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European Journal of Psychotraumatology Volume 9, 2018 - Issue 1
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Clinical Research Article

Dissociative symptoms mediate the relation between PTSD symptoms and functional impairment in a sample of military members, veterans, and first responders with PTSD

Jenna E. BoydDepartment of Psychology, Neuroscience and Behaviour, McMaster University, Hamilton, Canada;Mood Disorders Program, St. Joseph’s Healthcare Hamilton, Hamilton, Canada;Homewood Research Institute, Guelph, CanadaORCID Iconhttps://orcid.org/0000-0001-8710-2066View further author information
ORCID Icon,
Alina ProtopopescuDepartment of Psychology, Neuroscience and Behaviour, McMaster University, Hamilton, Canada;Mood Disorders Program, St. Joseph’s Healthcare Hamilton, Hamilton, Canada;Homewood Research Institute, Guelph, CanadaView further author information
,
Charlene O’ConnorHomewood Research Institute, Guelph, Canada;Program for Traumatic Stress Recovery, Homewood Health Centre, Guelph, CanadaView further author information
,
Richard W. J. NeufeldDepartment of Neuroscience, Western University, London, Canada;Department of Psychiatry, Western University, London, Canada;Department of Psychology, Western University, London, CanadaView further author information
,
Rakesh JetlyDefence Research and Development Canada, Toronto, Canada;Department of Psychiatry, University of Ottawa, Ottawa, CanadaView further author information
,
Heather K. HoodProgram for Traumatic Stress Recovery, Homewood Health Centre, Guelph, Canada;Department of Psychiatry and Behavioural Neurosciences, McMaster University, Hamilton, CanadaView further author information
,
Ruth A. LaniusHomewood Research Institute, Guelph, Canada;Department of Neuroscience, Western University, London, Canada;Department of Psychiatry, Western University, London, Canada;Imaging Division, Lawson Health Research Institute, London, CanadaView further author information
&
Margaret C. McKinnonDepartment of Psychology, Neuroscience and Behaviour, McMaster University, Hamilton, Canada;Mood Disorders Program, St. Joseph’s Healthcare Hamilton, Hamilton, Canada;Homewood Research Institute, Guelph, Canada;Department of Psychiatry and Behavioural Neurosciences, McMaster University, Hamilton, CanadaCorrespondence[email protected]
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Article: 1463794 | Received 11 Sep 2017, Accepted 20 Mar 2018, Published online: 17 May 2018

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Sharon Auld. (2022) Role-Play as a Pedagogical Strategy to Assist Postgraduate Psychology Students Engage with the Social Embeddedness of Trauma. Critical Arts 36:5-6, pages 57-73.
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Mary Vining Radomski, Gordon Muir Giles, Jenny Owens, Mark Showers, Stacey Rabusch, Rob Kreiger, Joette Zola & Kristina Kath. (2022) Can service members with mild traumatic brain injury learn to develop implementation intentions for self-identified goals?. Disability and Rehabilitation 44:12, pages 2640-2647.
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Anna H. Park, Alina Protopopescu, Michelle E. Pogue, Jenna E. Boyd, Charlene O’Connor, Ruth A. Lanius & Margaret C. McKinnon. (2021) Dissociative symptoms predict severe illness presentation in Canadian public safety personnel with presumptive post-traumatic stress disorder (PTSD). European Journal of Psychotraumatology 12:1.
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Genine P. Smith & Glenn Hartelius. (2020) Resolution of Dissociated Ego States Relieves Flashback-Related Symptoms in Combat-Related PTSD: A Brief Mindfulness Based Intervention. Military Psychology 32:2, pages 135-148.
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Anthony M. Battaglia, Alina Protopopescu, Jenna E. Boyd, Chantelle Lloyd, Rakesh Jetly, Charlene O’Connor, Heather K. Hood, Anthony Nazarov, Shawn G. Rhind, Ruth A. Lanius & Margaret C. McKinnon. (2019) The relation between adverse childhood experiences and moral injury in the Canadian Armed Forces. European Journal of Psychotraumatology 10:1.
