Skip to main content

Advertisement

Log in

Memories of attachment hamper EEG cortical connectivity in dissociative patients

  • Original Paper
  • Published:
European Archives of Psychiatry and Clinical Neuroscience Aims and scope Submit manuscript

Abstract

In this study, we evaluated cortical connectivity modifications by electroencephalography (EEG) lagged coherence analysis, in subjects with dissociative disorders and in controls, after retrieval of attachment memories. We asked thirteen patients with dissociative disorders and thirteen age- and sex-matched healthy controls to retrieve personal attachment-related autobiographical memories through adult attachment interviews (AAI). EEG was recorded in the closed eyes resting state before and after the AAI. EEG lagged coherence before and after AAI was compared in all subjects. In the control group, memories of attachment promoted a widespread increase in EEG connectivity, in particular in the high-frequency EEG bands. Compared to controls, dissociative patients did not show an increase in EEG connectivity after the AAI. Conclusions: These results shed light on the neurophysiology of the disintegrative effect of retrieval of traumatic attachment memories in dissociative patients.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1

Similar content being viewed by others

Notes

  1. AMS has been trained at the AAI Training Institute of Rome, 1990, by M. Main and E. Hesse; CT has been trained at the AAI Training Institute of Rome, 2008, and CMV at the AAI Training Institute of Rome, 2010, by D. Jacobvitz and N. Dazzi.

References

  1. Nijenhuis ER, den Boer JA (2009) Psychobiology of traumatization and trauma-related structural dissociation of the personality. In: Dell P, O’Neil JA (eds) Dissociation and dissociative disorders: DSM-V and beyond. Routledge, New York, pp 337–365

    Google Scholar 

  2. APA (2000) Diagnostic and statistical manual of mental disorders IV-TR. American Psychiatric Association, Washington, DC

    Google Scholar 

  3. Nijenhuis ER, Van der Hart O (2011) Dissociation in trauma: a new definition and comparison with previous formulations. J Trauma Dissociation 12:416–445

    Article  PubMed  Google Scholar 

  4. Van der Kolk BA, Pelcovitz D, Roth S, Mandel FS, McFarlane A, Herman JL (1996) Dissociation, somatization, and affect dysregulation: the complexity of adaptation of trauma. Am J Psychiatry 153:83–93

    PubMed  Google Scholar 

  5. Van der Hart O, Nijenhuis E, Steele K (2006) The haunted self: structural dissociation and the treatment of chronic traumatization. Norton, New York

    Google Scholar 

  6. Meares R (1999) The contribution of Hughlings Jackson to an understanding of dissociation. Am J Psychiatry 156:1850–1855

    CAS  PubMed  Google Scholar 

  7. Carlson EA, Yates TM, Sroufe LA (2009) Dissociation and the development of the self. In: Dell P, O’Neil JA (eds) Dissociation and dissociative disorders: DSM-V and beyond. Routledge, New York

    Google Scholar 

  8. Schmahl C, Lanius RA, Pain C, Vermetten E (2010) Biological framework for traumatic dissociation related to early life trauma. In: Lanius RA, Vermetten E, Pain C (eds) The impact of early relational trauma on health and disease. The hidden epidemic. Cambridge University Press, Cambridge, pp 178–188

    Chapter  Google Scholar 

  9. Van der Hart O, Dorahy M (2006) Pierre Janet and the concept of dissociation. Am J Psychiatry 163:1646 author reply 1646

    Article  PubMed  Google Scholar 

  10. Bob P, Svetlak M (2010) Dissociative states and neural complexity. Brain Cogn

  11. Meares R (2012) A dissociation model of borderline personality disorder. Norton, New York

    Google Scholar 

  12. Van der Hart O, Nijenhuis ER, Steele K (2005) Dissociation: an insufficiently recognized major feature of complex posttraumatic stress disorder. J Trauma Stress 18:413–423

    Article  PubMed  Google Scholar 

  13. Liotti G (1992) Disorganized attachment in the etiology of the dissociative disorders. Dissociation 4:196–204

    Google Scholar 

  14. Liotti G (2004) Trauma, dissociation and disorganized attachment: three strands of a single braid. Psychother Theory Res Pract Train 41:472–486

    Article  Google Scholar 

  15. Hesse E, Main M (2006) Frightened, threatening, and dissociative parental behavior in low-risk samples: description, discussion, and interpretations. Dev Psychopathol 18:309–343

    Google Scholar 

  16. Lyons-Ruth K, Jacobvitz D (2008) Attachment disorganization: genetic factors, parenting contexts, and developmental transformation from infancy to adulthood. In: Cassidy J, Shaver P (eds) Handbook of attachment: theory, research, and clinical applications. Guilford Press, New York, pp 666–697

