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Prevalence of interpersonal trauma exposure and trauma-related disorders in severe mental illness
Open accessAbstract
BACKGROUND: Interpersonal trauma exposure and trauma-related disorders in people with severe mental illness (SMI) are often not recognized in clinical practice. OBJECTIVE: To substantiate the prevalence of interpersonal trauma exposure and trauma-related disorders in people with SMI. METHODS: We conducted a systematic review of four databases (1980-2010) and then described and analysed 33 studies in terms of primary diagnosis and instruments used to measure trauma exposure and trauma-related disorders. RESULTS: Population-weighted mean prevalence rates in SMI were physical abuse 47% (range 25-72%), sexual abuse 37% (range 24-49%), and posttraumatic stress disorder (PTSD) 30% (range 20-47%). Compared to men, women showed a higher prevalence of sexual abuse in schizophrenia spectrum disorder, bipolar disorder, and mixed diagnosis groups labelled as having SMI. CONCLUSIONS: Prevalence rates of interpersonal trauma and trauma-related disorders were significantly higher in SMI than in the general population. Emotional abuse and neglect, physical neglect, complex PTSD, and dissociative disorders have been scarcely examined in SMI.
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“People in contact with mental health services who have experienced childhood trauma have longer and more frequent hospital admissions, are prescribed more medication, and are more likely to self- harm and attempt suicide (Kessler et al., 2010 ;”
From A qualitative synthesis of patients' experiences of re-traumatization in acute mental health inpatient settings (2023) · cites this paper as Mauritz et al., 2013
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“individuals with mental disorders are more prone to traumatic experiences (Mauritz et al., 2013)”
From Predictive coding in neuropsychiatric disorders: a systematic transdiagnostic review. (2025) · cites this paper as Mauritz et al., 2013
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“Rates of trauma exposure are higher amongst people accessing mental health services, with estimates suggesting that roughly half have experienced physical abuse, whilst over a third have experienced sexual abuse [24].”
From Interventions to address empathy-based stress in mental health workers: A scoping review and research agenda (2024) · cites this paper as [24]
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“They are at higher risk of developing post-traumatic stress disorder (PTSD) than people in the general population (4)”
From Making meaning of trauma in psychosis (2023) · cites this paper as [4]
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“People in contact with mental health services who have experienced childhood trauma have longer and more frequent hospital admissions, are prescribed more medication, and are more likely to self- harm and attempt suicide (Kessler et al., 2010 ;”
From A qualitative synthesis of patients' experiences of re-traumatization in acute mental health inpatient settings (2023) · cites this paper as Mauritz et al., 2013
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“People in contact with mental health services who have experienced childhood trauma have longer and more frequent hospital admissions, are prescribed more medication, and are more likely to self- harm and attempt suicide (Kessler et al., 2010 ;”
From A qualitative synthesis of patients' experiences of re-traumatization in acute mental health inpatient settings (2023) · cites this paper as Mauritz et al., 2013
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Metadata
- Authors
- Mauritz, M. W., Goossens, P. J. J., Draijer, N., & van Achterberg, T.
- Affiliations
- Radboud University Medical Center (NL)
- Saxion (NL)
- Amsterdam UMC Location Vrije Universiteit Amsterdam (NL)
- Scientific Institute for Quality of Healthcare, Radboud University Nijmegen Medical Centre, Nijmegen, The Netherlands
- Corresponding author
- Mauritz, Maria W.
- Venue
- European Journal of Psychotraumatology
- Publisher
- Informa UK Limited
- Published
- 2013-04-08
- Volume
- 4
- Issue
- 1
- ISSN
- 2000-8066 (ISSN-L)
- PMC
- PMC3621904
- OpenAlex
- W2117768694
- Cited by
- 293
- References
- 78
- Citations by year
- 2026: 22 · 2025: 40 · 2024: 31 · 2023: 29 · 2022: 42 · 2021: 37 · 2020: 26 · 2019: 19 · 2018: 20 · 2017: 7 · 2016: 9 · 2015: 9 · 2014: 2
- FWCI
- 7.41
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- European Journal of Psychotraumatology (publishedVersion, cc-by-nc)
- Europe PMC (PubMed Central) (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- Amsterdam UMC (VU Amsterdam) - Institutional Repository (publishedVersion)
- Lirias (KU Leuven) (submittedVersion, other-oa)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Pure Amsterdam UMC (submittedVersion)
- Radboud Repository (Radboud University) (submittedVersion)
- Radboud Repository (Radboud University) (submittedVersion, other-oa)
- Data Archiving and Networked Services (DANS) (submittedVersion, other-oa)
- Data Archiving and Networked Services (DANS) (submittedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Child Abuse and Trauma
- Social Sciences › Psychology › Clinical Psychology › Posttraumatic Stress Disorder Research
- Social Sciences › Psychology › Clinical Psychology › Psychoanalysis and Psychopathology Research
- Keywords
- trauma-related disorders, severe mental illness, post-traumatic stress disorder, physical abuse, sexual abuse, complex PTSD, dissociative disorders, schizophrenia spectrum disorders, bipolar disorder, prevalence, sex differences
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