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Posttraumatic Stress Disorder Symptoms Related to Psychosis and Acute Involuntary Hospitalization in Schizophrenic and Delusional Patients
Abstract
The aims of this study were: a) to assess the prevalence of posttraumatic stress disorder (PTSD) after an acute psychotic episode in schizophrenic and delusional patients, b) to explore which psychotic symptoms and aspects of treatment were associated with traumatization, and c) to compare the extent of the traumatic impact of psychosis and involuntary hospitalization. Forty-six schizophrenic and delusional patients were assessed with the Positive and Negative Syndrome Scale (PANSS), the Impact of Event Scale-Revised (IES-R), and the Clinician-Administered PTSD Scale (CAPS) at weeks 1 and 8 after acute psychiatric admission. Traumatic symptoms related to psychosis and coercive measures were scored separately. The prevalence of PTSD was found to be 11%. Sixty-nine percent of traumatic symptoms were related to psychosis and 24% to hospitalization. High PANSS score at week 8 was the strongest risk factor for the development of PTSD. Particularly positive and depressive/anxious symptomatology were associated with psychosis-related traumatic symptoms at both weeks 1 and 8. These data suggest that, in general, schizophrenic and delusional symptoms are more traumatic than the coercive measures used to control them.
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PTSD symptoms were relatively common in people who had experienced any psychiatric admission, with a prevalence range of 8.2% to 51%.
“PTSD symptoms were relatively common in people who had experienced any psychiatric admission (prevalence range: 8.2% to 51%), but there was no increase among those admitted on an involuntary basis (51–54).”
From The benefits and harms of inpatient involuntary psychiatric treatment: a scoping review (2025) · cites this paper as [54]
There was no increase in PTSD among those admitted on an involuntary basis.
“PTSD symptoms were relatively common in people who had experienced any psychiatric admission (prevalence range: 8.2% to 51%), but there was no increase among those admitted on an involuntary basis (51–54).”
From The benefits and harms of inpatient involuntary psychiatric treatment: a scoping review (2025) · cites this paper as [54]
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The benefits and harms of inpatient involuntary psychiatric treatment: a scoping review
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“PTSD symptoms were relatively common in people who had experienced any psychiatric admission (prevalence range: 8.2% to 51%), but there was no increase among those admitted on an involuntary basis (51 – 54).”
InfluentialPsychiatric admission as a risk factor for posttraumatic stress disorder
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Metadata
- Authors
- MEYER, H., TAIMINEN, T., VUORI, T., ÄIJÄLÄ, A., & HELENIUS, H.
- Affiliations
- Åbo Akademi University (FI)
- University of Turku (FI)
- Venue
- The Journal of Nervous & Mental Disease
- Published
- 1999-06
- Volume
- 187
- Issue
- 6
- Pages
- 343-352
- ISSN
- 0022-3018 (ISSN-L)
- OpenAlex
- W1964040992
- Cited by
- 131
- References
- 30
- Citations by year
- 2025: 2 · 2024: 1 · 2023: 2 · 2022: 1 · 2021: 1 · 2020: 6 · 2019: 5 · 2018: 3 · 2017: 2 · 2016: 3 · 2015: 4 · 2014: 3 · 2013: 8 · 2012: 7
- FWCI
- 5.44
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- The Journal of Nervous and Mental Disease (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Posttraumatic Stress Disorder Research
- Health Sciences › Medicine › Psychiatry and Mental health › Schizophrenia research and treatment
- Health Sciences › Medicine › Psychiatry and Mental health › Electroconvulsive Therapy Studies
- Keywords
- post-traumatic stress disorder, psychosis, schizophrenia, delusional disorder, involuntary admission, trauma symptoms, PANSS, Impact of Event Scale-Revised, Clinician-Administered PTSD Scale, risk factors
- MeSH terms
- Adult, Age Factors, Coercion, Commitment of Persons with Psychiatric Disorders, Commitment of Mentally Ill, Delusions, Female, Hospitalization, Hospitals, Psychiatric, Humans, Life Change Events, Male, Middle Aged, Psychiatric Status Rating Scales, Psychotic Disorders, Risk Factors, Schizophrenia, Schizophrenic Psychology, Sex Factors, Stress Disorders, Post-Traumatic, Comorbidity, Prevalence
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