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Marloes B. Eidhof, F. Jackie June ter Heide, Niels van Der Aa, Monika Schreckenbach, Ulrike Schmidt, Bethany L. Brand, Ruth A. Lanius, Richard J. Loewenstein, David Spiegel & Eric Vermetten. (2019) The Dissociative Subtype of PTSD Interview (DSP-I): Development and Psychometric Properties. Journal of Trauma & Dissociation 20:5, pages 564-581.
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Vancappel Alexis, Tapia Géraldine, Clarys David, Raysseguier Camille & El-Hage Wissam. (2023) Association between cognitive impairments and dissociation: A PRISMA systematic review. European Journal of Trauma & Dissociation 7:3, pages 100341.
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Brett A Messman, Danica C Slavish, Madasen Briggs, Camilo J Ruggero, Benjamin J Luft & Roman Kotov. (2023) Daily Sleep–Stress Reactivity and Functional Impairment in World Trade Center Responders. Annals of Behavioral Medicine 57:7, pages 582-592.
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A. Vancappel & W El-Hage. (2023) A cognitive behavioral model for dissociation: Conceptualization, empirical evidence and clinical implications. Journal of Behavioral and Cognitive Therapy 33:2, pages 127-137.
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Igor J. Pietkiewicz, Roksana Duszkiewicz & Radosław Tomalski. (2023) Feelings of detachment during rescue incidents: Qualitative analysis of depersonalisation and derealisation in paramedics. European Journal of Trauma & Dissociation 7:2, pages 100329.
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Lauren A.M. LeboisNathaniel G. HarnettSanne J.H. van RooijTimothy D. ElyTanja JovanovicSteven E. BruceStacey L. HouseCaitlin RavichandranNathalie M. DumornayKatherine E. FinegoldSarah B. HillJulia B. MerkerKarlye A. PhillipsFrancesca L. BeaudoinXinming AnThomas C. NeylanGari D. CliffordSarah D. LinnstaedtLaura T. GermineScott L. RauchJohn P. HaranAlan B. StorrowChristopher LewandowskiPaul I. MuseyJrJrPhyllis L. HendrySophia SheikhChristopher W. JonesBrittany E. PunchesRobert A. SworMeghan E. McGrathLauren A. HudakJose L. PascualMark J. SeamonElizabeth M. DatnerAnna M ChangClaire PearsonRobert M. DomeierNiels K. RathlevBrian J. O’NeilPaulina SergotLeon D. SanchezMark W. MillerRobert H. PietrzakJutta JoormannDeanna M. BarchDiego A. PizzagalliJohn F. SheridanJordan W. SmollerBeatriz LunaSteven E. HarteJames M. ElliottRonald C. KesslerKarestan C. KoenenSamuel A. McLeanJennifer S. StevensKerry J. Ressler. (2022) Persistent Dissociation and Its Neural Correlates in Predicting Outcomes After Trauma Exposure. American Journal of Psychiatry 179:9, pages 661-672.
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Tory A. Durham, Brianna M. Byllesby, Jon D. Elhai & Li Wang. (2020) Latent profile analysis of PTSD and dissociation, and relations with anger. Current Psychology 41:3, pages 1595-1602.
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Emre Umucu, Phillip Rumrill, Chung-Yi Chiu & Arpita Ghosh. (2022) Functional Limitations, Post-Traumatic Stress Disorder, and College Adjustment in Student Veterans: A Mediation Analysis Study. Rehabilitation Research, Policy, and Education 36:1, pages 50-59.
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Herry Patel, Charlene O’Connor, Krysta Andrews, Michael Amlung, Ruth Lanius & Margaret C. McKinnon. (2022) Dissociative symptomatology mediates the relation between posttraumatic stress disorder severity and alcohol‐related problems. Alcoholism: Clinical and Experimental Research 46:2, pages 289-299.
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Louis F. Damis. (2022) The Role of Implicit Memory in the Development and Recovery from Trauma-Related Disorders. NeuroSci 3:1, pages 63-88.
