Evidence map›Paper›PMID 36202907›Full record

ArticleNeuropsychopharmacology : official publication of the American College of Neuropsychopharmacology2022

Deconstructing dissociation: a triple network model of trauma-related dissociation and its subtypes.

Lauren A M Lebois, Poornima Kumar, Cori A Palermo, Ashley M Lambros, Lauren O'Connor, Jonathan D Wolff, Justin T Baker, Staci A Gruber, Nina Lewis-Schroeder, Kerry J Ressler and 4 more

Abstract read
In one paragraph

Article in Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

21 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Article
  4. Article
  5. Article
  6. Article
  7. Neuroimaging and consciousness: applications of PET, SPECT, and advanced MRI modalities.American journal of nuclear medicine and molecular imaging · 2026
    Review
  8. Article
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  13. Article
  14. Functional Connectivity of the Auditory Cortex in Women With Trauma-Related Disorders Who Hear Voices.Biological psychiatry. Cognitive neuroscience and neuroimaging · 2024
    Article
  15. Review
  16. Article
  17. Review
  18. Article
  19. Review
  20. Gender and Racial Variability of Dissociative Identity Disorder Symptoms in an International Sample.Journal of trauma & dissociation : the official journal of the International Society for the Study of Dissociation (ISSD)
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

14 authors.

Lauren A M Lebois *McLean Hospital, Belmont, MA, USA. llebois@mclean.harvard.edu.ORCID 0000-0001-5816-9181
Poornima Kumar *McLean Hospital, Belmont, MA, USA.ORCID 0000-0002-9548-3281
Cori A PalermoMcLean Hospital, Belmont, MA, USA.
Ashley M LambrosMcLean Hospital, Belmont, MA, USA.
Lauren O'ConnorTherapists of New York, New York, NY, USA.
Jonathan D WolffLynch School of Education and Human Development, Boston College, Chestnut Hill, MA, USA.
Justin T BakerMcLean Hospital, Belmont, MA, USA.ORCID 0000-0002-6629-2195
Staci A GruberMcLean Hospital, Belmont, MA, USA.
Nina Lewis-SchroederPrivate Practice, Boston, MA, USA.
Kerry J ResslerMcLean Hospital, Belmont, MA, USA.ORCID 0000-0002-5158-1103
Matthew A RobinsonMcLean Hospital, Belmont, MA, USA.
Sherry WinternitzMcLean Hospital, Belmont, MA, USA.ORCID 0000-0002-8939-539X
Lisa D Nickerson *McLean Hospital, Belmont, MA, USA.
Milissa L Kaufman *McLean Hospital, Belmont, MA, USA.

Funding

Multimodal Approaches to Neurobiology of Traumatic DissociationR01MH119227 · NIMH · MCLEAN HOSPITAL · PI KAUFMAN, MILISSA L · 2020 to 2024
$3.7M
Characterizing the Neurobiology of Pathological Dissociation: Mechanisms of Face Perception and Self Referential ProcessingK01MH118467 · NIMH · MCLEAN HOSPITAL · PI LEBOIS, LAUREN ANN MCDONOUGH · 2019 to 2022
$679k
Neurobiology of Traumatic Dissociation in a Transdiagnostic Study of Women with Childhood MaltreatmentR21MH112956 · NIMH · MCLEAN HOSPITAL · PI KAUFMAN, MILISSA L · 2017 to 2018
$446k
NIMH NIH HHS K01 MH118467NIMH NIH HHS R01 MH119227NIMH NIH HHS R21 MH112956
6 · The paper itself

Abstract

Trauma-related pathological dissociation is characterized by disruptions in one's sense of self, perceptual, and affective experience. Dissociation and its trauma-related antecedents disproportionately impact women. However, despite the gender-related prevalence and high individual and societal costs, dissociation remains widely underappreciated in clinical practice. Moreover, dissociation lacks a synthesized neurobiological model across its subtypes. Leveraging the Triple Network Model of psychopathology, we sought to parse heterogeneity in dissociative experience by examining functional connectivity of three core neurocognitive networks as related to: (1) the dimensional dissociation subtypes of depersonalization/derealization and partially-dissociated intrusions; and, (2) the diagnostic category of dissociative identity disorder (DID). Participants were 91 women with and without: a history of childhood trauma, current posttraumatic stress disorder (PTSD), and varied levels of dissociation. Participants provided clinical data about dissociation, PTSD symptoms, childhood maltreatment history, and completed a resting-state functional magnetic resonance imaging scan. We used a novel statistical approach to assess both overlapping and unique contributions of dissociation subtypes. Covarying for age, childhood maltreatment and PTSD severity, we found dissociation was linked to hyperconnectivity within central executive (CEN), default (DN), and salience networks (SN), and decreased connectivity of CEN and SN with other areas. Moreover, we isolated unique connectivity markers associated with depersonalization/derealization in CEN and DN, to partially-dissociated intrusions in CEN, and to DID in CEN. This suggests dissociation subtypes have robust functional connectivity signatures that may serve as targets for PTSD/DID treatment engagement. Our findings underscore dissociation assessment as crucial in clinical care, in particular, to reduce gender-related health disparities.

Indexed as

Dissociative DisordersStress Disorders, Post-TraumaticFemaleHumansInterpersonal RelationsMagnetic Resonance Imaging

Identifiers

PMID36202907
PMCPMC9630268

What OpenQuestion holds

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Registered trials

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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.