    Google Scholar 

  17. Dutra L, Bureau JF, Holmes B, Lyubchik A, Lyons-Ruth K (2009) Quality of early care and childhood trauma: a prospective study of developmental pathways to dissociation. J Nerv Ment Dis 197:383–390

    Article  PubMed Central  PubMed  Google Scholar 

  18. Ogawa JR, Sroufe LA, Weinfield NS, Carlson EA, Egeland B (1997) Development and the fragmented self: longitudinal study of dissociative symptomatology in a non-clinical samples. Dev Psychopathol 9:855–879

    Article  CAS  PubMed  Google Scholar 

  19. Schore AN (2009) Attachment trauma and the developing of right brain: origin of pathological dissociation. In: Dell P, O’Neil JA (eds) Dissociation and dissociative disorders: DSM-V and beyond. Routledge, New York

    Google Scholar 

  20. Main M, Morgan H (1996) Disorganization and disorientation in infant strange situation behaviour: phenotypic resemblance to dissociative states. In: Michelson L, Ray W (eds) Handbook of dissociation: theoretical, empirical and clinical perspectives. Plenum Publishing, New York, pp 107–138

    Chapter  Google Scholar 

  21. Lyons-Ruth K, Dutra L, Schuder MR, Bianchi I (2006) From infant attachment disorganization to adult dissociation: relational adaptations or traumatic experiences? Psychiatr Clin North Am 29:63–86, viii

    Google Scholar 

  22. De Bellis MD (2010) The neurobiology of child neglect. In: Lanius RA, Vermetten E, Pain C (eds) The impact of early relational trauma on health and disease. The hidden epidemic. Cambridge University Press, Cambridge, pp 33–42

    Google Scholar 

  23. van Ijzendoorn M, Bakermans-Kranenburg MJ (2008) The distribution of adult attachment representations in clinical groups: a meta-analytic search for patterns of attachment in 105 AAI studies. In: Steele H, Steele M (eds) Clinical applications of the adult attachment interview. Guilford Press, New York, pp 69–96

    Google Scholar 

  24. Carlson EA, Egeland B, Sroufe LA (2009) A prospective investigation of the development of borderline personality symptoms. Dev Psychopathol 21:1311–1334

    Article  PubMed  Google Scholar 

  25. Bakermans-Kranenburg MJ, van IJzendoorn MH (2009) The first 10,000 adult attachment interviews: distributions of adult attachment representations in clinical and non-clinical groups. Attach Hum Dev 11:223–263

    Article  PubMed  Google Scholar 

  26. Nijenhuis ER, Spinhoven P, Van Dyck R, Van der Hart O, Vanderlinden J (1996) The development and psychometric characteristics of the Somatoform Dissociation Questionnaire (SDQ-20). J Nerv Ment Dis 184:688–694

    Article  CAS  PubMed  Google Scholar 

  27. Sar V, Akyuz G, Kundakci T, Kiziltan E, Dogan O (2004) Childhood trauma, dissociation, and psychiatric comorbidity in patients with conversion disorder. Am J Psychiatry 161:2271–2276

    Article  PubMed  Google Scholar 

  28. APA (2013) Diagnostic and statistical manual of mental disorders, 5th edn. American Psychiatric Association, Arlington, VA

    Google Scholar 

  29. Steele H (2003) Unrelenting catastrophic trauma within the family: when every secure base is abusive. Attachment Human Dev 5:353–366

    Article  Google Scholar 

  30. West M, Adam K, Spreng S, Rose S (2001) Attachment disorganization and dissociative symptoms in clinically treated adolescents. Can J Psychiatry 46:627–631

    CAS  PubMed  Google Scholar 

  31. Stovall-McClough KC, Cloitre M (2006) Unresolved attachment, PTSD, and dissociation in women with childhood abuse histories. J Consult Clin Psychol 74:219–228

    Article  PubMed  Google Scholar 

  32. Riggs SA, Paulson A, Tunnell E, Sahl G, Atkison H, Ross CA (2007) Attachment, personality, and psychopathology among adult inpatients: self-reported romantic attachment style versus adult attachment interview states of mind. Dev Psychopathol 19:263–291

    Article  PubMed  Google Scholar 

  33. Liotti G (2009) Attachment and Dissociation. In: Dell P, O’Neil JA (eds) Dissociation and dissociative disorders: DSM-V and beyond. Routledge, New York

    Google Scholar 

  34. George C, Kaplan N, Main M (1996) Adult attachment interview protocol, 3rd edn. University of California, Berkekey

    Google Scholar 

  35. Dozier M, Kobak RR (1992) Psychophysiology in attachment interviews: converging evidence for deactivating strategies. Child Dev 63:1473–1480

