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Conway AE, Verdi M, Kartha N, Maddukuri C, Anagnostou A, Abrams EM, Bansal P, Bukstein D, Nowak-Wegrzyn A, Oppenheimer J, Madan JC, Garnaat SL, Bernstein JA, Shaker MS. Allergic Diseases and Mental Health. THE JOURNAL OF ALLERGY AND CLINICAL IMMUNOLOGY. IN PRACTICE 2024; 12:2298-2309. [PMID: 38851487 DOI: 10.1016/j.jaip.2024.05.049] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/13/2024] [Revised: 05/21/2024] [Accepted: 05/29/2024] [Indexed: 06/10/2024]
Abstract
Neuropsychiatric symptoms have long been acknowledged as a common comorbidity for individuals with allergic diseases. The proposed mechanisms for this relationship vary by disease and patient population and may include neuroinflammation and/or the consequent social implications of disease symptoms and management. We review connections between mental health and allergic rhinitis, atopic dermatitis, asthma, vocal cord dysfunction, urticaria, and food allergy. Many uncertainties remain and warrant further research, particularly with regard to how medications interact with pathophysiologic mechanisms of allergic disease in the neuroimmune axis. Proactive screening for mental health challenges, using tools such as the Patient Health Questionnaire and Generalized Anxiety Disorder screening instruments among others, can aid clinicians in identifying patients who may need further psychiatric evaluation and support. Although convenient, symptom screening tools are limited by variable sensitivity and specificity and therefore require healthcare professionals to remain vigilant for other mental health "red flags." Ultimately, understanding the connection between allergic disease and mental health empowers clinicians to both anticipate and serve the diverse physical and mental health needs of their patient populations.
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Affiliation(s)
| | | | - Navya Kartha
- Department of Pediatrics, Akron Children's Hospital, Akron, Ohio
| | | | - Aikaterini Anagnostou
- Department of Pediatrics, Division of Allergy and Immunology, Baylor College of Medicine, Houston, Texas
| | | | - Priya Bansal
- Asthma and Allergy Wellness Center, St. Charles, Ill; Division of Allergy and Immunology, Northwestern Feinberg School of Medicine, Chicago, Ill
| | - Don Bukstein
- Allergy, Asthma, and Sinus Center, Milwaukee, Wis
| | - Anna Nowak-Wegrzyn
- Department of Population Health, NYU Grossman School of Medicine, New York, NY; Department of Pediatrics, Gastroenterology and Nutrition, Collegium Medicum, University of Warmia and Mazury, Olsztyn, Poland
| | | | - Juliette C Madan
- Department of Epidemiology, Geisel School of Medicine at Dartmouth, Hanover, NH; Departments of Pediatrics and Psychiatry, Division of Child Psychiatry, Dartmouth-Hitchcock Medical Center, Lebanon, NH
| | - Sarah L Garnaat
- Department of Psychiatry, Geisel School of Medicine at Dartmouth, Hanover, NH; Department of Psychiatry, Dartmouth-Hitchcock Medical Center, Lebanon, NH
| | - Jonathan A Bernstein
- Department of Internal Medicine, Division of Rheumatology, Allergy and Immunology, University of Cincinnati College of Medicine, Cincinnati, Ohio
| | - Marcus S Shaker
- Departments of Medicine and Pediatrics, Geisel School of Medicine at Dartmouth, Hanover, NH; Dartmouth-Hitchcock Medical Center, Section of Allergy and Immunology, Lebanon, NH.
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2
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Neerdaels J, Tröster C, Van Quaquebeke N. It's (a) Shame: Why Poverty Leads to Support for Authoritarianism. PERSONALITY AND SOCIAL PSYCHOLOGY BULLETIN 2024; 50:942-956. [PMID: 36575968 DOI: 10.1177/01461672221141509] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/29/2022]
Abstract
The literature has widely discussed and supported the relationship between poverty and support for authoritarian leaders and regimes. However, there are different claims about the mediating mechanism and a lack of empirical tests. We hypothesize that the effect of poverty on support for authoritarianism is mediated by shame: People living in poverty frequently experience social exclusion and devaluation, which is reflected in feelings of shame. Such shame, in turn, is likely to increase support for authoritarianism, mainly due to the promise of social re-inclusion. We support our hypothesis in two controlled experiments and a large-scale field study while empirically ruling out the two main alternative explanations offered in the literature: stress and anxiety. Finally, we discuss how the present findings can support policymakers in efficiently addressing the negative political consequences of poverty.
