A Prospective Study of the Mediating Role of Tonic Immobility and Peritraumatic Dissociation on the 4 DSM-5 Symptom Clusters of Posttraumatic Stress Disorder
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Author Affiliations
Author Affiliations: Department of Occupational Therapy, School of Health Professions, Faculty of Medicine, Tel Aviv University, Israel
Department of Occupational Therapy, School of Health Professions, Faculty of Medicine, Tel Aviv University, Israel
National Center of Psychotraumatology, Department of Psychology, University of Southern Denmark, Odense
Corresponding Author: Yael Lahav, PhD, Tel Aviv University, Department of Occupational Therapy, School of Health Professions, Faculty of Medicine, Tel Aviv 6997801, Israel
References (69)
Bramsen I, van der Ploeg HM. Fifty years later: the long-term psychological adjustment of ageing World War II survivors. Acta Psychiatr Scand. 1999;100(5):350–358. PubMedCrossRef
de Jong JTVM, Komproe IH, Van Ommeren M, et al. Lifetime events and posttraumatic stress disorder in 4 postconflict settings. JAMA. 2001;286(5):555–562. PubMedCrossRef
Somasundaram DJ, Sivayokan S. War trauma in a civilian population. Br J Psychiatry. 1994;165(4):524–527. PubMed
Shalev AY, Freedman S. PTSD following terrorist attacks: a prospective evaluation. Am J Psychiatry. 2005;162(6):1188–1191. PubMedCrossRef
Jellestad L, Vital NA, Malamud J, et al. Functional impairment in posttraumatic stress disorder: a systematic review and meta-analysis. J Psychiatr Res. 2021;136:14–22. PubMedCrossRef
Goldstein E, McDonnell C, Atchley R, et al. The impact of psychological interventions on posttraumatic stress disorder and pain symptoms: a systematic review and meta-analysis. Clin J Pain. 2019;35(8):703–712. PubMedCrossRef
American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders. Fifth Edition. American Psychiatric Association; 2013.
Brewin CR, Andrews B, Valentine JD. Meta-analysis of risk factors for posttraumatic stress disorder in trauma-exposed adults. J Consult Clin Psychol. 2000;68(5):748–766. PubMedCrossRef
Olff M, Langeland W, Draijer N, et al. Gender differences in posttraumatic stress disorder. Psychol Bull. 2007;133(2):183–204. PubMedCrossRef
Christiansen DM, Hansen M. Accounting for sex differences in PTSD: a multi-variable mediation model. Eur J Psychotraumatol. 2015;6(1):26068. PubMedCrossRef
Ozer EJ, Best SR, Lipsey TL, et al. Predictors of posttraumatic stress disorder and symptoms in adults: a meta-analysis. Psychol Trauma. 2008;S(1):3–36. CrossRef
McLaughlin KA, Koenen KC, Bromet EJ, et al. Childhood adversities and post-traumatic stress disorder: evidence for stress sensitisation in the World Mental Health Surveys. Br J Psychiatry. 2017;211(5):280–288. PubMedCrossRef
Siegel A, Lahav Y. Emotion regulation and distress during the COVID-19 pandemic: the role of childhood abuse. J Interpers Violence. 2021;37:17–18. PubMed
Heir T, Blix I, Knatten CK. Thinking that one’s life was in danger: perceived life threat in individuals directly or indirectly exposed to terror. Br J Psychiatry. 2016;209(4):306–310. PubMedCrossRef
Franz MR, Wolf EJ, MacDonald HZ, et al. Relationships among predeployment risk factors, warzone-threat appraisal, and postdeployment PTSD symptoms. J Trauma Stress. 2013;26(4):498–506. PubMedCrossRef
Agorastos A, Nash WP, Nunnink S, et al. The Peritraumatic Behavior Questionnaire: development and initial validation of a new measure for combat-related peritraumatic reactions. BMC Psychiatry. 2013;13(1):9. PubMedCrossRef
Vance MC, Kovachy B, Dong M, et al. Peritraumatic distress: a review and synthesis of 15 years of research. J Clin Psychol. 2018;74(9):1457–1484. PubMedCrossRef
Bovin MJ, Ratchford E, Marx BP. Peritraumatic dissociation and tonic immobility: clinical findings. In: Lanius UF, Paulsen SL, Corrigan FM, eds. Neurobiology and Treatment of Traumatic Dissociation: Toward an Embodied Self. Springer Publishing Company; 2014:51–67.
