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Causes of Posttraumatic Stress Disorder in Psychotic Patients
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The recognition of posttraumatic stress disorder (PTSD) within psychosis
has been suggested to be important; it may avoid inappropriate use of antipsychotic
medication, clarify professional understanding, and stimulate the design,
implementation, and evaluation of more effective interventions for psychosis1, 2; it may also have a beneficial
effect on a wide range of problems, including depression, anxiety, substance
abuse, and suicide among people with psychosis.3
Despite these important clinical implications, there is little research into
the occurrence of PTSD within psychosis. To date, there are only 2 empirical
investigations of PTSD within acute psychosis.2, 3
One of these found that 52% of their sample (n = 45) qualified for the DSM-III-R diagnosis of PTSD while in the hospital.2 Of the sample (n = 36) in the other study, 46%
and 35% qualified for a DSM-III diagnosis of PTSD
at 4 and 11 months, respectively, after discharge from the hospital.3 These studies implicated . . . [Full Text of this Article]
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