ArticleJournal of traumatic stress2019
An Online Educational Program for Individuals With Dissociative Disorders and Their Clinicians: 1-Year and 2-Year Follow-Up.
Article in Journal of traumatic stress, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers, 2 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
29 citing papers in PubMed, 2 syntheses or guidelines pooled it, 81 citations in OpenAlex.
- Effectiveness of phase-oriented treatment for trauma-related dissociative disorders: a systematic review.European journal of psychotraumatology · 2025Pooled it
- Digital-Based Interventions for Complex Post-Traumatic Stress Disorder: A Systematic Literature Review.Trauma, violence & abuse · 2024Pooled it
- Group treatment for complex dissociative disorders: a randomized clinical trial.BMC psychiatry · 2022Trial
- Stuck between a rock and an unnecessarily hard place-a qualitative interview study of experiences of psychiatric inpatient care among persons with severe dissociative states.International journal of qualitative studies on health and well-being · 2026Article
- The CARE implementation study: scaling group-based psychoeducational trauma therapy across healthcare organizations in Canada.European journal of psychotraumatology · 2026Article
- 'Finding Solid Ground' in inpatient treatment for dissociative disorder patients followed by transition to outpatient treatment settings: a one-year follow-up pilot study.European journal of psychotraumatology · 2026Article
- Efficacy of a hybrid psychoeducational and skills-based therapy (Trauma PORTAL) for adults with PTSD related to childhood interpersonal trauma: a parallel-group, randomised controlled trial.EClinicalMedicine · 2026Article
- Trance and Possession Disorder With Dissociative-Psychotic Overlap: A Clinical Case Report.Cureus · 2026Article
- Treatment effects of psychological interventions on self-harm in individuals with PTSD: A systematic review and meta-analysis protocol.Systematic reviews · 2026Article
- The Overlap of Dissociative Identity Disorder and Narcissistic Features in an Adolescent: A Case Report.Case reports in psychiatry · 2026Article
- Trait dissociation in borderline personality disorder: influence on immediate therapy outcomes, follow-up assessments, and self-harm patterns.European journal of psychotraumatology · 2025Article
- Article
- The Diagnostic Odyssey of Dissociative Identity Disorder: A Case Report of Prolonged Misrecognition.Cureus · 2025Article
- Advancing Research on and Treatment of Dissociative Identity Disorder With People With Lived Experience.American journal of psychotherapy · 2024Article
- Article
- Treatment of dissociative identity disorder: leveraging neurobiology to optimize success.Expert review of neurotherapeutics · 2024Review
- Psychiatric inpatient care for persons with dissociative identity disorder: a scoping review protocol.BMJ open · 2024Article
- Helpful and meaningful aspects of a psychoeducational programme to treat complex dissociative disorders: a qualitative approach.European journal of psychotraumatology · 2024Article
- Dissociative symptoms among community health service users in Hong Kong: a longitudinal study of clinical course and consequences.European journal of psychotraumatology · 2023Article
- "Online, the counselor can't see me cry": a systematic literature review on emotion and computer-mediated care.Frontiers in digital health · 2023Review
Corrections and comments
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Authors and funding
11 authors at 10 institutions in 4 countries.
Funding
Abstract
Individuals with dissociative disorders (DDs) are underrecognized, underserved, and often severely psychiatrically ill, characterized by marked dissociative and posttraumatic stress disorder (PTSD) symptoms with significant disability. Patients with DD have high rates of nonsuicidal self-injury (NSSI) and suicide attempts. Despite this, there is a dearth of training about DDs. We report the outcome of a web-based psychoeducational intervention for an international sample of 111 patients diagnosed with dissociative identity disorder (DID) or other complex DDs. The Treatment of Patients with Dissociative Disorders Network (TOP DD Network) program was designed to investigate whether, over the course of a web-based psychoeducational program, DD patients would exhibit improved functioning and decreased symptoms, including among patients typically excluded from treatment studies for safety reasons. Using video, written, and behavioral practice exercises, the TOP DD Network program provided therapists and patients with education about DDs as well as skills for improving emotion regulation, managing safety issues, and decreasing symptoms. Participation was associated with reductions in dissociation and PTSD symptoms, improved emotion regulation, and higher adaptive capacities, with overall sample |d|s = 0.44-0.90, as well as reduced NSSI. The improvements in NSSI among the most self-injurious patients were particularly striking. Although all patient groups showed significant improvements, individuals with higher levels of dissociation demonstrated greater and faster improvement compared to those lower in dissociation |d|s = 0.54-1.04 vs. |d|s = 0.24-0.75, respectively. These findings support dissemination of DD treatment training and initiation of treatment studies with randomized controlled designs.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.