Peritraumatic dissociation revisited: associations with autonomic activation, facial movements, staring, and intrusion formation

Background: Peritraumatic dissociation is purported to emerge together with attenuated autonomic arousal, immobility, and staring. However, empirical evidence is scarce and heterogeneous. Moreover, it is still a matter of debate whether these responses predict intrusion formation. Objective: The pre...

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Veröffentlicht in:European journal of psychotraumatology 2021-01, Vol.12 (1), p.1991609-1991609
Hauptverfasser: Danböck, Sarah K., Rattel, Julina A., Franke, Laila K., Liedlgruber, Michael, Miedl, Stephan F., Wilhelm, Frank H.
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container_issue 1
container_start_page 1991609
container_title European journal of psychotraumatology
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creator Danböck, Sarah K.
Rattel, Julina A.
Franke, Laila K.
Liedlgruber, Michael
Miedl, Stephan F.
Wilhelm, Frank H.
description Background: Peritraumatic dissociation is purported to emerge together with attenuated autonomic arousal, immobility, and staring. However, empirical evidence is scarce and heterogeneous. Moreover, it is still a matter of debate whether these responses predict intrusion formation. Objective: The present trauma-analogue study examined associations between peritraumatic dissociation, autonomic activation, facial movements, staring, and intrusion formation. Method: Seventy-one healthy women watched a highly aversive film, while autonomic activation (heart rate, respiratory sinus arrhythmia, skin conductance level), facial movements (temporal variations in corrugator electromyography), and staring (fixation duration, tracklength) were assessed. Afterwards, participants rated the intensity of dissociation during film viewing and reported intrusions and associated distress in a smartphone application for 24 hours. Results: Peritraumatic dissociation was linked to higher autonomic arousal (higher heart rate and, on a trend-level, lower respiratory sinus arrhythmia), increased facial movements, and staring (lower tracklength). Peritraumatic dissociation, higher autonomic arousal (higher heart rate and lower respiratory sinus arrhythmia), staring (higher fixation duration), and, on a trend-level, more facial movements were linked to higher intrusion load (number x distress of intrusions) and together explained 59% of variance. Skin conductance level was neither linked to peritraumatic dissociation nor intrusion load. Conclusions: Our results suggest that, at low-dissociation-levels observed in trauma-analogue studies, peritraumatic dissociation may occur together with heightened autonomic arousal and facial movements, indexing increased negative affect. Staring might, irrespectively of dissociation-levels, serve as objective marker for dissociation. Together, peritraumatic dissociation and its psychophysiological correlates might set the stage for later intrusion formation. In our trauma-analogue study, peritraumatic dissociation was related to higher autonomic arousal, more facial movements, and staring. These peritraumatic responses predicted the subsequent formation of distressing intrusions.
