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Journal of Loss and Trauma
International Perspectives on Stress & Coping
Volume 28, 2023 - Issue 3
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Articles

The Linear and Non-Linear Association between Trauma, Dissociation, Complex PTSD, and Executive Function Deficits: A Longitudinal Structural Equation Modeling Study

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Pages 217-234 | Received 18 Jun 2022, Accepted 11 Jul 2022, Published online: 11 Aug 2022
 

Abstract

To longitudinally measure the relationship between trauma, dissociation, complex PTSD (CPTSD), and executive function (EF), we used a sample of 228 at two times with ten weeks in-between. We measured cumulative trauma, dissociation, CPTSD, and EF. We used two structural equation modeling with cumulative trauma and type III continuous trauma at time 1 as independent variables and dissociation, CPTSD, and EF at time two as dependent variables. Cumulative trauma and continuous traumatic had medium to large effect sizes on dissociation. Dissociation had a large effect size on CPTSD and EFD. However, the association between dissociation and EFD is more non-linear.

Additional information

Notes on contributors

Ibrahim Aref Kira

Ibrahim Aref Kira, Ph.D. is the Director of the Center of Cumulative Trauma Studies, Stone Mountain, GA, USA (an international virtual research organization) and an affiliate of The Center for Stress, Trauma, and Resilience, Georgia State University, Atlanta, GA, USA. His areas of interest include stress and trauma dynamics, identity, and resiliency. He is the lead developer of the development-based taxonomy of stressors and traumas.

Hanaa Shuwiekh

Hanaa A. M. Shuwiekh, Ph.D. is a professor and head of the Psychology Department at the University of Fayoum, Egypt. Her areas of interest include stress and trauma, gender issues, and resiliency.

Andreas Laddis

Andreas Laddis, MD is a practicing psychiatrist in Boston and scholar. He is Author of Role Reconstruction Therapy. He has scholarly publications on the diagnosis and treatment of Complex PTSD and Dissociative Disorders. He is a distinguished life fellow of the American Psychiatric Association. He is recipient of the lifetime achievement award of the International Society for the Study of Trauma and Dissociation.

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