Lanius RA. Trauma-related dissociation and altered states of consciousness: a call for clinical, treatment, and neuroscience research. Eur J Psychotraumatol. 2015;6(1):27905. PubMedCrossRef
Spiegel D. Divided consciousness: dissociation in DSM-5. Depress Anxiety. 2012;29(8):667–670. PubMedCrossRef
Brown RJ. Different types of “dissociation” have different psychological mechanisms. J Trauma Dissociation. 2006;7(4):7–28. PubMedCrossRef
Hetzel-Riggin MD, Roby RP. Trauma type and gender effects on PTSD, general distress, and peritraumatic dissociation. J Loss Trauma. 2013;18(1):41–53. CrossRef
Nöthling J, Lammers K, Martin L, et al. Traumatic dissociation as a predictor of posttraumatic stress disorder in South African female rape survivors. Medicine (Baltimore). 2015;94(16):e744. PubMedCrossRef
Marmar CR, Weiss DS, Schlenger WE, et al. Peritraumatic dissociation and posttraumatic stress in male Vietnam theater veterans. Am J Psychiatry. 1994;151(6):902–907. PubMedCrossRef
Peltonen K, Kangaslampi S, Saranpää J, et al. Peritraumatic dissociation predicts posttraumatic stress disorder symptoms via dysfunctional trauma-related memory among war-affected children. Eur J Psychotraumatol. 2017;8(1):1375828. PubMedCrossRef
Punamäki R-L, Komproe IH, Qouta S, et al. The role of peritraumatic dissociation and gender in the association between trauma and mental health in a Palestinian community sample. Am J Psychiatry. 2005;162(3):545–551. PubMedCrossRef
Gallup GG. Tonic immobility: the role of fear and predation. Psychol Rec. 1977;27(S1):41–61. CrossRef
Marx BP, Forsyth JP, Gallup GG, et al. Tonic immobility as an evolved predator defense: implications for sexual assault survivors. Clin Psychol. 2008;15(1):74–90. CrossRef
Volchan E, Rocha-Rego V, Bastos AF, et al. Immobility reactions under threat: a contribution to human defensive cascade and PTSD. Neurosci Biobehav Rev. 2017;76(Pt A):29–38. PubMedCrossRef
Kalaf J, Coutinho ESF, Vilete LMP, et al. Sexual trauma is more strongly associated with tonic immobility than other types of trauma: a population based study. J Affect Disord. 2017;215:71–76. PubMedCrossRef
Hagenaars MA. Tonic immobility and PTSD in a large community sample. J Exp Psychopathol. 2016;7(2):246–260. CrossRef
Dokkedahl SB, Charny S, Lahav Y. Testing previously proposed models of the Tonic Immobility Scale in a peritraumatic sample of Israeli civilians: support for a three-factor model. Psychol Trauma. 2023; advance online publication. PubMedCrossRef
Massazza A, Joffe H, Hyland P, et al. The structure of peritraumatic reactions and their relationship with PTSD among disaster survivors. J Abnorm Psychol. 2021;130(3):248–259. PubMedCrossRef
Fusé T, Forsyth JP, Marx B, et al. Factor structure of the Tonic Immobility Scale in female sexual assault survivors: an exploratory and confirmatory factor analysis. J Anxiety Disord. 2007;21(3):265–283. PubMedCrossRef
Thompson-Hollands J, Jun JJ, Sloan DM. The association between peritraumatic dissociation and PTSD symptoms: the mediating role of negative beliefs about the self. J Trauma Stress. 2017;30(2):190–194. PubMedCrossRef
Bovin MJ, Marx BP. The importance of the peritraumatic experience in defining traumatic stress. Psychol Bull. 2011;137(1):47–67. PubMedCrossRef
McCanlies EC, Sarkisian K, Andrew ME, et al. Association of peritraumatic dissociation with symptoms of depression and posttraumatic stress disorder. Psychol Trauma. 2017;9(4):479–484. PubMedCrossRef
Möller A, Söndergaard HP, Helström L. Tonic immobility during sexual assault: a common reaction predicting post-traumatic stress disorder and severe depression. Acta Obstet Gynecol Scand. 2017;96(8):932–938. PubMedCrossRef
Magalhaes AA, Gama CMF, Gonçalves RM, et al. Tonic immobility is associated with PTSD symptoms in traumatized adolescents. Psychol Res Behav Manag. 2021;14:1359–1369. PubMedCrossRef
Portugal LCL, Pereira MG, Alves RdeC, et al. Peritraumatic tonic immobility is associated with posttraumatic stress symptoms in undergraduate Brazilian students. Br J Psychiatry. 2012;34(1):60–65. PubMedCrossRef
Kunst M, Winkel FW, Bogaerts S. Recalled peritraumatic reactions, self-reported PTSD, and the impact of malingering and fantasy proneness in victims of interpersonal violence who have applied for state compensation. J Interpers Violence. 2011;26(11):2186–2210. PubMedCrossRef
Abrams MP, Carleton RN, Asmundson GJG. Tonic immobility does not uniquely predict posttraumatic stress symptom severity. Psychol Trauma. 2012;4(3):278–284. CrossRef
Bovin MJ, Jager-Hyman S, Gold SD, et al. Tonic immobility mediates the influence of peritraumatic fear and perceived inescapability on posttraumatic stress symptom severity among sexual assault survivors. J Trauma Stress. 2008;21(4):402–409. PubMedCrossRef
Griffin MG, Resick PA, Mechanic MB. Objective assessment of peritraumatic dissociation: psychophysiological indicators. Am J Psychiatry. 1997;154(8):1081–1088. PubMedCrossRef
Lima AA, Fiszman A, Marques-Portella C, et al. The impact of tonic immobility reaction on the prognosis of posttraumatic stress disorder. J Psychiatr Res. 2010;44(4):224–228. PubMedCrossRef
Rocha-Rego V, Fiszman A, Portugal LC, et al. Is tonic immobility the core sign among conventional peritraumatic signs and symptoms listed for PTSD? J Affect Disord. 2009;115(1–2):269–273. PubMedCrossRef
Covers MLV, Huntjens RJC, Hagenaars MA, et al. The Tonic Immobility Scale in adolescent and young adult rape victims: support for three-factor model. Psychol Trauma. 2022;14(5):780–785. PubMedCrossRef
Forsyth JP, Marx B, Fuse TMK, et al. The Tonic Immobility Scale—Adult Form. Department of Psychology, SUNY; 2000.