doi_str_mv 10.1080/20008198.2021.1991609
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However, empirical evidence is scarce and heterogeneous. Moreover, it is still a matter of debate whether these responses predict intrusion formation. Objective: The present trauma-analogue study examined associations between peritraumatic dissociation, autonomic activation, facial movements, staring, and intrusion formation. Method: Seventy-one healthy women watched a highly aversive film, while autonomic activation (heart rate, respiratory sinus arrhythmia, skin conductance level), facial movements (temporal variations in corrugator electromyography), and staring (fixation duration, tracklength) were assessed. Afterwards, participants rated the intensity of dissociation during film viewing and reported intrusions and associated distress in a smartphone application for 24 hours. Results: Peritraumatic dissociation was linked to higher autonomic arousal (higher heart rate and, on a trend-level, lower respiratory sinus arrhythmia), increased facial movements, and staring (lower tracklength). Peritraumatic dissociation, higher autonomic arousal (higher heart rate and lower respiratory sinus arrhythmia), staring (higher fixation duration), and, on a trend-level, more facial movements were linked to higher intrusion load (number x distress of intrusions) and together explained 59% of variance. Skin conductance level was neither linked to peritraumatic dissociation nor intrusion load. Conclusions: Our results suggest that, at low-dissociation-levels observed in trauma-analogue studies, peritraumatic dissociation may occur together with heightened autonomic arousal and facial movements, indexing increased negative affect. Staring might, irrespectively of dissociation-levels, serve as objective marker for dissociation. Together, peritraumatic dissociation and its psychophysiological correlates might set the stage for later intrusion formation. In our trauma-analogue study, peritraumatic dissociation was related to higher autonomic arousal, more facial movements, and staring. These peritraumatic responses predicted the subsequent formation of distressing intrusions.</description><identifier>ISSN: 2000-8066</identifier><identifier>ISSN: 2000-8198</identifier><identifier>EISSN: 2000-8066</identifier><identifier>DOI: 10.1080/20008198.2021.1991609</identifier><identifier>PMID: 34868483</identifier><language>eng</language><publisher>United States: Taylor &amp; Francis</publisher><subject>Adolescent ; Adult ; Arousal - physiology ; Autonomic Nervous System - physiopathology ; Basic ; Cardiac arrhythmia ; disociación ; dissociation ; Dissociative Disorders - physiopathology ; Eye Movement Measurements ; eye-tracking ; Facial Muscles - physiology ; Female ; Galvanic Skin Response ; Heart rate ; Heart Rate - physiology ; Humans ; intrusive memories ; Male ; película de trauma ; película estresante ; posttraumatic stress disorder ; psicofisiología ; Psychological Trauma - physiopathology ; psychophysiology ; recuerdos intrusivos ; Respiratory Sinus Arrhythmia - physiology ; seguimiento ocular ; Sinuses ; stressful film ; trastorno de estrés postraumático ; Trauma ; trauma-film ; Young Adult ; 创伤 ; 创伤后应激障碍 ; 创伤电影 ; 应激性电影 ; 心理生理学 ; 眼动追踪 ; 解离 ; 闯入性记忆</subject><ispartof>European journal of psychotraumatology, 2021-01, Vol.12 (1), p.1991609-1991609</ispartof><rights>2021 The Author(s). Published by Informa UK Limited, trading as Taylor &amp; Francis Group. 2021</rights><rights>2021 The Author(s). Published by Informa UK Limited, trading as Taylor &amp; Francis Group.</rights><rights>2021 The Author(s). Published by Informa UK Limited, trading as Taylor &amp; Francis Group. This work is licensed under the Creative Commons Attribution – Non-Commercial License http://creativecommons.org/licenses/by-nc/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>2021 The Author(s). 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However, empirical evidence is scarce and heterogeneous. Moreover, it is still a matter of debate whether these responses predict intrusion formation. Objective: The present trauma-analogue study examined associations between peritraumatic dissociation, autonomic activation, facial movements, staring, and intrusion formation. Method: Seventy-one healthy women watched a highly aversive film, while autonomic activation (heart rate, respiratory sinus arrhythmia, skin conductance level), facial movements (temporal variations in corrugator electromyography), and staring (fixation duration, tracklength) were assessed. Afterwards, participants rated the intensity of dissociation during film viewing and reported intrusions and associated distress in a smartphone application for 24 hours. Results: Peritraumatic dissociation was linked to higher autonomic arousal (higher heart rate and, on a trend-level, lower respiratory sinus arrhythmia), increased facial