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Posttraumatic cognitions predict distorted body perceptions in women with dissociative identity disorder

Journal of Psychiatric Research Dec 23, 2020

Merker JB, Hill SB, Wolff J, et al. - Via this first systematic, empirical exploration of body perceptions in dissociative identity disorder (DID), researchers aimed at reporting the occurrence of distorted body perceptions in DID and investigating if childhood maltreatment, posttraumatic stress disorder (PTSD) symptom severity, and posttraumatic cognitions predict distorted body perceptions in DID. Adult women with histories of childhood abuse and neglect and a current DID diagnosis receiving treatment at a psychiatric care facility were included as participants. In DID, elevated levels of weight phobia, body image concerns, body avoidance, compulsive self-monitoring, and depersonalization were reported in a series of unpaired t-tests compared with published non-clinical data on the Body Uneasiness Test. Distorted body perceptions were thus elevated in this treatment-seeking sample of women with DID. In addition, there was significant predictive value of posttraumatic cognitive distortions for distorted body perceptions when controlling for childhood maltreatment and PTSD symptom severity. This indicates that for therapeutic intervention, distorted cognitions are a key target.

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