Posttraumatic Stress Disorder in First-Episode Psychosis: Prevalence and Related Factors

Clinical Schizophrenia & Related Psychoses
Wafa AbdelghaffarFethi Nacef

Abstract

The experience of psychosis or related treatment can be conceptualized as a traumatic event, which might lead to posttraumatic stress disorder (PTSD) or PTSD syndrome (which is defined as the presence of PTSD symptoms irrespective of the DSM-IV criterion A definition of a traumatic event as an actual or threatened harm). Few studies explored the subject so far. This cross-sectional study included 52 clinically stabilized patients who were hospitalized for a first-psychotic episode during the two years preceding the study. Sociodemographic and clinical information were collected including past trauma history and drug and alcohol use. Patients were administered the Clinician-Administered PTSD Scale (CAPS), the Major Depression Inventory (MDI), the Positive and Negative Syndrome Scale (PANSS), the Global Assessment of Functioning scale (GAF), and the Brief COPE. A total of 22 patients (42.3%) met full PTSD criteria and 36 patients (69.2%) met PTSD syndrome criteria. Full PTSD as well as PTSD syndrome were both associated with physical restraint, higher scores on the MDI and its maladaptive coping scales. The most distressing symptoms were paranoid delusions, and the most distressing treatment experiences involved physical restrain...Continue Reading

References

May 2, 2003·The British Journal of Psychiatry : the Journal of Mental Science·Max Birchwood
May 18, 2004·The Australian and New Zealand Journal of Psychiatry·Chris JacksonMax Birchwood
Nov 2, 2006·The British Journal of Clinical Psychology·Brock ChisholmAnne Cooke
Nov 27, 2009·Schizophrenia Research·Kim T MueserRosemarie Wolfe

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Citations

Feb 19, 2017·Schizophrenia Research·Rebecca Rodrigues, Kelly K Anderson

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