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KMID : 0981220170170020289
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Congnitive Behavior Therapy in Korea
2017 Volume.17 No. 2 p.289 ~ p.314
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Distinguishing subtypes in posttraumatic identity change: Differences on psychological symptoms, trauma memory representations, and psychological coping strategies
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Choi Hyun-Jung
Lee Hoon-Jin
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Abstract
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This study was to verify the hypothesis on subtypes of identity change after trauma. Based on identity over-accommodation measures and identity disintegration measures, subtypes were divided into the dissociative subtype with both high over-accommodation and disintegration, over-accommodation subtype with only high over-accommodation, trauma-inhibition subtype with only high disintegration, and integration subtype neither high on both measures. Data from 271 participants with trauma experiences were divided into the four subtypes, and differences on trauma memory representations, coping strategies, and psychological symptoms among the subtypes were explored. Dissociative subtype showed high psychological symptoms with dominant sensation-based memory representations, with high levels in all maladaptive coping strategies, while over-accommodation subtype was more related to negative appraisals and ruminations about the trauma. Trauma-inhibition subtype was distinguished in psychological symptoms unclearly related to recollections of the trauma material, with high dissociative coping strategies. Integration subtype was related to high contextual memory representations, showing low levels in psychological symptoms, sensation-based memory representations, and in all maladaptive coping strategies. Implications for clinical diagnoses and suggestions for treatment according to the subtypes were discussed.
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KEYWORD
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trauma, identity, trauma memory representation, dissociation, Traumatized Identity Questionnaire (TIQ)
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FullTexts / Linksout information
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