{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,29]],"date-time":"2025-10-29T14:30:35Z","timestamp":1761748235766,"version":"build-2065373602"},"reference-count":61,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2024,3,15]],"date-time":"2024-03-15T00:00:00Z","timestamp":1710460800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["bpspsychub.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["British J Clinic Psychol"],"published-print":{"date-parts":[[2024,9]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>This study aimed, following both single\u2010 and multi\u2010event trauma, to ascertain prevalence and course of the dissociative subtype of post\u2010traumatic stress disorder (PTSD\u2010DS) in youth; how well early PTSD\u2010DS predicts later PTSD; and whether dissociation accounts for unique variance in post\u2010traumatic stress symptoms (PTSS) and functional impairment over and above the effect of other post\u2010trauma cognitive processing factors and PTSS respectively.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design and Methods<\/jats:title>\n                    <jats:p>\n                      This study is a secondary analysis of data from the Acute Stress Programme for Children and Teenagers study (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u2009234) and the Coping in Care After Trauma study (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u2009110) in which children had experienced single\u2010 and multi\u2010event trauma respectively.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>PTSD\u2010DS diagnosis was common in children with PTSD regardless of trauma experienced (&gt;39.0%). PTSD\u2010DS showed a similar trajectory of natural recovery to PTSD, and it was similarly predictive of later PTSD following single\u2010event trauma. Finally, dissociation was a significant factor in PTSS and functional impairment.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>These results should be viewed in the context of several limitations including narrow sample of participants which reduces the generalizability of results, concerns around children's ability to conceptualize challenging concepts such as dissociation and the use of self\u2010report measures to form diagnostic groups. The PTSD\u2010DS diagnosis may offer clinical utility to the extant PTSD diagnosis in children and adolescents, as dissociation has been shown to be a contributory factor in the maintenance of both PTSS and functional impairment. Further research is required to inform further editions of the DSM and other diagnostic systems.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/bjc.12461","type":"journal-article","created":{"date-parts":[[2024,3,15]],"date-time":"2024-03-15T05:35:55Z","timestamp":1710480955000},"page":"330-346","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Investigating the dissociative subtype of post\u2010traumatic stress disorder in single\u2010 and multi\u2010event trauma\u2010exposed youth: Prevalence, course, prognosis, severity and functional impairment"],"prefix":"10.1111","volume":"63","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4642-0564","authenticated-orcid":false,"given":"William F.","family":"White","sequence":"first","affiliation":[{"name":"Department of Clinical Psychology and Psychological Therapies, Norwich Medical School University of East Anglia  Norwich UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3312-5219","authenticated-orcid":false,"given":"Aaron","family":"Burgess","sequence":"additional","affiliation":[{"name":"Department of Clinical Psychology and Psychological Therapies, Norwich Medical School University of East Anglia  Norwich UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7304-2231","authenticated-orcid":false,"given":"Tim","family":"Dalgleish","sequence":"additional","affiliation":[{"name":"Medical Research Council Cognition and Brain Sciences Unit University of Cambridge  Cambridge UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Clare","family":"Dixon","sequence":"additional","affiliation":[{"name":"Sussex Partnership National Health Service Foundation Trust  Sussex UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3436-3358","authenticated-orcid":false,"given":"Sarah