The phenomenology of traumatic reactions to psychotic illness.

Publisher: Lippincott Williams & Wilkins Country of Publication: United States NLM ID: 0375402 Publication Model: Print Cited Medium: Print ISSN: 0022-3018 (Print) Linking ISSN: 00223018 NLM ISO Abbreviation: J Nerv Ment Dis Subsets: MEDLINE

Publication: Hagerstown, MD : Lippincott Williams & Wilkins
Original Publication: Baltimore [etc.]

Attitude to Health*; Psychotic Disorders/*psychology ; Stress Disorders, Post-Traumatic/*psychology; Adaptation, Psychological ; Adolescent ; Adult ; Aged ; Anxiety/psychology ; Comorbidity ; Delusions/epidemiology ; Delusions/psychology ; Family Health ; Female ; Hallucinations/epidemiology ; Hallucinations/psychology ; Hospitalization ; Humans ; Incidence ; Male ; Middle Aged ; Prevalence ; Psychiatric Status Rating Scales ; Psychotic Disorders/complications ; Psychotic Disorders/epidemiology ; Schizophrenia/diagnosis ; Schizophrenia/epidemiology ; Schizophrenic Psychology ; Stress Disorders, Post-Traumatic/epidemiology ; Stress Disorders, Post-Traumatic/etiology ; Surveys and Questionnaires ; Visual Perception

This study investigated whether a psychotic illness was associated with posttraumatic stress disorder (PTSD) symptomatology in 45 subjects recovering from hospitalization for a psychotic episode. Previous studies have suggested that the experience of psychosis and hospitalization is distressing and that PTSD may be a useful paradigm for the psychological response. Subjects were given questionnaires to evaluate PTSD symptoms, anxiety symptoms, and distress and intrusive memories associated with aspects of treatment and psychosis. Treatment, especially experiences involving a loss of control such as detention, and psychotic symptoms, particularly persecutory delusions, passivity phenomena, and visual hallucinations, were perceived as highly distressing. Twenty-two subjects (52%) met the criteria for a postpsychotic PTSD, with implications for recognition and management of secondary morbidity related to psychosis.

Date Created: 19970701 Date Completed: 19970806 Latest Revision: 20190724

20231215

10.1097/00005053-199707000-00003

9240361