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探索分离的差异模式:不同创伤经历和/或注意力缺陷/多动障碍症状的严重程度及维度

Exploring Differential Patterns of Dissociation: Severity and Dimensions Across Diverse Trauma Experiences and/or Attention-Deficit/Hyperactivity Disorder Symptoms.

作者信息

Esposito Rosario, Schettino Eduardo Maria, Buonincontri Veronica, Vitale Carmine, Santangelo Gabriella, Maggi Gianpaolo

机构信息

Department of Psychology, University of Campania "Luigi Vanvitelli", 81100 Caserta, Italy.

School of Cognitive Psychotherapy (SPC), 80122 Naples, Italy.

出版信息

Behav Sci (Basel). 2025 Jun 24;15(7):850. doi: 10.3390/bs15070850.

Abstract

Dissociative symptoms may result from both neurobiological conditions, such as Attention-Deficit/Hyperactivity Disorder (ADHD), and traumatic events/exposure, such as Post-Traumatic Stress Disorder (PTSD) and Adverse Childhood Experiences (ACEs). However, identifying whether dissociative manifestations are associated with ADHD symptoms or trauma-related manifestations may drive clinicians to select the most effective intervention. Four hundred participants from the general population completed an online survey and were classified based on the presence of PTSD, ACEs, or ADHD symptoms. We compared the severity of dissociation and its dimensions across groups using the Dissociative Experiences Scale-II (DES-II) and explored its association with ADHD symptoms, PTSD manifestations, and ACEs. Dissociative symptoms were more pronounced in individuals with combined ADHD and PTSD or ACEs, but a hierarchical pattern of dissociation severity was also observed in isolated symptoms: ADHD > PTSD > ACEs. More specifically, participants who reported ADHD symptoms obtained higher scores on the Amnesia dimension of the DES-II than PTSD and more severe Absorption subscores than individuals reporting ACEs. Correlational analyses confirmed that DES-II scores were mostly associated with the scale evaluating the severity of ADHD symptoms rather than those evaluating trauma-related manifestations. These findings suggest that neurodevelopmental vulnerabilities, such as ADHD, may play a more significant role in dissociative symptomatology than trauma-related disorders.

摘要

分离症状可能由神经生物学状况(如注意力缺陷多动障碍(ADHD))以及创伤性事件/暴露(如创伤后应激障碍(PTSD)和童年不良经历(ACEs))导致。然而,确定分离表现是与ADHD症状相关还是与创伤相关表现相关,可能会促使临床医生选择最有效的干预措施。来自普通人群的400名参与者完成了一项在线调查,并根据是否存在PTSD、ACEs或ADHD症状进行分类。我们使用分离体验量表-II(DES-II)比较了各组之间分离的严重程度及其维度,并探讨了其与ADHD症状、PTSD表现和ACEs的关联。在合并ADHD和PTSD或ACEs的个体中,分离症状更为明显,但在单独症状中也观察到了分离严重程度的分层模式:ADHD > PTSD > ACEs。更具体地说,报告有ADHD症状的参与者在DES-II的遗忘维度上得分高于PTSD患者,在吸收子量表上的得分比报告有ACEs的个体更严重。相关分析证实,DES-II得分主要与评估ADHD症状严重程度的量表相关,而不是与评估创伤相关表现的量表相关。这些发现表明,诸如ADHD等神经发育脆弱性在分离症状学中可能比创伤相关障碍发挥更重要的作用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7a9a/12292554/456ae189214b/behavsci-15-00850-g001.jpg

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