Open AccessPrevalence and correlates of PTSD in first episode psychosis: Findings from the RAISE-ETP study.
Author(s) -
Nicole R. DeTore,
Jennifer D. Gottlieb,
Kim T. Mueser
Publication year - 2021
Publication title -
psychological services
Language(s) - English
Resource type - Journals
eISSN - 1939-148X
pISSN - 1541-1559
DOI - 10.1037/ser0000380
Subject(s) - psycinfo , psychiatry , clinical psychology , psychology , mental health , psychosis , schizophrenia (object oriented programming) , depression (economics) , sexual abuse , poison control , injury prevention , medicine , medline , environmental health , political science , law , economics , macroeconomics
Posttraumatic stress disorder (PTSD) in young individuals is associated with an increased risk to develop psychosis or mania, and both trauma and PTSD rates are elevated in people with schizophrenia and other severe mental illnesses. However, less research has examined PTSD in people who have recently developed a first episode of psychosis (FEP). The present study is a secondary analysis of the baseline data collected for the National Institute of Mental Health Recovery After an Initial Schizophrenia Episode-Early Treatment Program (RAISE-ETP) study to examine the rates of trauma and PTSD, and to explore the demographic and clinical correlates of PTSD in a representative sample of 404 persons with an FEP. Approximately 80% of the study sample reported experiencing at least one traumatic event during their lives, with females more likely to report childhood sexual abuse and spousal abuse than males. A total of 20 participants (5.0%) met criteria for a lifetime diagnosis of PTSD, while another 15 participants (3.7%) met subthreshold diagnostic criteria for PTSD. Significant correlations were found between lifetime PTSD and the Calgary Depression Scale, the Mental Health Recovery Measure, the Stigma Scale, and duration of untreated psychosis, with higher scores on each variable associated with a diagnosis of PTSD. The association between PTSD and more severe depression, as well as lower perceptions of personal recovery, suggest that PTSD may be an important target for treatment programs for persons recovering from an FEP. (PsycInfo Database Record (c) 2021 APA, all rights reserved).