Article1998

Trauma and posttraumatic stress disorder in severe mental illness.

Kim T. Mueser · Lisa B. Goodman · Susan L. Trumbetta · Stanley D. Rosenberg · Fred C. Osher · Robert M. Vidaver +2 more

790 citations0/0 files storedJournal of Consulting and Clinical Psychology

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Posttraumatic Stress Disorder Research Psychoanalysis and Psychopathology Research Child Abuse and Trauma

Abstract

This research assessed the lifetime prevalence of traumatic events and current posttraumatic stress disorder (PTSD) in 275 patients with severe mental illness (e.g., schizophrenia and bipolar disorder) receiving public mental health services in Concord and Manchester, New Hampshire, and Baltimore, Maryland. Lifetime exposure to traumatic events was high, with 98% of the sample reporting exposure to at least 1 traumatic event. The rate of PTSD in our sample was 43%, but only 3 of 119 patients with PTSD (2%) had this diagnosis in their charts. PTSD was predicted most strongly by the number of different types of trauma, followed by childhood sexual abuse. The findings suggest that PTSD is a common comorbid disorder in severe mental illness that is frequently overlooked in mental health settings.

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References

2013Diagnostic and Statistical Manual of Mental Disorders 1995Posttraumatic Stress Disorder in the National Comorbidity Survey 1981Diagnostic and Statistical Manual of Mental Disorders, 3rd ed 1988Diagnostic and Statistical Manual of Mental Disorders (3rd ed. rev.) Diagnostic and Statistical Manual of Mental Disorders (3rd ed. rev.) American Psychiatric Association (1987). American Psychiatric Press, Inc., 1400 K Street, NW, Washington, DC 20005. 567 pp., $39.95 hardcover; $29.95 softcover.1996Psychometric properties of the PTSD checklist (PCL)1991Traumatic Events and Posttraumatic Stress Disorder in an Urban Population of Young Adults 1978Child abuse and neglect: The myth of classlessness.1992The Journal of Neuropsychiatry and Clinical Neurosciences

Cited by

2004Posttraumatic Stress Disorder and Trauma in Youth in Juvenile Detention 2001Assertive Community Treatment for People with Severe Mental Illness 2005Crime Victimization in Adults With Severe Mental Illness 2006Environment and Schizophrenia: Environmental Factors in Schizophrenia: Childhood Trauma--A Critical Review 2004Psychosis, victimisation and childhood disadvantage

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