International Journal of High Risk Behaviors and Addiction

Published by: Kowsar

Trauma, Dissociation,and High-Risk Behaviors

Mohsen Kianpoor 1 , * and Nour-Mohammad Bakhshani 1
Authors Information
1 Department of Psychiatry and clinical Psychology, Research center for health of adolescents and children, Zahedan University of medical sciences, Zahedan, IR Iran
Article information
  • International Journal of High Risk Behaviors and Addiction: June 01, 2012, 1 (1); 9-13
  • Published Online: June 20, 2012
  • Article Type: Review Article
  • Received: December 7, 2011
  • Revised: December 20, 2011
  • Accepted: February 1, 2012
  • DOI: 10.5812/ijhrba.4624

To Cite: Kianpoor M, Bakhshani N. Trauma, Dissociation,and High-Risk Behaviors, Int J High Risk Behav Addict. 2012 ; 1(1):9-13. doi: 10.5812/ijhrba.4624.

Copyright © 2012, Zahedan University of Medical Sciences. This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License ( which permits copy and redistribute the material just in noncommercial usages, provided the original work is properly cited.
1. Introduction
2. Trauma, Dissociation, and SUD
3. Trauma, Dissociation, Sexual and Other High-Risk Behaviors
4. Trauma, Dissociation, Violence, Self-Destructive and Other High-Risk Behaviors
5. Discussion
  • 1. Moroz DLKJ. The Effects of Psychological Trauma on Children and Adolescents: 2005;
  • 2. Ross CA, Miller SD, Reagor P, Bjornson L, Fraser GA, Anderson G. Structured interview data on 102 cases of multiple personality disorder from four centers. Am J Psychiatry. 1990; 147(5): 596-601[PubMed]
  • 3. Saxe GN, van der Kolk BA, Berkowitz R, Chinman G, Hall K, Lieberg G, et al. Dissociative disorders in psychiatric inpatients. Am J Psych. 1993; 150(7): 1037-42[PubMed]
  • 4. Herman JL, Perry JC, van der Kolk BA. Childhood trauma in borderline personality disorder. Am J Psychiatry. 1989; 146(4): 490-5[PubMed]
  • 5. Ogata SN, Silk KR, Goodrich S, Lohr NE, Westen D, Hill EM. Childhood sexual and physical abuse in adult patients with borderline personality disorder. Am J Psychiatry. 1990; 147(8): 1008-13[PubMed]
  • 6. Huang S, Trapido E, Fleming L, Arheart K, Crandall L, French M, et al. The long-term effects of childhood maltreatment experiences on subsequent illicit drug use and drug-related problems in young adulthood. Addict Behav. 2011; 36(1-2): 95-102[DOI][PubMed]
  • 7. Ford ES, Anda RF, Edwards VJ, Perry GS, Zhao G, Li C, et al. Adverse childhood experiences and smoking status in five states. Prev Med. 2011; 53(3): 188-93[DOI][PubMed]
  • 8. Cerutti R, Manca M, Presaghi F, Gratz KL. Prevalence and clinical correlates of deliberate self-harm among a community sample of Italian adolescents. J Adolesc. 2011; 34(2): 337-47[DOI][PubMed]
  • 9. Trauma and adolescence. 1999;
  • 10. Reijneveld SA, Crone MR, Verhulst FC, Verloove-Vanhorick SP. The effect of a severe disaster on the mental health of adolescents: a controlled study. Lancet. 2003; 362(9385): 691-6[DOI][PubMed]
  • 11. Glodich A. Traumatic exposure to violence: A comprehensive review of the child and adolescent literature. Smith College Studies in Social Work. 1998; 68(3): 321-45
  • 12. Gore-Feltun C, Koopman C. Traumatic experiences: Harbinger of risk behavior among HIV-positive adults. J Trauma Dissociation. 2002; 3(4): 121-35
  • 13. Stevens SJ, Murphy BS, McKnight K. Traumatic stress and gender differences in relationship to substance abuse, mental health, physical health, and HIV risk behavior in a sample of adolescents enrolled in drug treatment. Child Maltreat. 2003; 8(1): 46-57[PubMed]
  • 14. Irwin CE, Jr. The Theoretical Concept of At-Risk Adolescents. Adolesc Med. 1990; 1(1): 1-14[PubMed]
  • 15. Arnett JJ. Risk behavior and family role transitions during the twenties. J Youth Adoles. 1998; 27(3): 301-20
  • 16. Bensley LS, Van Eenwyk J, Simmons KW. Self-reported childhood sexual and physical abuse and adult HIV-risk behaviors and heavy drinking. Am J Prev Med. 2000; 18(2): 151-8
  • 17. Muuss R, Porton H. interesting risk behavior and society. 1998;
  • 18. Pynoos RS, Nader K. Psychological first aid and treatment approach to children exposed to community violence: Research implications. J Traumatic Stress. 1988; 1(4): 445-73
  • 19. van der Kolk BA, ducey CP. The psychological processing of traumatic experience: Rorschach patterns in PTSD. J Traumatic Stress. 1989; 2(3): 259-74
  • 20. Ramiro LS, Madrid BJ, Brown DW. Adverse childhood experiences (ACE) and health-risk behaviors among adults in a developing country setting. Child abuse & neglect. 2010; 34(11): 842-55
  • 21. Waller N, Putnam FW, Carlson EB. Types of dissociation and dissociative types: A taxometric analysis of dissociative experiences. Psychol Methods. 1996; 1(3): 300
  • 22. Korzekwa MI, Dell PF, Pain C. Dissociation and borderline personality disorder: An update for clinicians. Current Psych Rep. 2009; 11(1): 82-8