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3
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Lathan EC, Powers A, Kottakis A, Guelfo A, Siegle GJ, Turner JA, Turner MD, Yakkanti V, Jain J, Mekawi Y, Teer AP, Currier JM, Fani N. Civilian moral injury: associations with trauma type and high-frequency heart rate variability in two trauma-exposed community-based samples. Psychol Med 2023; 53:5136-5145. [PMID: 37650341 PMCID: PMC10476056 DOI: 10.1017/s003329172200215x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/13/2022] [Revised: 06/13/2022] [Accepted: 06/22/2022] [Indexed: 11/05/2022]
Abstract
BACKGROUND Moral injury exposure (MIE) and distress (MID) may indirectly affect the relationship between trauma exposure and alterations in autonomic regulation [assessed via high-frequency heart rate variability (hfHRV)] in civilians, but this has not been tested in prior research. We conducted two exploratory studies to examine trauma types' associations with MIE and MID among civilian medical patients (Study 1) and explore how these facets may indirectly affect the relationship between trauma type and hfHRV among civilians seeking mental health services (Study 2). METHODS Participants recruited from a public hospital and/or community advertisements (Study 1, n = 72, 87.5% Black, 83.3% women; Study 2, n = 46, 71.7% Black, 97.8% women) completed measures assessing trauma type, MIE, and MID. In Study 1, trauma types that emerged as significant correlates of MIE and MID were entered into separate linear regression analyses. Trauma types identified were included as predictors in indirect effects models with MIE or MID as the mediator and resting hfHRV (assayed via electrocardiography) as the outcome. RESULTS Childhood sexual abuse emerged as the only significant predictor of MIE, b = 0.38, p < 0.001; childhood sexual abuse, b = 0.26, p < 0.05, and adulthood sexual assault, b = 0.23, p < 0.05 were significant predictors of MID. Participants with greater MIE and MID demonstrated lower hfHRV. Adulthood sexual assault showed an indirect effect on hfHRV through MID, B = -0.10, s.e. = 0.06, 95%CI (-0.232 to -0.005). CONCLUSIONS Moral injury was uniquely associated with sexual violence and lower hfHRV in civilians. Data highlight moral injury as a pathway through which autonomic dysregulation may emerge and its salience for trauma treatment selection.
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Affiliation(s)
- Emma C. Lathan
- Department of Psychiatry and Behavioral Sciences, Emory University School of Medicine, Atlanta, GA, USA
| | - Abigail Powers
- Department of Psychiatry and Behavioral Sciences, Emory University School of Medicine, Atlanta, GA, USA
| | - Anna Kottakis
- Department of Psychiatry and Behavioral Sciences, Emory University School of Medicine, Atlanta, GA, USA
| | - Alfonsina Guelfo
- Department of Psychiatry and Behavioral Sciences, Emory University School of Medicine, Atlanta, GA, USA
| | - Greg J. Siegle
- Department of Psychiatry, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA
| | - Jessica A. Turner
- Department of Psychology, Georgia State University, Atlanta, GA, USA
| | - Matthew D. Turner
- Department of Psychology, Georgia State University, Atlanta, GA, USA
| | - Vijwala Yakkanti
- Department of Psychiatry and Behavioral Sciences, Emory University School of Medicine, Atlanta, GA, USA
| | - Jahnvi Jain
- Department of Psychiatry and Behavioral Sciences, University of Texas Health Science Center at Houston, Houston, TX, USA
| | - Yara Mekawi
- Department of Psychological and Brain Sciences, University of Louisville, Louisville, KY, USA
| | - Andrew P. Teer
- Department of Psychiatry and Behavioral Sciences, Emory University School of Medicine, Atlanta, GA, USA
| | - Joseph M. Currier
- Department of Psychology, University of South Alabama, Mobile, AL, USA
| | - Negar Fani
- Department of Psychiatry and Behavioral Sciences, Emory University School of Medicine, Atlanta, GA, USA
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4
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Sánchez MAA, González JA, Sánchez Fonseca JD, Calderón NP, Cárdenas-Poveda DC, López JML. Analysis of EEG and ECG in women with intimate partner violence experience during an emotional task. Int J Psychophysiol 2023; 183:148-158. [PMID: 36502937 DOI: 10.1016/j.ijpsycho.2022.12.001] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/01/2022] [Revised: 11/17/2022] [Accepted: 12/02/2022] [Indexed: 12/13/2022]
Abstract
