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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
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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