{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,4]],"date-time":"2026-10-04T08:56:17Z","timestamp":1791104177528,"version":"4.1.0"},"reference-count":31,"publisher":"Royal College of Psychiatrists","issue":"4","license":[{"start":{"date-parts":[[2018,1,2]],"date-time":"2018-01-02T00:00:00Z","timestamp":1514851200000},"content-version":"unspecified","delay-in-days":5755,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Br J Psychiatry"],"published-print":{"date-parts":[[2002,4]]},"abstract":"<jats:sec><jats:title>Background<\/jats:title><jats:p>Dissociative symptoms during trauma predict post-traumatic stress disorder (PTSD), but they are often transient. It is controversial whether they predict chronic PTSD over and above what can be predicted from other post-trauma symptoms.<\/jats:p><\/jats:sec><jats:sec><jats:title>Aims<\/jats:title><jats:p>To investigate prospectively the relationship between dissociative symptoms before, during and after a trauma and other psychological predictors, and chronic PTSD.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>Two samples of 27 and 176 road traffic accident survivors were recruited. Patients were assessed shortly after the accident and followed at intervals over the next 6 months. Assessments included measures of dissociation, memory fragmentation, data-driven processing, rumination and PTSD symptoms.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>All measures of dissociation, particularly persistent dissociation 4 weeks after the accident, predicted chronic PTSD severity at 6 months. Dissociative symptoms predicted subsequent PTSD over and above the other PTSD symptom clusters. Memory fragmentation and data-driven processing also predicted PTSD. Rumination about the accident was among the strongest predictors of subsequent PTSD symptoms.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Persistent dissociation and rumination 4 weeks after trauma are more useful in identifying those patients who are likely to develop chronic PTSD than initial reactions.<\/jats:p><\/jats:sec>","DOI":"10.1192\/bjp.180.4.363","type":"journal-article","created":{"date-parts":[[2002,8,29]],"date-time":"2002-08-29T21:36:18Z","timestamp":1030656978000},"page":"363-368","source":"Crossref","is-referenced-by-count":399,"title":["Dissociation and post-traumatic stress disorder: two prospective studies of road traffic accident survivors"],"prefix":"10.1192","volume":"180","author":[{"given":"James","family":"Murray","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anke","family":"Ehlers","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Richard A.","family":"Mayou","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"170","published-online":{"date-parts":[[2018,1,2]]},"reference":[{"key":"S0007125000268670_ref31","volume-title":"The ICD\u201310 Classification of Mental and Behavioural Disorders: Clinical Descriptions and Diagnostic Guidelines","year":"1992"},{"key":"S0007125000268670_ref30","doi-asserted-by":"publisher","DOI":"10.1002\/jts.2490080402"},{"key":"S0007125000268670_ref29","doi-asserted-by":"publisher","DOI":"10.1037\/0022-006X.64.5.1054"},{"key":"S0007125000268670_ref28","doi-asserted-by":"publisher","DOI":"10.1016\/S0005-7967(99)00069-8"},{"key":"S0007125000268670_ref27","first-page":"23","volume-title":"Posttraumatic Stress Disorder: Etiology, Phenomenology, and Treatment","author":"Spiegel","year":"1990"},{"key":"S0007125000268670_ref26","doi-asserted-by":"crossref","first-page":"219","DOI":"10.1176\/ajp.153.2.219","article-title":"Predictors of PTSD and injured trauma survivors: a prospective study","volume":"153","author":"Shalev","year":"1996","journal-title":"American Journal of Psychiatry"},{"key":"S0007125000268670_ref25","doi-asserted-by":"publisher","DOI":"10.1080\/00029157.1986.10402691"},{"key":"S0007125000268670_ref23","doi-asserted-by":"crossref","first-page":"1677","DOI":"10.1176\/ajp.156.11.1677","article-title":"Review and critique of the new DSM\u2013IV diagnosis of acute stress disorder","volume":"156","author":"Marshall","year":"1999","journal-title":"American Journal of Psychiatry"},{"key":"S0007125000268670_ref22","doi-asserted-by":"crossref","first-page":"902","DOI":"10.1176\/ajp.151.6.902","article-title":"Peritraumatic dissociation and posttraumatic stress in male Vietnam theater veterans","volume":"151","author":"Marmar","year":"1994","journal-title":"American Journal of Psychiatry"},{"key":"S0007125000268670_ref18","doi-asserted-by":"crossref","unstructured":"Halligan S. 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