Intimate Partner Violence (IPV) has been associated with cognitive, emotional, physical and physiological alterations, and with the presence of anxiety disorders. There is not enough research on this problem from an interdisciplinary approach despite the above. Therefore, this research compared the emotion perception and electrophysiological responses, elicited by an emotional task, in women who had experienced IPV and women who had not (WIPV). Forty-five participants (22 with and 23 without IPV experience) were presented with nine images from the International Affective Picture System (IAPS) database and performed a self-report using the Self-Assessment Manikin (SAM). In parallel, electrophysiological signals (ECG and EEG) were acquired, for the analysis of emotional response. In the between-group analysis, the IPV group showed lower perceived dominance and greater central asymmetry in the alpha band than the WIPV group; additionally, the IPV group exhibited a significant positive correlation between the valence of the images and the alpha band power in central areas. In the within-group analysis, the WIPV group showed greater activation in the alpha band and alpha/beta ratio in frontal areas during the emotional elicitation, as compared to baseline. Furthermore, the ECG analysis showed that, for the IPV group, there was a decrease in the power of the high-frequency (HF) band and an increase in the power of the very-low-frequency (VLF) band of heart rate variability (HRV) during the elicitation stage. It is hypothesized that the IPV group could present higher stress levels and greater physiological activity during emotional stimuli than the WIPV group. Possible changes in emotional regulation and anxiety levels due to IPV experiences are discussed.
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Affiliation(s)
- Miguel Angel Angulo Sánchez
- Corporación Universitaria Minuto de Dios Uniminuto, Psychology Program, CRA 73 A 81B-70, Bogotá 111021, Bogotá D.C, Colombia.
| | - Juan Andrés González
- Escuela Colombiana de Ingeniería Julio Garavito, Biomedical Engineering Program, Av. CRA 40 205-59, Bogotá 111166, Bogotá D.C, Colombia
| | - Jessica D Sánchez Fonseca
- Escuela Colombiana de Ingeniería Julio Garavito, Biomedical Engineering Program, Av. CRA 40 205-59, Bogotá 111166, Bogotá D.C, Colombia
| | - Natalia Perea Calderón
- Escuela Colombiana de Ingeniería Julio Garavito, Biomedical Engineering Program, Av. CRA 40 205-59, Bogotá 111166, Bogotá D.C, Colombia
| | - D Carolina Cárdenas-Poveda
- Corporación Universitaria Minuto de Dios Uniminuto, Psychology Program, CRA 73 A 81B-70, Bogotá 111021, Bogotá D.C, Colombia
| | - Juan Manuel López López
- Escuela Colombiana de Ingeniería Julio Garavito, Biomedical Engineering Program, Av. CRA 40 205-59, Bogotá 111166, Bogotá D.C, Colombia
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5
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Rudy JA, McKernan S, Kouri N, D'Andrea W. A meta-analysis of the association between shame and dissociation. J Trauma Stress 2022; 35:1318-1333. [PMID: 35749645 DOI: 10.1002/jts.22854] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/07/2021] [Revised: 05/05/2022] [Accepted: 05/05/2022] [Indexed: 11/10/2022]
Abstract
Shame and dissociation have been implicated theoretically and empirically in trauma exposure and its sequelae, with shame understood as an intense negative emotion and dissociation as a reaction to intense negative emotions. Understanding the connection between shame and dissociation is important for theory and practice; however, the strength of this association remains unclear. For example, in therapy, both shame and dissociation serve as a barrier to engaging with emotion. Theoretically, these two states should be distinct, as one (dissociation) confers low affective intensity and the other (shame) high intensity. The present meta-analysis focused on the magnitude of the association between these two phenomena and investigated the extent to which gender, trauma exposure, psychiatric comorbidities, and demographic characteristics influence this association given their independent links to shame and dissociation. An initial search of six databases identified 151,844 articles. Duplicates were removed, and additional articles were excluded based on abstract and title screening. After contacting authors for missing data, a full-text screen yielded 25 articles for the present analysis. The results indicate that shame and dissociation were moderately correlated (k = 33, n = 4,705), r = .42, 95% CI [.35, .48], p < .001, but no clear clinical moderators emerged. Despite this association, very few studies utilized experimental designs to examine the association between these constructs. Future research should focus on experimental study designs to investigate the extent to which shame induces dissociation or vice versa.