    Article  CAS  PubMed  Google Scholar 

  36. Dias P, Soares I, Klein J, Cunha JP, Roisman GI (2011) Autonomic correlates of attachment insecurity in a sample of women with eating disorders. Attachment and Human Development 13:155–167

    Article  PubMed  Google Scholar 

  37. Tononi G, Koch C (2008) The neural correlates of consciousness: an update. Ann N Y Acad Sci 239–261

  38. Terhune DB, Cardena E, Lindgren M (2011) Differential frontal-parietal phase synchrony during hypnosis as a function of hypnotic suggestibility. Psychophysiology 48:1444–1447

    Article  PubMed  Google Scholar 

  39. Uhlhaas PJ, Roux F, Rodriguez E, Rotarska-Jagiela A, Singer W (2010) Neural synchrony and the development of cortical networks. Trends Cogn Sci 14:72–80

    Article  PubMed  Google Scholar 

  40. Uhlhaas PJ, Pipa G, Lima B, Melloni L, Neuenschwander S, Nikolic D, Singer W (2009) Neural synchrony in cortical networks: history, concept and current status. Front Integr Neurosci 3:17

    Article  PubMed Central  PubMed  Google Scholar 

  41. Miskovic V, Schmidt LA, Georgiades K, Boyle M, Macmillan HL (2010) Adolescent females exposed to child maltreatment exhibit atypical EEG coherence and psychiatric impairment: linking early adversity, the brain, and psychopathology. Dev Psychopathol 22:419–432

    Article  PubMed  Google Scholar 

  42. Velikova S, Locatelli M, Insacco C, Smeraldi E, Comi G, Leocani L Dysfunctional brain circuitry in obsessive-compulsive disorder: source and coherence analysis of EEG rhythms. Neuroimage 49:977–983

  43. Hopper A, Ciorciari J, Johnson G, Spensley J, Sergejew A, Stough C (2002) EEG coherence and dissociative identity disorder: comparing EEG coherence in host, alters, controls, and acted alters. J Trauma Dissociation 3:75–88

    Article  Google Scholar 

  44. Bob P, Susta M, Glaslova K, Boutros NN (2010) Dissociative symptoms and interregional EEG cross-correlations in paranoid schizophrenia. Psychiatry Res 177:37–40

    Article  PubMed  Google Scholar 

  45. Simeon D (2009) Neurobiology of depersonalization disorder. In: Dell P, O’Neil JA (eds) Dissociation and dissociative disorders: DSM-V and beyond. Routledge, New York, pp 367–372

    Google Scholar 

  46. Nijenhuis ER, Spinhoven P, Van Dyck R, Van der Hart O, Vanderlinden J (1998) Psychometric characteristics of the somatoform dissociation questionnaire: a replication study. Psychother Psychosom 67:17–23

    Article  CAS  PubMed  Google Scholar 

  47. Farina B, Mazzotti E, Pasquini P, Mantione MG (2011) Somatoform and psychoform dissociation among women with orgasmic and sexual pain disorders. J Trauma Dissociation 12:526–534

    Article  PubMed  Google Scholar 

  48. Bernstein EM, Putnam FW (1986) Development, reliability, and validity of a dissociation scale. J Nerv Ment Dis 727–735

  49. van Ijzendoorn MH, Schuengel C (1996) The measurement of dissociation in normal and clinical populations: meta-analytic validation of the dissociative experiences scale. Clin Psychol Rev 16:365–382

    Article  Google Scholar 

  50. Maaranen P, Tanskanen A, Hintikka J, Honkalampi K, Haatainen K, Koivumaa-Honkanen H, Viinamaki H (2008) The course of dissociation in the general population: a 3-year follow-up study. Compr Psychiatry 49:269–274

    Article  PubMed  Google Scholar 

  51. Main M, Goldwyn R, Hesse E (2003) Adult attachment classification system version 7.2. University of California, Berkekey

    Google Scholar 

  52. Pascual-Marqui RD, Michel CM, Lehmann D (1994) Low resolution electromagnetic tomography: a new method for localizing electrical activity in the brain. Int J Psychophysiol 18:49–65

    Article  CAS  PubMed  Google Scholar 

  53. Thatcher RW, Krause PJ, Hrybyk M (1986) Cortico-cortical associations and EEG coherence: a two-compartmental model. Electroencephalogr Clin Neurophysiol 64:123–143

