria Ramon Fuente, Dept Epidemiol & Psychosocial Res, Mexico City 14370, DF, Mexico
Posada-Villa, J.
Scott, K. M.
论文数: 0引用数: 0
h-index: 0
机构:
Univ Otago, Dept Psychol Med, Dunedin, New ZealandInst Nacl Psiquiatria Ramon Fuente, Dept Epidemiol & Psychosocial Res, Mexico City 14370, DF, Mexico
Scott, K. M.
Shalev, A.
论文数: 0引用数: 0
h-index: 0
机构:
NYU, Sch Med, New York, NY USAInst Nacl Psiquiatria Ramon Fuente, Dept Epidemiol & Psychosocial Res, Mexico City 14370, DF, Mexico
Shalev, A.
Slade, T.
论文数: 0引用数: 0
h-index: 0
机构:
Univ New S Wales, Natl Drug & Alcohol Res Ctr, Sydney, NSW, AustraliaInst Nacl Psiquiatria Ramon Fuente, Dept Epidemiol & Psychosocial Res, Mexico City 14370, DF, Mexico