Trauma in relation to psychosis and hospital experiences: The role of past trauma and attachment

Abstract

30% of patients met criteria for psychosis- or hospital-related PTSD. Severity of psychosis was associated with PTSD symptoms. Anxiety in attachment relationships was positively correlated with PTSD symptoms.

Forensic Psychiatric Patients’ Perspectives on Their Care: A Narrative View

“…Some patients still remembered their traumatic experiences (coercive treatments – in other words restraint, seclusion, and forced medication) and criticized the personnel for their judgmental attitudes, stigmatization, and labeling. The findings of the present study are consistent with those of Berry, Ford, Jellicoe‐Jones, and Haddock (), who also found that this group may be particularly vulnerable to psychosis‐related and hospital‐related posttraumatic stress disorder. Williams et al.…”

A systematic review of PTSD to the experience of Psychosis: Prevalence and associated factors

“…See table 1 for characteristics of included studies (Additional le 2). Four studies were based in the UK (23)(24)(25)(26), one in Australia (27), and one in Tunisia (28). Half (n = 3) were in early intervention in psychosis (EIP) services (23,26,27).…”

“…One was in secure wards with current inpatients (25) where it was likely the participants were mixed in terms of numbers of episodes and length since onset. One study utilised a sample of outpatients participating in a clinical trial (24), where all participants had co-morbid substance use disorder.…”

“…The measurement of psychosis-related PTSD also varied. The majority (n = 4) of studies used the IES-R (29) (23,25,26,27). The IES-R is a 22-item self-report measure that assesses post-traumatic stress symptoms following an event and consists of three subscales measuring the three domains of PTSD according to the DSM-IV (intrusions, avoidance and hyperarousal).…”

Limitations of Research on Psychosis in Childhood and Adolescence:Current Controversies and Future Directions

“…It is important that children and adolescents struggling with psychosis are treated in the least restrictive environment with as much predictability and support as possible in order to reduce the likelihood of environmental stressors exacerbating the child's symptomatology [17]. The degree of family support for the psychotic child is essential in being able to maximize treatment benefits in the least restrictive environment.…”