    Article  CAS  PubMed  Google Scholar 

  54. Lehmann D, Faber PL, Tei S, Pascual-Marqui RD, Milz P, Kochi K (2012) Reduced functional connectivity between cortical sources in five meditation traditions detected with lagged coherence using EEG tomography. Neuroimage 60:1574–1586

    Article  PubMed  Google Scholar 

  55. Nichols TE, Holmes AP (2002) Nonparametric permutation tests for functional neuroimaging: a primer with examples. Hum Brain Mapp 15:1–25

    Article  PubMed  Google Scholar 

  56. Phaf RH, Rotteveel M (2012) Affective monitoring: a generic mechanism for affect elicitation. Front Psychol 3:47

    Article  PubMed Central  PubMed  Google Scholar 

  57. Wang XJ (2010) Neurophysiological and computational principles of cortical rhythms in cognition. Physiol Rev 90:1195–1268

    Article  PubMed Central  PubMed  Google Scholar 

  58. Miskovic V, Schmidt LA (2010) Cross-regional cortical synchronization during affective image viewing. Brain Res 1362:102–111

    Article  CAS  PubMed  Google Scholar 

  59. Hesse E (2008) The adult attachment interview: protocol, method of analysis, and empirical studies. In: Cassidy J, Shaver P (eds) Handbook of attachment: theory, research, and clinical applications. Guilford Press, New York, pp 552–598

    Google Scholar 

  60. Teicher MH, Rabi K, Sheu YS, Serafine SB, Andersen SL, Anderson CM, Choi J, Tomoda A (2010) Neurobiology of childhood trauma and adversity. In: Lanius RA, Vermetten E, Pain C (eds) The impact of early relational trauma on helath and disease. The hidden epidemic. Cambridge University Press, Cambridge

    Google Scholar 

  61. Meares R, Schore A, Melkonian D (2011) Is borderline personality a particularly right hemispheric disorder? A study of P3a using single trial analysis. Aust N Z J Psychiatry 45:131–139

    Article  PubMed  Google Scholar 

  62. Meares R, Melkonian D, Gordon E, Williams L (2005) Distinct pattern of P3a event-related potential in borderline personality disorder. NeuroReport 16:289–293

    Article  PubMed  Google Scholar 

  63. Teicher MH, Ito Y, Glod CA, Andersen SL, Dumont N, Ackerman E (1997) Preliminary evidence for abnormal cortical development in physically and sexually abused children using EEG coherence and MRI. Ann N Y Acad Sci 821:160–175

    Article  CAS  PubMed  Google Scholar 

  64. Van de Hart O (2006) The influence of Pierre Janet’s Views in the Field of Psychotraumatology. In: Actes des conference Janetian Studies, du 27 mai 2006. Paris, France, pp 54–63

  65. Steele H, Steele M (2003) Clinical uses of the adult attachment interview. In: Cortina M, Marrone M (eds) Attachment theory and the psychoanalytic process. Whurr, London, pp 107–126

    Google Scholar 

  66. Hesse E, van Ijzendoorn MH (1999) Propensities towards absorption are related to lapses in the monitoring of reasoning or discourse during the adult attachment interview. A preliminary investigation. Attach Hum Dev 1:67–91

    Article  CAS  PubMed  Google Scholar 

  67. Liotti G (2006) A model of dissociation based on attachment theory and research. J Trauma Dissociation 7:55–73

    Article  PubMed  Google Scholar 

  68. Dozier M, Stovall-McClough KC, Albus KE (2008) Attachment and psychopathology in adulthood. In: Cassidy J, Shaver P (eds) Handbook of attachment. Guilford Press, New York, pp 718–744

    Google Scholar 

  69. Levy KN (2005) The implications of attachment theory and research for understanding borderline personality disorder. Dev Psychopathol 17:959–986

    Article  PubMed  Google Scholar 

  70. Cohen D, Cuffin BN, Yunokuchi K, Maniewski R, Purcell C, Cosgrove GR, Ives J, Kennedy JG, Schomer DL (1990) MEG versus EEG localization test using implanted sources in the human brain. Ann Neurol 28:811–817

    Article  CAS  PubMed  Google Scholar 

Download references

Acknowledgments

We wish to thank Ellert Nijenhuis, Vedat Sar and Mary Main for their insightful comments and suggestions that improved this work. No financial support was received for this study and neither conflict of interests involves any author.

Conflict of interest

None.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Benedetto Farina.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Farina, B., Speranza, A.M., Dittoni, S. et al. Memories of attachment hamper EEG cortical connectivity in dissociative patients. Eur Arch Psychiatry Clin Neurosci 264, 449–458 (2014). https://doi.org/10.1007/s00406-013-0461-9

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00406-013-0461-9

Keywords

Navigation