The prevalence and correlates of trauma-related symptoms in schizophrenia spectrum disorder
Abstract
Research has suggested that many with schizophrenia have been exposed to significant trauma, both after and before the onset of their illness. Less clear is how commonly significant levels of trauma symptoms are found in schizophrenia, how often they co-occur, and what their relationship is with positive and negative symptoms. To examine these issues, we concurrently assessed trauma history, trauma symptoms using the Trauma Symptom Inventory, and symptoms using the Positive and Negative Syndrome Scale. Participants were 68 individuals with schizophrenia spectrum disorders who provided reliable reports of at least one traumatic event from an original sample of 81 individuals. Results revealed that two thirds of participants reported clinically significant trauma symptoms that included at least intrusive experiences, defensive avoidance, or dissociation. Greater levels of depression and disturbance of volition were significantly correlated with greater levels of anxious arousal, intrusive experiences, defensive avoidance, dissociation, and total number of significantly elevated trauma scales. Delusions were correlated with intrusive experiences, dissociation, and number of significantly elevated trauma scales, whereas hallucinations were correlated with irritability and total number of significantly elevated trauma scales. Results suggest that trauma symptoms may be commonly experienced in schizophrenia and linked with the phenomenology of the disorder.
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In cognitive models of psychosis, appraisals of anomalous experiences as personally relevant, threatening and/or attributed to an external cause are proposed to contribute to the development of psychotic symptoms.
“Similarly, in cognitive models of psychosis (e.g. [29, 30]), appraisals of anomalous experiences as personally relevant, threatening and/or attributed to an external cause are proposed to contribute to the development of psychotic symptoms.”
From A brief CBT intervention for depersonalisation/derealisation in psychosis: Study protocol for a feasibility randomised controlled trial (2016) · cites this paper as [30]
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- Authors
- Lysaker, P. H., & LaRocco, V. A.
- Affiliations
- Richard L. Roudebush VA Medical Center (US)
- University of Indianapolis (US)
- Corresponding author
- Lysaker, Paul H.
- ORCID
- Lysaker, Paul H.
- Venue
- Comprehensive Psychiatry
- Publisher
- Elsevier BV
- Published
- 2008-07
- Volume
- 49
- Issue
- 4
- Pages
- 330-334
- ISSN
- 0010-440X (ISSN-L)
- OpenAlex
- W2074866657
- Cited by
- 94
- References
- 27
- Citations by year
- 2026: 1 · 2025: 4 · 2024: 3 · 2022: 5 · 2021: 8 · 2020: 5 · 2019: 5 · 2018: 7 · 2017: 11 · 2016: 10 · 2015: 8 · 2014: 5 · 2013: 3 · 2012: 4
- FWCI
- 3.49
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Comprehensive Psychiatry (publishedVersion)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion)
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Schizophrenia research and treatment
- Social Sciences › Psychology › Clinical Psychology › Posttraumatic Stress Disorder Research
- Social Sciences › Psychology › Clinical Psychology › Psychoanalysis and Psychopathology Research
- Keywords
- schizophrenia spectrum disorders, trauma symptoms, post-traumatic stress disorder, trauma history, defensive avoidance, dissociation, anxious arousal, positive symptoms, negative symptoms, delusions, hallucinations, depression, irritability, Trauma Symptom Inventory, PANSS
- MeSH terms
- Adult, Arousal, Cross-Sectional Studies, Defense Mechanisms, Delusions, Dissociative Disorders, Female, Hallucinations, Humans, Life Change Events, Male, Middle Aged, Psychiatric Status Rating Scales, Psychometrics, Psychotic Disorders, Risk Factors, Schizophrenia, Schizophrenic Psychology, Sex Offenses, Stress Disorders, Post-Traumatic, Violence, Comorbidity
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