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Cited by 40Posttraumatic Stress Disorder ResearchSchizophrenia research and treatmentPsychiatric care and mental health services

Predictors of PTSD Symptoms in Response to Psychosis and Psychiatric Admission

Beattie, Nicola, Shannon, Ciaran, Kavanagh, Michele, Mulholland, Ciaran·2009·Journal of Nervous & Mental Disease
DOI 10.1097/nmd.0b013e31819273a8
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Abstract

The experiences of psychosis and psychiatric admission have the potential to act as events precipitating posttraumatic stress disorder (PTSD) symptoms. Known risk factors for the development of PTSD symptoms in adults were identified. These included childhood trauma, current psychiatric symptoms, perceived coercion, and relationships with mental health service providers. These factors were analyzed to determine if they were important in the development of PTSD symptoms in response to psychosis and admission. We used a cross-sectional design with a sample of 47 participants recruited from a service in Northern Ireland who had experienced psychosis and been discharged from inpatient treatment within 12 months of data collection. The main outcome measure was the impact of events scale-revised. Data was subject to correlation analyses. A cut-off point of r = +/- 0.25 was used to select variables for inclusion in hierarchical regression analyses. Forty-five percent and 31% of the sample had moderate to severe PTSD symptoms related to psychosis and admission, respectively. The majority of participants identified positive symptoms and the first admission as the most distressing aspects of psychosis and admission. Childhood sexual and physical traumas were significant predictors of some PTSD symptoms. Strong association was found between current affective symptoms and PTSD symptoms. A reduced sense of availability of mental health service providers was also associated with PTSD symptoms and depression. Awareness of risk factors for the development of PTSD symptoms in response to admission and psychosis raises important issues for services and has implications for interventions provided.

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  • 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 [52]

  • 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 [52]

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Authors
Beattie, N., Shannon, C., Kavanagh, M., & Mulholland, C.
Affiliations
Queen's University Belfast (GB)
Corresponding author
  • Beattie, Nicola
  • Kavanagh, Michele
ORCID
Mulholland, Ciaran
Venue
Journal of Nervous & Mental Disease
Publisher
Ovid Technologies (Wolters Kluwer Health)
Published
2009-01
Volume
197
Issue
1
Pages
56-60
ISSN
0022-3018 (ISSN-L)
DOI
10.1097/nmd.0b013e31819273a8
OpenAlex
W1971171253
Cited by
40
References
31
Citations by year
2026: 1 · 2024: 1 · 2023: 1 · 2021: 3 · 2020: 4 · 2019: 2 · 2017: 3 · 2016: 2 · 2014: 4 · 2013: 9 · 2012: 3
FWCI
3.17
Type
journal article
Language
en
Open access
closed
Locations
  • The Journal of Nervous and Mental Disease (publishedVersion)
  • PubMed (publishedVersion)
  • Research Portal (Queen's University Belfast) (submittedVersion)
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 › Psychiatric care and mental health services
Keywords
post-traumatic stress disorder, psychosis, psychiatric hospital admissions, psychiatric inpatient care, childhood trauma, child sexual abuse, child physical abuse, affective symptoms, perceived coercion, mental health service providers, depression, risk factors, Impact of Event Scale-Revised
MeSH terms
Adult, Child, Child Abuse, Sexual, Coercion, Cross-Sectional Studies, Depression, Female, Health Services Accessibility, Hospitalization, Humans, Male, Mental Health Services, Middle Aged, Psychotic Disorders, Regression Analysis, Risk Factors, Stress Disorders, Post-Traumatic, Wounds and Injuries, Prevalence, Mood Disorders

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