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  1. Article ; Online: The bidirectional relationship between depression and dissociation: A longitudinal investigation.

    Fung, Hong Wang / Cheung, Cherry Tin Yan

    Asian journal of psychiatry

    2024  Volume 94, Page(s) 103940

    Abstract: Depression is a major public health concern. Recent studies suggest that dissociative symptoms are associated with depressive symptoms, and the concept of "dissociative depression" has been proposed. Yet, only cross-sectional evidence is available in the ...

    Abstract Depression is a major public health concern. Recent studies suggest that dissociative symptoms are associated with depressive symptoms, and the concept of "dissociative depression" has been proposed. Yet, only cross-sectional evidence is available in the literature. This study examined the bidirectional relationship between dissociative and depressive symptoms through the use of screening tools in a sample of Chinese young adults (N = 340) over four months. Baseline dissociative symptoms predicted depressive symptoms at follow-up (β = .262, p < .001), but not the other way around (β = .065, p = .121). Among different dissociative symptom clusters, identity dissociation was the only significant predictor of subsequent depressive symptoms (β = .177, p < .001). Furthermore, identity dissociation symptoms partially mediated the relationship between childhood trauma and subsequent depressive symptoms. This preliminary study is the first to test the bidirectional relationship between dissociative and depressive symptoms. The results highlight the importance of taking dissociative symptoms into account when preventing and treating depressive symptoms, especially among childhood trauma survivors.
    MeSH term(s) Young Adult ; Humans ; Depression/epidemiology ; Cross-Sectional Studies ; Dissociative Disorders/epidemiology ; Dissociative Disorders/diagnosis
    Language English
    Publishing date 2024-02-02
    Publishing country Netherlands
    Document type Journal Article
    ZDB-ID 2456678-0
    ISSN 1876-2026 ; 1876-2018
    ISSN (online) 1876-2026
    ISSN 1876-2018
    DOI 10.1016/j.ajp.2024.103940
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: A prospective study of nightmare disorder among Chinese adults in Hong Kong: Persistence and mental health outcomes.

    Lam, Stanley Kam Ki / Cheung, Cherry Tin Yan / Wang, Edward K S / Ng, Albe Sin Ying / Fung, Hong Wang

    Behavioral sleep medicine

    2024  , Page(s) 1–10

    Abstract: Objectives: Previous studies showed that nightmares are prevalent and are associated with negative health outcomes. However, no empirical data is available demonstrating the extent to which nightmare disorder persists over time. Current literature ... ...

    Abstract Objectives: Previous studies showed that nightmares are prevalent and are associated with negative health outcomes. However, no empirical data is available demonstrating the extent to which nightmare disorder persists over time. Current literature provides a limited understanding of the trajectory and wider mental health outcomes of nightmare disorder. This longitudinal study examined the persistence and mental health outcomes of nightmare disorder.
    Methods: A total of 230 Hong Kong Chinese adults completed standardized assessments twice with an interval of about 6 months.
    Results: Over half (66.7%) of the participants with probable nightmare disorder at baseline remained to meet the DSM-5 criteria for the disorder at follow-up. Participants with probable nightmare disorder at baseline were significantly more likely to screen positive for PTSD (82.1% vs 18.3%) (
    Conclusions: This study provides first empirical data showing that nightmare disorder could be persistent over time. Nightmare disorder symptoms are associated not only with PTSD symptoms but also with a broader range of mental health issues. This study points to the public health importance of identifying and managing nightmare disorder symptoms in the community. Additionally, the presence of nightmare disorder symptoms may be a helpful indicator for identifying post-traumatic stress.
    Language English
    Publishing date 2024-02-18
    Publishing country England
    Document type Journal Article
    ZDB-ID 2099743-7
    ISSN 1540-2010 ; 1540-2002
    ISSN (online) 1540-2010
    ISSN 1540-2002
    DOI 10.1080/15402002.2024.2318264
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Trauma, Emotional Regulation, and Coping Styles in Individuals with and without Probable Dissociative Disorders in Hong Kong.

    Lam, Stanley Kam Ki / Cheung, Cherry Tin Yan / Chien, Wai Tong / Ross, Colin A / Po, Bonnie Shuk Kwan / Lee, Vincent Wan Ping / Fung, Hong Wang

    Journal of trauma & dissociation : the official journal of the International Society for the Study of Dissociation (ISSD)

    2024  , Page(s) 1–19

    Abstract: Previous studies showed that dissociation and dissociative disorders (DDs) are prevalent and are associated with considerable individual and social consequences. There are ongoing debates regarding whether dissociation is a response to betrayal trauma ... ...

    Abstract Previous studies showed that dissociation and dissociative disorders (DDs) are prevalent and are associated with considerable individual and social consequences. There are ongoing debates regarding whether dissociation is a response to betrayal trauma across cultures and whether dissociation can be explained by maladaptive coping. Additionally, little is known about the clinical features of individuals with DDs in the Chinese context. This study aimed to investigate the relationship between trauma, emotional regulation, coping, and dissociation. We analyzed baseline data from a randomized controlled trial (
    Language English
    Publishing date 2024-03-29
    Publishing country England
    Document type Journal Article
    ISSN 1529-9740
    ISSN (online) 1529-9740
    DOI 10.1080/15299732.2024.2326511
    Database MEDical Literature Analysis and Retrieval System OnLINE

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