Predictors of trait dissociation and peritraumatic dissociation induced via cold pressor

Psychiatry Res. 2013 Nov 30;210(1):274-80. doi: 10.1016/j.psychres.2013.06.001. Epub 2013 Jul 6.

Abstract

Understanding which factors predict individual dissociative response during stressful situations is important to clarify the nature of dissociation and the mechanisms associated to its use as a coping strategy. The present study examined (1) whether experiential avoidance (EA), anxiety sensitivity (AS), depressive symptoms, and state anxiety concurrently predicted trait dissociation (TD)-absorption, amnesia, depersonalization, and total TD scores-and laboratory induced dissociation (LID); and (2) whether TD and catastrophizing predicted LID. We also examined whether catastrophizing mediated the relationships between both AS and depressive symptoms and LID. A total of 101 female undergraduate students participated in a cold pressor task, which significantly induced dissociation. Results of hierarchical regression analyses showed that AS at Time 1 (9 months before the experimental session), as well as depressive symptoms and catastrophizing at the time of the experiment (Time 2), predicted LID at Time 2. Depressive symptoms at Time 2 predicted total TD, absorption, and amnesia scores. AS at Time 1 and depressive symptoms at Time 2 predicted depersonalization. AS, depressive symptoms, and catastrophizing seem to facilitate the use of dissociative strategies by healthy individuals, even in response to non-traumatic but discomforting stress.

Keywords: Anxiety sensitivity; Catastrophizing; Cold pressor; Dissociative Experience Scale; Peritraumatic dissociation; Stress; Trait dissociation.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Adult
  • Alkaloids
  • Cold Temperature / adverse effects*
  • Depression
  • Dissociative Disorders / diagnosis*
  • Dissociative Disorders / etiology*
  • Female
  • Humans
  • Predictive Value of Tests
  • Psychiatric Status Rating Scales
  • Regression Analysis
  • Risk Factors
  • Stress Disorders, Post-Traumatic / diagnosis*
  • Stress Disorders, Post-Traumatic / etiology*
  • Young Adult

Substances

  • Alkaloids
  • Wilcox compound