movements, and staring (lower tracklength). Peritraumatic dissociation, higher autonomic arousal (higher heart rate and lower respiratory sinus arrhythmia), staring (higher fixation duration), and, on a trend-level, more facial movements were linked to higher intrusion load (number x distress of intrusions) and together explained 59% of variance. Skin conductance level was neither linked to peritraumatic dissociation nor intrusion load. Conclusions: Our results suggest that, at low-dissociation-levels observed in trauma-analogue studies, peritraumatic dissociation may occur together with heightened autonomic arousal and facial movements, indexing increased negative affect. Staring might, irrespectively of dissociation-levels, serve as objective marker for dissociation. Together, peritraumatic dissociation and its psychophysiological correlates might set the stage for later intrusion formation. In our trauma-analogue study, peritraumatic dissociation was related to higher autonomic arousal, more facial movements, and staring. 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However, empirical evidence is scarce and heterogeneous. Moreover, it is still a matter of debate whether these responses predict intrusion formation. Objective: The present trauma-analogue study examined associations between peritraumatic dissociation, autonomic activation, facial movements, staring, and intrusion formation. Method: Seventy-one healthy women watched a highly aversive film, while autonomic activation (heart rate, respiratory sinus arrhythmia, skin conductance level), facial movements (temporal variations in corrugator electromyography), and staring (fixation duration, tracklength) were assessed. Afterwards, participants rated the intensity of dissociation during film viewing and reported intrusions and associated distress in a smartphone application for 24 hours. Results: Peritraumatic dissociation was linked to higher autonomic arousal (higher heart rate and, on a trend-level, lower respiratory sinus arrhythmia), increased facial movements, and staring (lower tracklength). Peritraumatic dissociation, higher autonomic arousal (higher heart rate and lower respiratory sinus arrhythmia), staring (higher fixation duration), and, on a trend-level, more facial movements were linked to higher intrusion load (number x distress of intrusions) and together explained 59% of variance. Skin conductance level was neither linked to peritraumatic dissociation nor intrusion load. Conclusions: Our results suggest that, at low-dissociation-levels observed in trauma-analogue studies, peritraumatic dissociation may occur together with heightened autonomic arousal and facial movements, indexing increased negative affect. Staring might, irrespectively of dissociation-levels, serve as objective marker for dissociation. Together, peritraumatic dissociation and its psychophysiological correlates might set the stage for later intrusion formation. In our trauma-analogue study, peritraumatic dissociation was related to higher autonomic arousal, more facial movements, and staring. These peritraumatic responses predicted the subsequent formation of distressing intrusions.</abstract><cop>United States</cop><pub>Taylor &amp; Francis</pub><pmid>34868483</pmid><doi>10.1080/20008198.2021.1991609</doi><tpages>1</tpages><orcidid>https://orcid.org/0000-0002-1977-5637</orcidid><orcidid>https://orcid.org/0000-0002-4414-7085</orcidid><orcidid>https://orcid.org/0000-0001-9989-1146</orcidid><orcidid>https://orcid.org/0000-0002-8207-6628</orcidid><orcidid>https://orcid.org/0000-0002-6367-3339</orcidid><orcidid>https://orcid.org/0000-0001-8035-6426</orcidid><oa>free_for_read</oa></addata></record>
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2000-8198
2000-8066
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source Taylor & Francis Open Access; MEDLINE; DOAJ Directory of Open Access Journals; Co-Action Open Access Journals; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; PubMed Central Open Access; PubMed Central
subjects Adolescent
Adult
Arousal - physiology
Autonomic Nervous System - physiopathology
Basic
Cardiac arrhythmia
disociación
dissociation
Dissociative Disorders - physiopathology
Eye Movement Measurements
eye-tracking
Facial Muscles - physiology
Female
Galvanic Skin Response
Heart rate
Heart Rate - physiology
Humans
intrusive memories
Male
película de trauma
película estresante
posttraumatic stress disorder
psicofisiología
Psychological Trauma - physiopathology
psychophysiology
recuerdos intrusivos
Respiratory Sinus Arrhythmia - physiology
seguimiento ocular
Sinuses
stressful film
trastorno de estrés postraumático
Trauma
trauma-film
Young Adult
创伤
创伤后应激障碍
创伤电影
应激性电影
心理生理学
眼动追踪
解离
闯入性记忆
title Peritraumatic dissociation revisited: associations with autonomic activation, facial movements, staring, and intrusion formation
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