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Affiliation(s)
- Justine A Rudy
- Department of Psychology, The New School for Social Research, New York, New York, USA
| | - Scott McKernan
- Department of Psychology, The New School for Social Research, New York, New York, USA
| | - Nicole Kouri
- Department of Clinical Psychology, Wayne State University, Detroit, Michigan, USA
| | - Wendy D'Andrea
- Department of Psychology, The New School for Social Research, New York, New York, USA
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6
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Reuber M, Roberts NA, Levita L, Gray C, Myers L. Shame in patients with psychogenic nonepileptic seizure: A narrative review. Seizure 2021; 94:165-175. [PMID: 34844847 DOI: 10.1016/j.seizure.2021.10.017] [Citation(s) in RCA: 9] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/22/2021] [Revised: 10/02/2021] [Accepted: 10/21/2021] [Indexed: 10/20/2022] Open
Abstract
Psychogenic Nonepileptic Seizures (PNES) have been linked to dysregulated emotions and arousal. However, the question which emotions may be most relevant has received much less attention. In this multidisciplinary narrative review, we argue that the self-conscious emotion of shame is likely to be of particular importance for PNES. We summarize current concepts of the development of shame processing and its relationship with other emotional states. We demonstrate the potential of acute shame to cause a sudden disruption of normal cognitive function and trigger powerful behavioral, cognitive, physiological and secondary emotional responses which closely resemble key components of PNES. These responses may lead to the development of shame avoidance strategies which can become disabling in themselves. We discuss how excessive shame proneness and shame dysregulation are linked to several psychopathologies often associated with PNES (including depression and PTSD) and how they may predispose to, precipitate and perpetuate PNES disorders, not least by interacting with stigma. We consider current knowledge of the neurobiological underpinnings of shame and PNES. We explore how shame could be the link between PNES and a heterogeneous range of possible etiological factors, and how it may link historical aversive experiences with individual PNES events occurring much later and without apparent external trigger. We argue that, in view of the potential direct links between shame and PNES, the well-documented associations of shame with common comorbidities of this seizure disorder and the well-characterized relationship between chronic shame and stigma, there is a compelling case to pay greater attention to shame in relation to PNES. Its role in the treatment of patients with PNES is discussed in a separate, linked review incorporating case vignettes to highlight the complex interactions of different but interlinked shame-related issues in individual patients.
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Affiliation(s)
- M Reuber
- Academic Neurology Unit, University of Sheffield, Royal Hallamshire Hospital, Glossop Road, Sheffield, S10 2JF, United Kingdom.
| | - Nicole A Roberts
- School of Social and Behavioral Sciences, Arizona State University, Phoenix, AZ, USA
| | - Liat Levita
- Department of Psychology, University of Sheffield, Sheffield, UK
| | - Cordelia Gray
- Specialist Psychotherapist, Neurology Psychotherapy Service, Sheffield Teaching Hospital, Academic Neurology Unit, University of Sheffield, Sheffield, UK
| | - Lorna Myers
- Director, Northeast Regional Epilepsy Group, New York, United States
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Wright RJ. Trauma-Informed Research and Care for Difficult-to-Control Asthma: The Time Is Now! THE JOURNAL OF ALLERGY AND CLINICAL IMMUNOLOGY. IN PRACTICE 2021; 9:4310-4311. [PMID: 34893191 DOI: 10.1016/j.jaip.2021.09.027] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/15/2021] [Accepted: 09/17/2021] [Indexed: 06/14/2023]
Affiliation(s)
- Rosalind J Wright
- Department of Environmental Medicine and Public Health, Institute for Exposomic Research, New York, NY.
