Dissociation as a Function of Child Abuse and Fantasy Proneness in a Substance Abuse Population

To our knowledge, no research has empirically assessed the relationships among dissociation, child abuse, and fantasy proneness in a single study. The present study assessed 1229 male substance abuse patients at a VA Medical Center on dissociation (measured by the Dissociative Experiences Scale, DES), child abuse (measured by the Child Abuse and Trauma scale, CAT), and fantasy proneness (assessed by the Inventory of Childhood Memories and Imaginings, ICMI). A regression analysis was used to predict dissociation with the five CAT subscales and fantasy proneness. The five CAT subscales accounted for 12 percent of the variance when predicting the DES from only the five CAT subscales. However, 22 percent of the variance was accounted for when using both the ICMI and the CAT subscales. Cross-validation regression analysis yielded very similar results. Regression analyses suggested that fantasy proneness is as important as sexual abuse in predicting dissociation. These results may shed light on the recent controversy concerning repressed memories, as well as understanding the development of dissociative disorders and differences between borderline personality disorder and the dissociative disorders.