Marmar CR, Weiss DS, Metzler TJ. The Peritraumatic Dissociative Experiences Questionnaire. In: Wilson JP, Keane TM, eds. Assessing Psychological Trauma and PTSD. Guilford Press; 1997:412–428.
Marshall GN, Orlando M, Jaycox LH, et al. Development and validation of a modified version of the Peritraumatic Dissociative Experiences Questionnaire. Psychol Assess. 2002;14(2):123–134. PubMedCrossRef
Weathers F, Litz B, Keane T, et al. The PTSD Checklist for DSM-5 (PCL-5). National Center for PTSD; 2013.
Bovin MJ, Marx BP, Weathers FW, et al. Psychometric properties of the PTSD Checklist for Diagnostic and Statistical Manual of Mental Disorders–Fifth Edition (PCL-5) in veterans. Psychol Assess. 2016;28(11):1379–1391. PubMedCrossRef
Bernstein DP, Stein JA, Newcomb MD, et al. Development and validation of a brief screening version of the Childhood Trauma Questionnaire. Child Abuse Negl. 2003;27(2):169–190. PubMedCrossRef
Hayes AF. PROCESS: A versatile computational tool for observed variable moderation, mediation, and conditional process modeling. http://www.afhayes.com/public/process2012.pdf. Published 2012.
Preacher KJ, Hayes AF. Asymptotic and resampling strategies for assessing and comparing indirect effects in multiple mediator models. Behav Res Methods. 2008;40(3):879–891. PubMedCrossRef
Lensvelt-Mulders G, van der Hart O, van Ochten JM, et al. Relations among peritraumatic dissociation and posttraumatic stress: a meta-analysis. Clin Psychol Rev. 2008;28(7):1138–1151. PubMedCrossRef
Lanius RA, Bluhm R, Lanius U, et al. A review of neuroimaging studies in PTSD: heterogeneity of response to symptom provocation. J Psychiatr Res. 2006;40(8):709–729. PubMedCrossRef
Brewin CR, Dalgleish T, Joseph S. A dual representation theory of posttraumatic stress disorder. Psychol Rev. 1996;103(4):670–686. PubMed
Ehlers A, Clark DM. A cognitive model of posttraumatic stress disorder. Behav Res Ther. 2000;38(4):319–345. PubMedCrossRef
Bedard-Gilligan M, Zoellner LA. Dissociation and memory fragmentation in post-traumatic stress disorder: an evaluation of the dissociative encoding hypothesis. Memory. 2012;20(3):277–299. PubMedCrossRef
Kumpula MJ, Orcutt HK, Bardeen JR, et al. Peritraumatic dissociation and experiential avoidance as prospective predictors of posttraumatic stress symptoms. J Abnorm Psychol. 2011;120(3):617–627. PubMedCrossRef
Gentle MJ, Jones RB, Woolley SC. Physiological changes during tonic immobility in Gallus gallus var domesticus. Physiol Behav. 1989;46(5):843–847. PubMedCrossRef
Reese WG, Newton JEO, Angel C. Induced immobility in nervous and normal Pointer dogs. J Nerv Ment Dis. 1982;170(10):605–613. PubMedCrossRef
Lanius RA, Williamson PC, Boksman K, et al. Brain activation during script-driven imagery induced dissociative responses in PTSD: a functional magnetic resonance imaging investigation. Biol Psychiatry. 2002;52(4):305–311. PubMedCrossRef
Frewen PA, Lanius RA. Toward a psychobiology of posttraumatic self-dysregulation: reexperiencing, hyperarousal, dissociation, and emotional numbing. Ann N Y Acad Sci. 2006;1071(1):110–124. PubMedCrossRef
Sack M, Cillien M, Hopper JW. Acute dissociation and cardiac reactivity to script-driven imagery in trauma-related disorders. Eur J Psychotraumatol. 2012;3(1):17419. PubMedCrossRef
Lanius RA, Vermetten E, Loewenstein RJ, et al. Emotion modulation in PTSD: clinical and neurobiological evidence for a dissociative subtype. Am J Psychiatry. 2010;167(6):640–647. PubMedCrossRef