title: Trauma exposure and posttraumatic stress disorder in psychosis: findings from a first-admission cohort.
abstract: This study examined the lifetime prevalence of trauma exposure and posttraumatic stress disorder (PTSD) and their demographic, diagnostic, and trauma-related correlates in a clinical cohort of 426 patients with a first psychiatric admission for psychosis. The prevalence of trauma exposure was 68.5%. Female gender and substance abuse were risk factors for trauma exposure. The prevalence of PTSD was 14.3% in the full sample and 26.5% in those with trauma exposure. PTSD was less prevalent in patients with bipolar disorder and schizophrenia and was twice as common in women. Other significant risk factors were younger age and trauma exposure that was repeated and ongoing or that involved childhood victimization. The findings highlight the importance of systematically ascertaining trauma histories in patients with psychotic disorders.
authors.affiliation: Department of Psychiatry and Behavioral Science, State University of New York at Stony Brook, USA. NY126@columbia.edu
authors.forename: Yuval
authors.initials: Y
authors.lastname: Neria
authors.forename: Evelyn J
authors.initials: EJ
authors.lastname: Bromet
authors.forename: Sylvia
authors.initials: S
authors.lastname: Sievers
authors.forename: Janet
authors.initials: J
authors.lastname: Lavelle
authors.forename: Laura J
authors.initials: LJ
authors.lastname: Fochtmann
mesh_terms: D000328:Adult; D015331:Cohort Studies; D005260:Female; D006760:Hospitalization; D006801:Humans; D008297:Male; D011618:Psychotic Disorders / Q000150:complications* / Q000534:rehabilitation; D012307:Risk Factors; D013313:Stress Disorders, Post-Traumatic / Q000150:complications*