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8
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Monti E, D’Andrea W, Freed S, Kidd DC, Feuer S, Carroll LM, Castano E. Does Self-Reported Childhood Trauma Relate to Vocal Acoustic Measures? Preliminary Findings at Trauma Recall. JOURNAL OF NONVERBAL BEHAVIOR 2021. [DOI: 10.1007/s10919-020-00355-x] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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9
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López-Castro T, Saraiya T, Zumberg-Smith K, Dambreville N. Association Between Shame and Posttraumatic Stress Disorder: A Meta-Analysis. J Trauma Stress 2019; 32:484-495. [PMID: 31291483 PMCID: PMC7500058 DOI: 10.1002/jts.22411] [Citation(s) in RCA: 43] [Impact Index Per Article: 8.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/30/2017] [Revised: 01/16/2019] [Accepted: 01/19/2019] [Indexed: 11/09/2022]
Abstract
Posttraumatic stress disorder (PTSD) is a complex condition with affective components that extend beyond fear and anxiety. The emotion of shame has long been considered critical in the relation between trauma exposure and PTSD symptoms. Yet, to date, no meta-analytic synthesis of the empirical association between shame and PTSD has been conducted. To address this gap, the current study summarized the magnitude of the association between shame and PTSD symptoms after trauma exposure. A systematic literature search yielded 624 publications, which were screened for inclusion criteria (individuals exposed to a Criterion A trauma, and PTSD and shame assessed using validated measures of each construct). In total, 25 studies employing 3,663 participants met full eligibility criteria. A random-effects meta-analysis revealed a significant moderate association between shame and posttraumatic stress symptoms, r = .49, 95% CI [0.43, 0.55], p < .001. Moderator analyses were not completed due to the absence of between-study heterogeneity. Publication bias analyses revealed minimal bias, determined by small attenuation after the superimposition of weight functions. The results underscore that across a diverse set of populations, shame is characteristic for many individuals with PTSD and that it warrants a central role in understanding the affective structure of PTSD. Highlighting shame as an important clinical target may help improve the efficacy of established treatments. Future research examining shame's interaction with other negative emotions and PTSD symptomology is recommended.
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Affiliation(s)
- Teresa López-Castro
- Psychology Department, The City College of New York, The City University of New York, New York, NY, USA
| | - Tanya Saraiya
- Psychology Department, The City College of New York, The City University of New York, New York, NY, USA,Derner School of Psychology, Adelphi University, Garden City, New York, USA
| | - Kathryn Zumberg-Smith
- Division on Substance Use Disorders, New York State Psychiatric Institute, Columbia University College of Physicians and Surgeons
| | - Naomi Dambreville
- Psychology Department, The City College of New York, The City University of New York, New York, NY, USA,Department of Psychology, The Graduate Center, The City University of New York
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10
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Lloyd CS, Lanius RA, Brown MF, Neufeld RJ, Frewen PA, McKinnon MC. Assessing Post-Traumatic Tonic Immobility Responses: The Scale for Tonic Immobility Occurring Post-Trauma. CHRONIC STRESS (THOUSAND OAKS, CALIF.) 2019; 3:2470547018822492. [PMID: 32440591 PMCID: PMC7219877 DOI: 10.1177/2470547018822492] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 10/26/2018] [Accepted: 12/04/2018] [Indexed: 12/13/2022]
Abstract
BACKGROUND Peri-traumatic tonic immobility has been associated with the development and course of post-traumatic stress disorder. Despite serving as an adaptive late-stage defense response, tonic immobility that continues in response to post-traumatic reminders may lead to reduced functioning and a diminished sense of well-being. At present, no validated self-report measures assess post-traumatic tonic immobility responses specifically. METHODS The primary objective of the present study was to evaluate the Scale for Tonic immobility Occurring Post-trauma (STOP), the first self-report measure developed to assess for the presence and severity of tonic immobility responses that