Trauma exposure and posttraumatic stress disorder in adults with severe mental illness: a critical review.

Grubaugh, Anouk L.; Zinzow, Heidi M.; Paul, Lisa; Egede, Leonard E.; Frueh, B. Christopher

doi:10.1016/j.cpr.2011.04.003

Cited by 287Posttraumatic Stress Disorder ResearchMigration, Health and TraumaChild Abuse and Trauma

Trauma exposure and posttraumatic stress disorder in adults with severe mental illness: a critical review.

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Grubaugh, Anouk L., Zinzow, Heidi M., Paul, Lisa, Egede, Leonard E., Frueh, B. Christopher·2011·Clinical Psychology Review

DOI 10.1016/j.cpr.2011.04.003PMC PMC3148295

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Abstract

There is a great deal of research on the prevalence, correlates, and treatment of PTSD in the general population. However, we know very little about the manifestation and consequences of PTSD in more complicated patient populations. The purpose of the current paper is to provide a comprehensive review of PTSD within the context of severe mental illness (SMI; i.e., schizophrenia spectrum disorders, mood disorders). Extant data suggest that trauma and PTSD are highly prevalent among individuals with SMI relative to the general population, and both are associated with adverse clinical functioning and increased healthcare burden. However, trauma and PTSD remain overlooked in this population, with low recognition rates in public-sector settings. Additionally, there are few data on the clinical course and treatment of PTSD among individuals with SMI. Particularly lacking are longitudinal studies, randomized controlled treatment trials, and studies using ethno-racially diverse samples. Furthermore, there is a need to better understand the interplay between trauma, PTSD, and severe forms of mental illness and to further develop and disseminate evidence-based PTSD treatments in this population. The current state of the literature and future directions for practice are discussed.

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Many people with psychosis are unlikely to receive appropriate treatment for post-traumatic stress.
“As a consequence, many people with psychosis are unlikely to receive appropriate treatment for post-traumatic stress (20).”
From Making meaning of trauma in psychosis (2023) · cites this paper as [20]
In a critical review of studies examining trauma in those with severe mental illnesses, rates of trauma exposure were between 49 and 100%.
“Further, in a critical review of studies examining trauma in those with severe mental illnesses, rates of trauma exposure were between 49 and 100 % [18].”
From A brief CBT intervention for depersonalisation/derealisation in psychosis: Study protocol for a feasibility randomised controlled trial (2016) · cites this paper as [18]

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Authors: Grubaugh, A. L., Zinzow, H. M., Paul, L., Egede, L. E., & Frueh, B. C.
Affiliations: Medical University of South Carolina (US)
Clemson University (US)
University of Hawaii at Hilo (US)
Corresponding author: Grubaugh, Anouk L.
ORCID: Grubaugh, Anouk L.
Zinzow, Heidi M.
Egede, Leonard E.
Frueh, B. Christopher
Venue: Clinical Psychology Review
Publisher: Elsevier BV
Published: 2011-08
Volume: 31
Issue: 6
Pages: 883-899
ISSN: 0272-7358 (ISSN-L)
DOI: 10.1016/j.cpr.2011.04.003
PMC: PMC3148295
OpenAlex: W1984348431
Cited by: 287
References: 223
Citations by year: 2026: 13 · 2025: 18 · 2024: 22 · 2023: 21 · 2022: 24 · 2021: 21 · 2020: 22 · 2019: 15 · 2018: 14 · 2017: 26 · 2016: 23 · 2015: 24 · 2014: 15 · 2013: 14 · 2012: 12
FWCI: 2.11
Type: journal article
Language: en
Open access: green
www.ncbi.nlm.nih.gov
Licence: www.elsevier.com/tdm/userlicense/1.0/ (tdm)
www.elsevier.com/legal/tdmrep-license (tdm)
Locations: Clinical Psychology Review (publishedVersion)
PubMed (publishedVersion)
PubMed Central (acceptedVersion)
Funders: U.S. Department of Veterans Affairs
Health Services Research and Development
National Institute of Mental Health (K24MH074468, MH074468)
National Institute of Diabetes and Digestive and Kidney Diseases (K24DK093699)
Topics: Social Sciences › Psychology › Clinical Psychology › Posttraumatic Stress Disorder Research
Social Sciences › Psychology › Clinical Psychology › Migration, Health and Trauma
Social Sciences › Psychology › Clinical Psychology › Child Abuse and Trauma
Keywords: post-traumatic stress disorder, trauma exposure, severe mental illness, schizophrenia spectrum disorders, mood disorders, PTSD prevalence, healthcare burden, PTSD treatment, clinical course, racial and ethnic diversity, public mental health services
MeSH terms: Adult, Humans, Life Change Events, Schizophrenia, Stress Disorders, Post-Traumatic, Comorbidity, Prevalence, Mood Disorders

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Trauma exposure and posttraumatic stress disorder in adults with severe mental illness: a critical review.

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