PTSD symptoms associated with the experiences of psychosis and hospitalisation: a review of the literature.
Abstract
There is evidence of high rates of PTSD in people with psychosis, but the influence that symptoms or hospitalisation have on PTSD in individuals with psychosis is less clear. This paper reviewed studies investigating the prevalence of PTSD induced as a result of the experience of psychosis and hospitalisation and factors that might influence its development. The review included 24 studies, published between 1980 and 2011. Studies showed high levels of PTSD resulting from the trauma of symptoms and/or hospitalisation, with prevalence rates for actual PTSD resulting from these traumas varying from 11% to 67%. In line with studies of PTSD related to other traumatic events, there were inconsistent associations between PTSD and severity of positive and negative symptoms, but there were consistent associations between affective symptoms and PTSD. There were also inconsistent associations between hospital experiences and PTSD. Consistent with the general PTSD literature, there was some evidence that psychosis-related PTSD was associated with trauma history. There was also some emerging evidence that psychological variables, such as appraisals and coping style may influence psychosis-related PTSD. The review highlights the need for further research into psychological mechanisms that could increase vulnerability to psychosis-related PTSD and treatment approaches.
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Many narrators in the study described psychiatric admissions as traumatic.
“In correspondence with previous studies (15, 16, 31), many narrators in our study described psychiatric admissions as traumatic.”
From Making meaning of trauma in psychosis (2023) · cites this paper as [15]
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- Authors
- Berry, K., Ford, S., Jellicoe-Jones, L., & Haddock, G.
- Affiliations
- University of Manchester (GB)
- Corresponding author
- Berry, Katherine
- Venue
- Clinical Psychology Review
- Publisher
- Elsevier BV
- Published
- 2013-06
- Volume
- 33
- Issue
- 4
- Pages
- 526-538
- ISSN
- 0272-7358 (ISSN-L)
- OpenAlex
- W2038027854
- Cited by
- 128
- References
- 78
- Citations by year
- 2026: 6 · 2025: 12 · 2024: 13 · 2023: 9 · 2022: 8 · 2021: 15 · 2020: 13 · 2019: 8 · 2018: 10 · 2017: 12 · 2016: 7 · 2015: 7 · 2014: 8
- FWCI
- 1.07
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Clinical Psychology Review (publishedVersion)
- PubMed (publishedVersion)
- Research Explorer (The University of Manchester) (publishedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Posttraumatic Stress Disorder Research
- Health Sciences › Medicine › Psychiatry and Mental health › Schizophrenia research and treatment
- Social Sciences › Psychology › Clinical Psychology › Psychoanalysis and Psychopathology Research
- Keywords
- post-traumatic stress disorder, psychosis, hospitalization, trauma, PTSD prevalence, positive and negative symptoms, affective symptoms, trauma history, coping styles
- MeSH terms
- Adaptation, Psychological, Hospitalization, Humans, Psychotic Disorders, Risk Factors, Stress Disorders, Post-Traumatic, Incidence
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