Assessing the existence of dissociative PTSD in sub-acute patients of whiplash

J Trauma Dissociation. 2019 Jan-Feb;20(1):16-31. doi: 10.1080/15299732.2018.1451805. Epub 2018 Mar 16.

Abstract

Numerous studies investigating dissociative posttraumatic stress disorder (D-PTSD) have emerged. However, there is a lack of studies investigating D-PTSD following a wider range of traumatic exposure. Thus, the present study investigates D-PTSD using latent class analysis (LCA) in sub-acute patients of whiplash and associated risk factors. The results of LCA showed a three-class solution primarily distributed according to posttraumatic stress disorder (PTSD) symptom severity and thus no indication of D-PTSD. Dissociative symptoms, psychological distress (i.e. anxiety/depression), and pain severity significantly predicted PTSD severity. Combined, the results support the component model of dissociation and PTSD, while still stressing the importance of dissociative symptoms when planning treatment for PTSD.

Keywords: Whiplash; dissociative PTSD; latent structure; pain.

MeSH terms

  • Adult
  • Catastrophization / psychology
  • Denmark
  • Dissociative Disorders / psychology*
  • Female
  • Humans
  • Injury Severity Score
  • Latent Class Analysis
  • Male
  • Pain Measurement
  • Prospective Studies
  • Risk Factors
  • Stress Disorders, Post-Traumatic / psychology*
  • Whiplash Injuries / psychology*