Applications of Trauma Treatment for Schizophrenia

Fuller, Pamela R.

doi:10.1080/10926771003705114

Cited by 3 publications

(2 citation statements)

References 58 publications

(42 reference statements)

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“…Research with non-SMI populations regarding complicated or traumatic grief (Chen et al, 1999; Shear & Shair, 2005) should be further extended to people with SMI to better understand the grief process and develop assessment and intervention methods to address their emotional distress. Practitioners should be cautious when attempting to uncover painful episodes such as abuse or sudden losses in people with SMI, and any attempt to address traumatic events are probably best done when client’s symptoms are relatively stable (Fuller, 2010). Nevertheless, traumatic losses can be clinically significant and, as they are revealed, should be addressed in a graduated manner with attention paid to the client’s distress tolerance.…”

Section: Discussionmentioning

confidence: 99%

Sudden losses and negative appraisal in people with severe mental illness.

O’Hare

Sherrer

Shen

2014

American Journal of Orthopsychiatry

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Research on the impact of sudden or unexpected losses in people with severe mental illness is scarce. The purpose of our study was to examine the relationship between subjective distress from sudden losses in people with severe mental illness and posttraumatic stress symptoms while controlling for gender, psychiatric symptoms, and negative appraisals. As part of routine care, treatment personnel collected data from 371 community mental health clients diagnosed with a severe mental illness. Hierarchical linear regression revealed that negative appraisals of the self and the world correlated significantly with posttraumatic stress symptoms, and distress from losses accounted for the greatest amount of variance in posttraumatic stress symptoms of the 6 traumas tested. When examined by diagnostic group, only those with schizophrenia spectrum disorder showed a significant association between distress from sudden losses and posttraumatic stress symptoms. Relative to other factors including symptoms of severe mental illness, distress from sudden losses in people with severe mental illness appears to be strongly associated with posttraumatic stress symptoms.

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Section: Discussionmentioning

confidence: 99%

Sudden losses and negative appraisal in people with severe mental illness.

O’Hare

Sherrer

Shen

2014

American Journal of Orthopsychiatry

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“…Most who completed the intake interview reported multiple PTSD symptoms, and all evaluated by CAPS met DSM-IV criteria for PTSD. Research indicates high rates of PTSD among individuals considered to have serious mental illness; however, PTSD is often overlooked and understudied despite its possible exacerbation of overall symptomatology (4,5). Although patients suffering from delusional symptoms may distort reality, Goodman and colleagues (6) showed that reliability of reports of trauma among patients with psychosis was comparable with that of nonpsychotic trauma survivors.…”

Section: Discussionmentioning

confidence: 99%

Does a Study Focused on Trauma Encourage Patients With Psychotic Symptoms to Seek Treatment?

Amsel

Hunter²,

Kim³

et al. 2012

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Objective This study explored why, in a randomized trial of psychotherapies for posttraumatic stress disorder (PTSD), a surprisingly high percentage of study applicants presented with psychotic symptoms and what clinical implications this finding might prompt. Methods Raters reviewed the records of applicants who completed an initial psychiatric interview and compared applicants with psychotic symptoms with all other study-eligible participants and with those who ultimately were enrolled in the study. Results Of 223 consecutively evaluated individuals who applied for study entry, 38 (17%) were found ineligible because of psychotic symptoms. These individuals were more likely to be male and to have suffered child abuse, and they had taken a greater number of lifetime medications than study-eligible applicants. Most individuals with psychotic symptoms met DSM-IV criteria for PTSD. Conclusions Using a trauma-informed framework might be a helpful part of a comprehensive treatment plan for some individuals with psychotic symptoms, possibly leading to greater treatment engagement and more positive outcomes.

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