L.","family":"Halligan","sequence":"additional","affiliation":[{"name":"Department of Psychology University of Bath  Bath UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4180-8941","authenticated-orcid":false,"given":"Rachel M.","family":"Hiller","sequence":"additional","affiliation":[{"name":"Division of Psychology and Language Sciences University College London  London UK"},{"name":"Anna Freud Centre for Children and Families  London UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anna","family":"McKinnon","sequence":"additional","affiliation":[{"name":"Department of Psychology, Centre for Emotional Health Macquarie University  Sydney New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0743-7972","authenticated-orcid":false,"given":"Patrick","family":"Smith","sequence":"additional","affiliation":[{"name":"Department of Psychology, Institute of Psychiatry, Psychology and Neuroscience King's College London  London UK"},{"name":"South London &amp; Maudsley NHS Foundation Trust  London UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0262-623X","authenticated-orcid":false,"given":"Richard","family":"Meiser\u2010Stedman","sequence":"additional","affiliation":[{"name":"Department of Clinical Psychology and Psychological Therapies, Norwich Medical School University of East Anglia  Norwich UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2024,3,15]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1192\/bjp.bp.113.131227"},{"volume-title":"Diagnostic and statistical manual of mental disorders","year":"1994","author":"American Psychiatric Association","key":"e_1_2_11_3_1"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1176\/appi.books.9780890425596"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0005\u20107967(03)00138\u20104"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.1080\/09658211.2012.655747"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.1037\/tra0000057"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.1080\/15299732.2013.769478"},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/0005\u20107967(96)00038\u20101"},{"key":"e_1_2_11_10_1","doi-asserted-by":"publisher","DOI":"10.1037\/tra0000576"},{"key":"e_1_2_11_11_1","doi-asserted-by":"publisher","DOI":"10.1080\/20008198.2018.1463794"},{"key":"e_1_2_11_12_1","doi-asserted-by":"publisher","DOI":"10.1176\/appi.ajp.160.4.783"},{"key":"e_1_2_11_13_1","doi-asserted-by":"publisher","DOI":"10.1002\/jts.20282"},{"key":"e_1_2_11_14_1","first-page":"39","volume-title":"Dissociation and the dissociative disorders: DSM\u2010V and beyond","author":"Carlson E. A.","year":"2009"},{"key":"e_1_2_11_15_1","doi-asserted-by":"publisher","DOI":"10.1037\/a0030230"},{"volume-title":"Bootstrap methods: A guide for practitioners and researchers","year":"2008","author":"Chernick M. R.","key":"e_1_2_11_16_1"},{"key":"e_1_2_11_17_1","doi-asserted-by":"publisher","DOI":"10.1001\/archpsyc.64.5.577"},{"key":"e_1_2_11_18_1","doi-asserted-by":"publisher","DOI":"10.1037\/a0027900"},{"key":"e_1_2_11_19_1","doi-asserted-by":"publisher","DOI":"10.1192\/bjp.bp.107.040451"},{"key":"e_1_2_11_20_1","doi-asserted-by":"publisher","DOI":"10.1016\/s0005\u20107967(99)00123\u20100"},{"key":"e_1_2_11_21_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.psychres.2010.07.004"},{"key":"e_1_2_11_22_1","doi-asserted-by":"publisher","DOI":"10.1037\/1040\u20103590.11.3.303"},{"key":"e_1_2_11_23_1","doi-asserted-by":"publisher","DOI":"10.1007\/978-1-4899-0310-5_10"},{"key":"e_1_2_11_24_1","doi-asserted-by":"publisher","DOI":"10.1207\/S15374424JCCP3003_9"},{"key":"e_1_2_11_25_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jad.2017.11.070"},{"key":"e_1_2_11_26_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jad.2011.02.017"},{"key":"e_1_2_11_27_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10802\u2010018\u20100477\u20108"},{"key":"e_1_2_11_28_1","doi-asserted-by":"publisher","DOI":"10.1111\/jcpp.13232"},{"key":"e_1_2_11_29_1","doi-asserted-by":"publisher","DOI":"10.1111\/jcpp.12566"},{"key":"e_1_2_11_30_1","doi-asserted-by":"publisher","DOI":"10.1192\/bjo.2020.30"},{"key":"e_1_2_11_31_1","doi-asserted-by":"publisher","DOI":"10.1080\/15299732.2019.1675113"},{"key":"e_1_2_11_32_1","doi-asserted-by":"publisher","DOI":"10.1037\/cou0000258"},{"key":"e_1_2_11_33_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