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Monnica Williams & Manzar Zare. (2022) A Psychometric Investigation of Racial Trauma Symptoms Using a Semi-Structured Clinical Interview With a Trauma Checklist (UnRESTS). Chronic Stress 6, pages 247054702211451.
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De la Rie & Snip-van Wageningen De la Rie & Snip-van Wageningen. 2022. Trauma en dissociatie. Trauma en dissociatie 93 111 .
C.A. Ross. (2021) Problems with the dissociative subtype of posttraumatic stress disorder in DSM-5. European Journal of Trauma & Dissociation 5:4, pages 100081.
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Isadora Olivé, Nikos Makris, Maria Densmore, Margaret C. McKinnon & Ruth A. Lanius. (2021) Altered basal forebrain BOLD signal variability at rest in posttraumatic stress disorder: A potential candidate vulnerability mechanism for neurodegeneration in PTSD. Human Brain Mapping 42:11, pages 3561-3575.
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Alina Protopopescu, Jenna E. Boyd, Charlene O’Connor, Shawn G. Rhind, Rakesh Jetly, Ruth A. Lanius & Margaret C. McKinnon. (2021) Examining the associations among moral injury, difficulties with emotion regulation, and symptoms of PTSD, depression, anxiety, and stress among Canadian military members and Veterans: A preliminary study. Journal of Military, Veteran and Family Health 7:2, pages 71-80.
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Mario Miniati, Laura Palagini, Danila Caruso, Mauro Mauri, Donatella Marazziti & Liliana Dell’Osso. (2020) Post-traumatic stress disorder in train crash survivors in Italy: the role of mood spectrum dysregulations and intrusiveness. CNS Spectrums 26:1, pages 71-76.
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Joseph Nuamah, Carolina Rodriguez-Paras & Farzan Sasangohar. (2020) Veteran-Centered Investigation of Architectural and Space Design Considerations for Post-Traumatic Stress Disorder (PTSD). HERD: Health Environments Research & Design Journal 14:1, pages 164-173.
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Crosby A. Modrowski, Christie J. Rizzo, Charlene Collibee, Christopher D. Houck & Kaitlyn Schneider. (2021) Victimization profiles in girls involved in the juvenile justice system: A latent class analysis. Child Abuse & Neglect 111, pages 104774.
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Daniela Rabellino, Paul A. Frewen, Margaret C. McKinnon & Ruth A. Lanius. (2020) Peripersonal Space and Bodily Self-Consciousness: Implications for Psychological Trauma-Related Disorders. Frontiers in Neuroscience 14.
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Heather J. McCuaig Edge & Jennifer E. C. Lee. (2020) The Mediating Role of Alexithymia in the Association Between Adverse Childhood Experiences and Postdeployment Mental Health in Canadian Armed Forces Personnel. Journal of Traumatic Stress 33:6, pages 1029-1038.
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Jonas Tesarz, David Baumeister, Tonny Elmose Andersen & Henrik Bjarke Vaegter. (2020) Pain perception and processing in individuals with posttraumatic stress disorder: a systematic review with meta-analysis. PAIN Reports 5:5, pages e849.
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Robin Blades, Sheldon Jordan, Sergio Becerra, Branon Eusebio, Mark Heatwole, Jessica Iovine, Kennedy Mahdavi, Michael Mamoun, Natalie Nicodemus, Hannah Packham, Norman Spivak & Taylor Kuhn. (2020) Treating dissociative post-traumatic stress disorder presenting as a functional movement disorder with transcranial magnetic stimulation targeting the cingulate gyrus. Neurological Sciences 41:8, pages 2275-2280.
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Stephanie Ellickson-Larew, Shaline Escarfulleri & Erika J. Wolf. (2020) The Dissociative Subtype of Posttraumatic Stress Disorder: Forensic Considerations and Recent Controversies. Psychological Injury and Law 13:2, pages 178-186.
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Michael L. Able & David M. Benedek. (2019) Severity and Symptom Trajectory in Combat-Related PTSD: a Review of the Literature. Current Psychiatry Reports 21:7.
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