  • 23. Nijenhuis ER, van der Hart O. Dissociation in trauma: a new definition and comparison with previous formulations. J Trauma Dissociation. 2011; 12(4): 416-45[DOI][PubMed]
  • 24. Ogawa JR, Sroufe L, Weinfield NS, Carlson EA, Egeland B. Development and the fragmented self: Longitudinal study of dissociative symptomatology in a nonclinical sample. Develop Psychopathol. 1997; 9(4): 855-79
  • 25. van der Kolk BA. 1996; : 189-213
  • 26. Dunn GE, Paolo AM, Ryan JJ, Van Fleet J. Dissociative symptoms in a substance abuse population. Am J Psychiatry. 1993; 150(7): 1043-7[PubMed]
  • 27. Curran HV, Morgan C. Cognitive, dissociative and psychotogenic effects of ketamine in recreational users on the night of drug use and 3 days later. Addiction. 2000; 95(4): 575-90[PubMed]
  • 28. Langeland W, Draijer N, van den Brink W. Trauma and dissociation in treatment-seeking alcoholics: towards a resolution of inconsistent findings. Compr Psych. 2002; 43(3): 195-203[PubMed]
  • 29. Karadag F, Sar V, Tamar-Gurol D, Evren C, Karagoz M, Erkiran M. Dissociative disorders among inpatients with drug or alcohol dependency. J Clin Psychiatry. 2005; 66(10): 1247-53[PubMed]
  • 30.
  • 31. Ross CA, Kronson J, Koensgen S, Barkman K, Clark P, Rockman G. Dissociative comorbity in 100 chemically dependent patients. Hosp Community Psychiatry. 1992; 43(8): 840-2[PubMed]
  • 32. Kianpoor M, Badiee H, Ghanizade A, Firoozabadi A. 2012;
  • 33. Tamar-Gurol D, Sar V, Karadag F, Evren C, Karagoz M. Childhood emotional abuse, dissociation, and suicidality among patients with drug dependency in Turkey. Psychiatry Clin Neurosci. 2008; 62(5): 540-7[DOI][PubMed]
  • 34. Fuller CM, Vlahov D, Ompad DC, Shah N, Arria A, Strathdee SA. High-risk behaviors associated with transition from illicit non-injection to injection drug use among adolescent and young adult drug users: a case-control study. Drug Alcohol Dep. 2002; 66(2): 189-98
  • 35. DiIorio C, Hartwell T, Hansen N. Childhood sexual abuse and risk behaviors among men at high risk for HIV infection. Am J Pub Health. 2002; 92(2): 214
  • 36. Senn TE, Carey MP, Vanable PA, Coury-Doniger P, Urban MA. Childhood sexual abuse and sexual risk behavior among men and women attending a sexually transmitted disease clinic. J Consult Clinical Psychol. 2006; 74(4): 720
  • 37. Pearce ME, Christian WM, Patterson K, Norris K, Moniruzzaman A, Craib KJP, et al. The Cedar Project: Historical trauma, sexual abuse and HIV risk among young Aboriginal people who use injection and non-injection drugs in two Canadian cities. Social Sci Med. 2008; 66(11): 2185-94
  • 38. Ompad DC, Ikeda RM, Shah N, Fuller CM, Bailey S, Morse E, et al. Childhood sexual abuse and age at initiation of injection drug use. Am J Public Health. 2005; 95(4): 703-9[DOI][PubMed]
  • 39. Cohen M, Deamant C, Barkan S, Richardson J, Young M, Holman S, et al. Domestic violence and childhood sexual abuse in HIV-infected women and women at risk for HIV. Am J Public Health. 2000 April; 90(4): 560-5
  • 40. Tubman JG, Montgomery MJ, Gil AG, Wagner EF. Abuse experiences in a community sample of young adults: relations with psychiatric disorders, sexual risk behaviors, and sexually transmitted diseases. Am J Community Psychol. 2004; 34(1-2): 147-62[PubMed]
  • 41. Simoni JM, Sehgal S, Walters KL. Triangle of risk: urban American Indian women's sexual trauma, injection drug use, and HIV sexual risk behaviors. AIDS Behav. 2004; 8(1): 33-45
  • 42. Halkitis P, Parsons J. Recreational drug use and HIV-risk sexual behavior among men frequenting gay social venues. J Gay Lesbian Social Serv. 2003; 14(4): 19-38[DOI]
  • 43. Sutherland MA. Examining Mediators of Child Sexual Abuse and Sexually Transmitted Infections. Nurs Res. 2011; 60(2): 139
  • 44. Moskowitz A. A Review of Prologue to Violence: Child Abuse, Dissociation, and Crime. 2008;
  • 45. Kianpoor M, Rhoades Jr GF. Djinnati, A Possession State in Baloochistan, Iran. J Trauma Pract. 2006; 4(1-2): 147-55
  • 46. Foote B, Smolin Y, Neft DI, Lipschitz D. Dissociative disorders and suicidality in psychiatric outpatients. J Nerv Mental Disease. 2008; 196(1): 29
  • 47. Shrier LA, Pierce JD, Emans SJ, DuRant RH. Gender differences in risk behaviors associated with forced or pressured sex. Arch Ped Adoles Med. 1998; 152(1): 57
  • 48. Stock JL, Bell MA, Boyer DK, Connell FA. Adolescent pregnancy and sexual risk-taking among sexually abused girls. Family Plan Perspec. 1997; : 200-27
  • 49. Paul T, Schroeter K, Dahme B, Nutzinger DO. Self-injurious behavior in women with eating disorders. Am J Psych. 2002; 159(3): 408-411
  • 50. Jinich S, Paul JP, Stall R, Acree M, Kegeles S, Hoff C, et al. Childhood sexual abuse and HIV risk-taking behavior among gay and bisexual men. AIDS Behav. 1998; 2(1): 41-51
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