persist following trauma exposure as part of post-traumatic symptomatology. Trauma-exposed clinical and non-clinical participants (N = 462) with a history of tonic immobility completed a demographic questionnaire, the STOP, and measures of post-traumatic symptoms, dissociation, anxiety, and depression. RESULTS STOP assessed four latent constructs, which were interpreted following the human defense cascade model. Together, these factors capture the sensorimotor and perceptual alterations, and dissociative experiences, associated with post-traumatic tonic immobility as a trauma-related altered state. Residual symptoms and the experience of negative affect following this response (including guilt and shame) are also represented. STOP scores demonstrated excellent reliability, as well as good construct and convergent validity, with other measures of dissociation and post-traumatic stress disorder. Results from the present study suggest tonic immobility is most consistent with other dissociative post-traumatic symptomatology. CONCLUSIONS STOP demonstrates excellent preliminary psychometric properties and may be useful for researchers and clinicians wishing to assess chronic forms of tonic immobility across trauma-exposed, clinical and community samples.
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Affiliation(s)
- Chantelle S. Lloyd
- Department of Psychology, Neuroscience,
and Behaviour, McMaster University, Hamilton, ON, Canada
- Department of Psychiatry, Western
University, London, ON, Canada
- Mood Disorders Program, St. Joseph’s
Healthcare Hamilton, Hamilton, ON, Canada
| | - Ruth A. Lanius
- Department of Psychiatry, Western
University, London, ON, Canada
- Department of Neuroscience, Western
University, London, ON, Canada
| | - Matthew F. Brown
- Department of Psychology, Western
University, London, ON, Canada
| | - Richard J. Neufeld
- Department of Psychiatry, Western
University, London, ON, Canada
- Department of Neuroscience, Western
University, London, ON, Canada
- Department of Psychology, Western
University, London, ON, Canada
| | - Paul A. Frewen
- Department of Psychiatry, Western
University, London, ON, Canada
- Department of Neuroscience, Western
University, London, ON, Canada
- Department of Psychology, Western
University, London, ON, Canada
| | - Margaret C. McKinnon
- Mood Disorders Program, St. Joseph’s
Healthcare Hamilton, Hamilton, ON, Canada
- Department of Psychiatry and Behavioural
Neurosciences, McMaster University, Hamilton, ON, Canada
- Homewood Research Institute, Guelph, ON,
Canada
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11
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Jarnecke AM, Barden E, Back SE, Brady KT, Flanagan JC. Intimate partner violence moderates the association between oxytocin and reactivity to dyadic conflict among couples. Psychiatry Res 2018; 270:404-411. [PMID: 30308464 PMCID: PMC6292734 DOI: 10.1016/j.psychres.2018.10.003] [Citation(s) in RCA: 12] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/24/2018] [Revised: 08/15/2018] [Accepted: 10/01/2018] [Indexed: 12/23/2022]
Abstract
Emerging literature indicates individual and contextual differences impact response to oxytocin (OT). Intimate partner violence (IPV) is one chronic stressor that may moderate OT response. To test the hypothesis that IPV moderates the association between OT and reactivity to a dyadic conflict task, data from a larger randomized controlled study was collected from heterosexual couples (N = 60 individuals; 30 couples) at high risk for IPV due to substance misuse. Partners within each dyad completed a 10-minute dyadic conflict task in the laboratory, and then self-administered a single dose of OT (40 IU) or placebo. Forty-five minutes later, participants completed another 10-minute dyadic conflict task. Stress reactivity was measured before and after the second conflict task using neuroendocrine (i.e., salivary cortisol), physiological (i.e., skin conductance), and subjective responses. Couple conflict behaviors were observed during the conflict tasks and assessed using a validated coding system. Among women, physical IPV modulated skin conductance in those administered OT, and OT interacted with physical and psychological IPV to yield less positive subjective and behavioral responses. No main or moderating effects were found for men. Findings support emerging literature on sex differences in response to OT. Future research is needed to effectively translate OT into therapeutic intervention.
