{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,3]],"date-time":"2026-11-03T00:26:48Z","timestamp":1793665608415,"version":"4.5.1"},"reference-count":49,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2026,8,9]],"date-time":"2026-08-09T00:00:00Z","timestamp":1786233600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,8,9]],"date-time":"2026-08-09T00:00:00Z","timestamp":1786233600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/501100000272","name":"National Institute for Health and Care Research","doi-asserted-by":"publisher","award":["NF\u2010SI\u20100514\u201010157"],"award-info":[{"award-number":["NF\u2010SI\u20100514\u201010157"]}],"id":[{"id":"10.13039\/501100000272","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100010269","name":"Wellcome Trust","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100010269","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Acta Psychiatr Scand"],"published-print":{"date-parts":[[2026,12]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Dissociation and childhood trauma are strongly associated with borderline personality disorder (BPD), yet it remains unclear whether this reflects disorder\u2010specific mechanisms or differences in symptom severity within a shared transdiagnostic structure.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>Using network analysis, we examined whether the conditional dependency architecture linking childhood trauma, dissociation, posttraumatic stress symptoms, and general psychological distress differs between individuals diagnosed with BPD and affective disorders (AD).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Method<\/jats:title>\n                    <jats:p>Participants were drawn from a large outpatient clinical sample and matched on age, gender, and global symptom severity (BSI\u2010GSI). Networks were estimated using regularized partial correlation models including CTQ subscales, DES subscales, PTSD symptom clusters, and overall distress. Network Comparison Tests assessed structural invariance and global strength differences between diagnostic groups.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>As expected, individuals with BPD reported significantly higher levels of childhood trauma and dissociation than those with AD. However, despite these marked differences in severity, the overall network structure did not significantly differ between groups, and global connectivity was comparable. Bridge centrality analyses indicated similar patterns of interconnection across trauma, dissociation, and PTSD domains in both diagnoses.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>These findings suggest that BPD is characterized by elevated severity within a largely shared trauma\u2013dissociation architecture, rather than by a qualitatively distinct network configuration. The results support a transdiagnostic model in which childhood trauma and dissociative processes are embedded within a common psychopathological structure, with diagnostic distinctions reflecting differences in magnitude rather than rewiring of interrelations. This severity\u2013versus\u2013architecture distinction has implications for understanding mechanisms of vulnerability and for targeting shared pathways across diagnostic categories.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/acps.70131","type":"journal-article","created":{"date-parts":[[2026,8,10]],"date-time":"2026-08-10T01:22:08Z","timestamp":1786324928000},"page":"418-427","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Associations Between Dissociation and Childhood Trauma in Borderline Personality Disorder and Affective Disorders: A Network Analytic Approach"],"prefix":"10.1111","volume":"154","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8667-0536","authenticated-orcid":false,"given":"Philipp","family":"W\u00fclfing","sequence":"first","affiliation":[{"name":"Department of Psychosomatic Medicine and Psychotherapy University Medical Center Rostock  Rostock Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2711-285X","authenticated-orcid":false,"given":"Carsten","family":"Spitzer","sequence":"additional","affiliation":[{"name":"Department of Psychosomatic Medicine and Psychotherapy University Medical Center Rostock  Rostock Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Judy","family":"Leibowitz","sequence":"additional","affiliation":[{"name":"Research Department for Clinical, Educational and Health Psychology University College London  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7361-8202","authenticated-orcid":false,"given":"Stephen","family":"Pilling","sequence":"additional","affiliation":[{"name":"Research Department for Clinical, Educational and Health Psychology University College London  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0229-0091","authenticated-orcid":false,"given":"Peter","family":"Fonagy","sequence":"additional","affiliation":[{"name":"Research Department for Clinical, Educational and Health Psychology University College London  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"P. Read","family":"Montague","sequence":"additional","affiliation":[{"name":"Fralin Biomedical Research Institute at VTC, Virginia Tech  Roanoke Virginia USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tobias","family":"Nolte","sequence":"additional","affiliation":[{"name":"Research Department for Clinical, Educational and Health Psychology University College London  London UK"},{"name":"Anna Freud  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,8,9]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1037\/a0027447"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1176\/appi.books.9780890425596"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1186\/s40479\u2010022\u201000184\u2010y"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1146\/annurev\u2010clinpsy\u2010081219\u2010102424"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.1080\/15299732.2025.2481474"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.1176\/appi.ajp.2017.17010025"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/acps.13268"},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamanetworkopen.2018.4493"},{"key":"e_1_2_11_10_1","doi-asserted-by":"publisher","DOI":"10.1111\/acps.12969"},{"key":"e_1_2_11_11_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11920\u2010021\u201001246\u20108"},{"key":"e_1_2_11_12_1","doi-asserted-by":"publisher","DOI":"10.1080\/15299732.2016.1240738"},{"key":"e_1_2_11_13_1","doi-asserted-by":"publisher","DOI":"10.1111\/acps.13118"},{"issue":"11","key":"e_1_2_11_14_1","first-page":"44","article-title":"Borderline Personality Disorder, Childhood Trauma and Structural Dissociation of the Personality","volume":"1","author":"Mosquera D.","year":"2011","journal-title":"Revista Persona"},{"key":"e_1_2_11_15_1","doi-asserted-by":"publisher","DOI":"10.1017\/S0033291718000740"},{"key":"e_1_2_11_16_1","doi-asserted-by":"publisher","DOI":"10.1007\/BF03379560"},{"key":"e_1_2_11_17_1","doi-asserted-by":"publisher","DOI":"10.1080\/15299732.2013.863262"},{"key":"e_1_2_11_18_1","doi-asserted-by":"publisher","DOI":"10.1080\/15299732.2024.2323974"},{"key":"e_1_2_11_19_1","doi-asserted-by":"publisher","DOI":"10.1017\/s109285290001912x"},{"key":"e_1_2_11_20_1","doi-asserted-by":"publisher","DOI":"10.5455\/medscience.2025.01.034"},{"key":"e_1_2_11_21_1","doi-asserted-by":"publisher","DOI":"10.1017\/S0033291715002743"},{"key":"e_1_2_11_22_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpsychires.2026.01.032"},{"key":"e_1_2_11_23_1","doi-asserted-by":"publisher","DOI":"10.1002\/wps.20375"},{"key":"e_1_2_11_24_1","doi-asserted-by":"publisher","DOI":"10.3758\/s13428\u2010017\u20100862\u20101"},{"key":"e_1_2_11_25_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41386\u2010022\u201001468\u20101"},{"key":"e_1_2_11_26_1","volume-title":"User's Guide for the Structured Clinical Interview for DSM\u2010IV Axis II Personality Disorders (SCID\u2010II)","author":"First M. 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