The trauma of psychosis: Posttraumatic stress disorder and recent onset psychosis
Abstract
Clinical investigators have argued that the experience of a recent onset of psychosis is an event of such severity that it can lead to posttraumatic stress disorder (PTSD), or at least to PTSD symptoms. The traumagenic elements of the psychotic experience may relate to the distressing nature of psychotic symptoms, components of treatment, or both. However, this hypotheses has not been fully empirically evaluated. In particular, the importance of the DSM-IV A1 (perception of threat) and A2 (negative emotion at time of event) criteria for a traumatic event due to a psychotic episode has not been assessed. To address this question, 38 clients in treatment for recent onset of psychosis were interviewed to identify distressing experiences related to the episode, with PTSD assessed (including A1/A2 criteria) related to those events. More than one-half of the participants reported intense distress related to psychotic symptoms or treatment experiences, with 66% meeting symptom criteria for the PTSD syndrome (regardless of A1/A2), and 39% meeting full diagnostic criteria for PTSD (including A1/A2). Both participants with the PTSD syndrome and full PTSD reported more problems in daily functioning and more severe symptoms than those without PTSD. Participants with the PTSD syndrome were also more likely to have an integrative rather than sealing over coping style compared to those without the PTSD syndrome. The results suggest that individuals with PTSD symptoms related to a recent onset of psychosis may benefit from intervention designed to help them integrate their experience into their lives and address potentially stigmatizing beliefs that could contribute to distress and impaired functioning.
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Psychosis itself can function as an adverse event for individuals with psychotic disorders.
“several studies have suggested that psychosis itself can function as an AE for individuals with PDs [5–8], resulting in similarly poor outcomes.”
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“In addition, several studies have suggested that psychosis itself can function as an AE for individuals with PDs [5–8], resulting in similarly poor outcomes.”
Background
- Authors
- Mueser, K. T., Lu, W., Rosenberg, S. D., & Wolfe, R.
- Affiliations
- Dartmouth College (US)
- University of Medicine and Dentistry of New Jersey (US)
- Venue
- Schizophrenia Research
- Publisher
- Elsevier BV
- Published
- 2010-02
- Volume
- 116
- Issue
- 2-3
- Pages
- 217-227
- ISSN
- 0920-9964 (ISSN-L)
- OpenAlex
- W2036592505
- Cited by
- 146
- References
- 75
- Citations by year
- 2026: 4 · 2025: 6 · 2024: 8 · 2023: 6 · 2022: 5 · 2021: 14 · 2020: 5 · 2019: 10 · 2018: 10 · 2017: 8 · 2016: 13 · 2015: 14 · 2014: 12 · 2013: 8 · 2012: 9
- FWCI
- 8.12
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Schizophrenia Research (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Dartmouth College
- 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, recent-onset psychosis
- MeSH terms
- Adaptation, Psychological, Adolescent, Adult, Female, Humans, Life Change Events, Male, Psychiatric Status Rating Scales, Psychotic Disorders, Severity of Illness Index, Stress Disorders, Post-Traumatic, Chi-Square Distribution, Age of Onset, Young Adult
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