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Affiliation(s)
- Amber M Jarnecke
- Department of Psychiatry & Behavioral Sciences, Medical University of South Carolina, Charleston, SC, USA.
| | - Eileen Barden
- Department of Psychology, Binghamton University - State University of New York, Binghamton, NY, USA
| | - Sudie E Back
- Department of Psychiatry & Behavioral Sciences, Medical University of South Carolina, Charleston, SC, USA; Ralph H. Johnson Veterans Affairs Medical Center, Charleston, SC, USA
| | - Kathleen T Brady
- Department of Psychiatry & Behavioral Sciences, Medical University of South Carolina, Charleston, SC, USA; Ralph H. Johnson Veterans Affairs Medical Center, Charleston, SC, USA
| | - Julianne C Flanagan
- Department of Psychiatry & Behavioral Sciences, Medical University of South Carolina, Charleston, SC, USA
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12
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Wielgus MD, Hammond LE, Fox AR, Hudson MR, Mezulis AH. Does shame influence nonsuicidal self-injury among college students? An investigation into the role of shame, negative urgency, and brooding. JOURNAL OF COLLEGE STUDENT PSYCHOTHERAPY 2018. [DOI: 10.1080/87568225.2018.1470480] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
Affiliation(s)
- Madeline D. Wielgus
- Department of Clinical Psychology, Seattle Pacific University, Seattle, WA, USA
| | - Lauren E. Hammond
- Department of Clinical Psychology, Seattle Pacific University, Seattle, WA, USA
| | - Andrew R. Fox
- Department of Clinical Psychology, Seattle Pacific University, Seattle, WA, USA
| | - Melissa R. Hudson
- Department of Clinical Psychology, Seattle Pacific University, Seattle, WA, USA
| | - Amy H. Mezulis
- Department of Clinical Psychology, Seattle Pacific University, Seattle, WA, USA
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13
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Dorahy MJ. Using the past to fertilize but not determine the future: Reflections on dissociation in the International Society for the Study of Trauma and Dissociation. J Trauma Dissociation 2017; 18:1-10. [PMID: 27429395 DOI: 10.1080/15299732.2016.1213779] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
Affiliation(s)
- Martin J Dorahy
- a Department of Psychology , University of Canterbury , Christchurch , New Zealand.,b The Cannan Institute, Belmont Private Hospital , Brisbane , Australia
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14
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Ashamed and Afraid: A Scoping Review of the Role of Shame in Post-Traumatic Stress Disorder (PTSD). J Clin Med 2016; 5:jcm5110094. [PMID: 27809274 PMCID: PMC5126791 DOI: 10.3390/jcm5110094] [Citation(s) in RCA: 69] [Impact Index Per Article: 8.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/15/2016] [Revised: 10/24/2016] [Accepted: 10/26/2016] [Indexed: 11/16/2022] Open
Abstract
BACKGROUND Despite considerable progress in the treatment of post-traumatic stress disorder (PTSD), a large percentage of individuals remain symptomatic following gold-standard therapies. One route to improving care is examining affective disturbances that involve other emotions beyond fear and threat. A growing body of research has implicated shame in PTSD's development and course, although to date no review of this specific literature exists. This scoping review investigated the link between shame and PTSD and sought to identify research gaps. METHODS A systematic database search of PubMed, PsycInfo, Embase, Cochrane, and CINAHL was conducted to find original quantitative research related to shame and PTSD. RESULTS Forty-seven studies met inclusion criteria. Review found substantial support for an association between shame and PTSD as well as preliminary evidence suggesting its utility as a treatment target. Several design limitations and under-investigated areas were recognized, including the need for a multimodal assessment of shame and more longitudinal and treatment-focused research. CONCLUSION This review provides crucial synthesis of research to date, highlighting the prominence of shame in PTSD, and its likely relevance in successful treatment outcomes. The present review serves as a guide to future work into this critical area of study.
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