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BMC Complement Altern MedBMC Complement Altern MedBMC Complementary and Alternative Medicine1472-6882BioMed Central 1472-6882-12-S1-P24810.1186/1472-6882-12-S1-P248Poster PresentationP02.192. The mediating role of bodily dissociation and emotion regulation on PTSD symptoms among women in substance use disorder treatment Price C 1Herting J 11 University of Washington, Seattle, USA2012 12 6 2012 12 Suppl 1 Scientific Abstracts Presented at the International Research Congress on Integrative Medicine and Health 2012Robert Saper and David EisenbergThis conference and proceedings were supported by Grant Number R13AT007128 from the National Center for Complementary and Alternative Medicine. The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Center for Complementary and Alternative Medicine or the National Institutes of Health.P248 P248 Copyright ©2012 Price and Herting; licensee BioMed Central Ltd.2012Price and Herting; licensee BioMed Central Ltd.This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.15-18 May 2012 International Research Congress on Integrative Medicine and Health 2012 Portland, Oregon, USA
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Purpose
Dissociation from the body involves a sense of separation from bodily self and typically involves a lack of attention to sensory awareness. Dissociation from the body is common among women with a history of sexual trauma and interferes with emotion regulation. Interoceptive awareness (inner body awareness and processing), has recently been posited as important to homeostasis and regulation to facilitate relapse prevention among individuals in substance use disorder treatment. The purpose of this study was to explore the mediating role of bodily dissociation and emotion regulation on PTSD symptoms among women in substance use disorder treatment.

Methods
The sample (N=46) were women in substance use disorder treatment participating in a NIH-funded study to examine a body-oriented therapy intervention that teaches interoceptive skills. The majority of the sample (~70%) had been exposed to the body-oriented therapy intervention. We used a SEM modeling approach with maximum likelihood estimation to test the effect of bodily dissociation and emotion regulation on PTSD symptoms across the 9 month study period involving assessments at baseline, 3, 6 and 9 month follow-up. The Scale of Body Connection, Difficulties in Emotion Regulation, and Modified PTSD Symptom Scale were used.

Results
The results showed significant indirect effects of bodily dissociation and emotion regulation on PTSD symptoms. Specifically, the mediation model indicates the following temporal relationship between variables: bodily dissociation → emotion regulation difficulties → PTSD symptoms where bodily dissociation has no direct effect on later PTSD symptoms but operates through its effect on emotion regulation difficulties.

Conclusion
The results suggest the role of bodily dissociation reduction in emotional regulation among women seeking treatment for a substance use disorder that have a history of sexual trauma. These findings support current theoretical models specific to interoception for relapse prevention, and point to the need for interventions that teach interoceptive skills.


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