.comppsych.2013.04.003"},{"key":"e_1_2_11_34_1","doi-asserted-by":"publisher","DOI":"10.1037\/tra0000140"},{"key":"e_1_2_11_35_1","doi-asserted-by":"publisher","DOI":"10.1002\/da.21889"},{"key":"e_1_2_11_36_1","doi-asserted-by":"publisher","DOI":"10.1176\/appi.ajp.2009.09081168"},{"key":"e_1_2_11_37_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.brat.2008.02.008"},{"key":"e_1_2_11_38_1","doi-asserted-by":"publisher","DOI":"10.1002\/da.22602"},{"key":"e_1_2_11_39_1","doi-asserted-by":"publisher","DOI":"10.1111\/jcpp.13054"},{"key":"e_1_2_11_40_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1469\u20107610.2008.01995.x"},{"key":"e_1_2_11_41_1","doi-asserted-by":"publisher","DOI":"10.1080\/09658210701256498"},{"key":"e_1_2_11_42_1","doi-asserted-by":"publisher","DOI":"10.1176\/appi.ajp.162.7.1381"},{"key":"e_1_2_11_43_1","doi-asserted-by":"publisher","DOI":"10.1002\/jts.22157"},{"key":"e_1_2_11_44_1","doi-asserted-by":"publisher","DOI":"10.1007\/s40653\u2010017\u20100153\u20100"},{"key":"e_1_2_11_45_1","doi-asserted-by":"publisher","DOI":"10.1037\/tra0000148"},{"key":"e_1_2_11_46_1","doi-asserted-by":"publisher","DOI":"10.1192\/bjp.180.4.363"},{"key":"e_1_2_11_47_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.brat.2017.08.001"},{"key":"e_1_2_11_48_1","doi-asserted-by":"publisher","DOI":"10.1002\/jts.22903"},{"key":"e_1_2_11_49_1","doi-asserted-by":"publisher","DOI":"10.1177\/0886260595010002005"},{"key":"e_1_2_11_50_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.pra.0000442936.23457.5b"},{"key":"e_1_2_11_51_1","doi-asserted-by":"publisher","DOI":"10.1002\/jts.2490050309"},{"key":"e_1_2_11_52_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jad.2016.12.040"},{"key":"e_1_2_11_53_1","doi-asserted-by":"publisher","DOI":"10.1023\/A:1007750021626"},{"key":"e_1_2_11_54_1","first-page":"67","volume-title":"Dissociation and the dissociative disorders: DSM\u2010V and beyond","author":"Silberg J. L.","year":"2009"},{"key":"e_1_2_11_55_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0005-7967(99)00069-8"},{"key":"e_1_2_11_56_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.biopsych.2012.08.022"},{"key":"e_1_2_11_57_1","doi-asserted-by":"publisher","DOI":"10.1002\/jts.2490080402"},{"key":"e_1_2_11_58_1","unstructured":"van derKolk B. A. Pynoos R. S. Cicchetti D. Cloitre M. D'Andrea W. Ford J. D. Lieberman A. F. Putnam F. W. Saxe G. Spinazzola J. Stolbach B. C. &Teicher M.(2009).Proposal to include a developmental trauma disorder diagnosis for children and adolescents in DSM\u20105. [PDF file]. Retrieved fromhttps:\/\/www.cttntraumatraining.org\/uploads\/4\/6\/2\/3\/46231093\/dsm\u2010v_proposal\u2010dtd_taskforce.pdf"},{"key":"e_1_2_11_59_1","first-page":"448","volume-title":"Dissociation and the dissociative disorders: DSM\u2010V and beyond","author":"Waelde L. C.","year":"2009"},{"key":"e_1_2_11_60_1","doi-asserted-by":"publisher","DOI":"10.1017\/S0033291722001647"},{"key":"e_1_2_11_61_1","doi-asserted-by":"publisher","DOI":"10.1002\/da.21946"},{"key":"e_1_2_11_62_1","unstructured":"World Health Organization. (2019).ICD\u201011: International classification of diseases(11th revision). Retrieved fromhttps:\/\/icd.who.int\/"}],"container-title":["British Journal of Clinical Psychology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/bpspsychub.onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/bjc.12461","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,29]],"date-time":"2025-10-29T13:04:28Z","timestamp":1761743068000},"score":1,"resource":{"primary":{"URL":"https:\/\/bpspsychub.onlinelibrary.wiley.com\/doi\/10.1111\/bjc.12461"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,3,15]]},"references-count":61,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2024,9]]}},"alternative-id":["10.1111\/bjc.12461"],"URL":"https:\/\/doi.org\/10.1111\/bjc.12461","archive":["Portico"],"relation":{},"ISSN":["0144-6657","2044-8260"],"issn-type":[{"type":"print","value":"0144-6657"},{"type":"electronic","value":"2044-8260"}],"subject":[],"published":{"date-parts":[[2024,3,15]]},"assertion":[{"value":"2023-11-07","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-03-06","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-03-15","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}