Dissociation and PTSD in women with a history of childhood sexual abuse: a pilot examination of a specialized inpatient unit - Scorecard - MDSpire

Dissociation and PTSD in women with a history of childhood sexual abuse: a pilot examination of a specialized inpatient unit

  • By

  • Lotem Zvi

  • Jonathan E. Handelzalts

  • Danny Horesh

  • Inbal Shlomi

  • July 8, 2026

  • 0 min

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Clinical Scorecard: Exploring Dissociation and PTSD in Women with Childhood Sexual Abuse Histories: A Preliminary Study of a Dedicated Inpatient Treatment Unit

At a Glance

CategoryDetail
ConditionPost-Traumatic Stress Disorder (PTSD) with Dissociation
Key MechanismsDissociation as a response to childhood sexual abuse (CSA) and its correlation with PTSD symptoms.
Target PopulationWomen with histories of childhood sexual abuse and comorbid psychiatric disorders.
Care SettingSpecialized inpatient treatment unit.

Key Highlights

  • Dissociative symptoms correlate positively with PTSD severity and symptom clusters.
  • PTSD symptoms significantly decreased following treatment in the inpatient program.
  • Reductions in dissociative absorption are linked to improvements in PTSD symptoms.

Guideline-Based Recommendations

Diagnosis

  • Consider the presence of dissociative symptoms in women with CSA histories when diagnosing PTSD.

Management

  • Utilize specialized integrative inpatient treatment programs for women with CSA histories.

Monitoring & Follow-up

  • Assess changes in PTSD symptoms and dissociative experiences throughout treatment.

Risks

  • Be aware of the potential for maladaptive dissociative responses in patients with CSA histories.

Patient & Prescribing Data

Women with histories of childhood sexual abuse and PTSD.

Therapeutic focus on addressing dissociation, particularly maladaptive absorption.

Clinical Best Practices

  • Adopt a multidimensional treatment approach for complex trauma.
  • Integrate assessments of dissociation into PTSD treatment protocols.

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