Does a study focused on trauma encourage patients with psychotic symptoms to seek treatment?
Psychiatr Serv
; 63(4): 386-9, 2012 Apr.
Article
en En
| MEDLINE
| ID: mdl-22476306
ABSTRACT
OBJECTIVE:
This study explored, in a randomized trial of psychotherapies for posttraumatic stress disorder (PTSD), why a surprisingly high percentage of study applicants presented with psychotic symptoms and what clinical implications this finding might prompt.METHODS:
Raters reviewed the records of applicants who completed an initial psychiatric interview and compared those who had psychotic symptoms with all other study-eligible participants and with those who ultimately were enrolled in the study.RESULTS:
Of 223 consecutively evaluated individuals who applied for study entry, 38 (17%) were found ineligible because of psychotic symptoms. These individuals were more likely to be male and to have suffered child abuse, and they had taken a greater number of lifetime medications than study-eligible applicants. Most individuals with psychotic symptoms met DSM-IV criteria for PTSD.CONCLUSIONS:
A trauma-informed framework might be a helpful part of a comprehensive treatment plan for some individuals with psychotic symptoms, possibly leading to greater treatment engagement and more positive outcomes.
Texto completo:
1
Colección:
01-internacional
Banco de datos:
MEDLINE
Asunto principal:
Trastornos Psicóticos
/
Trastornos por Estrés Postraumático
/
Aceptación de la Atención de Salud
/
Sujetos de Investigación
Tipo de estudio:
Diagnostic_studies
/
Observational_studies
/
Qualitative_research
/
Risk_factors_studies
Límite:
Adult
/
Child
/
Female
/
Humans
/
Male
Idioma:
En
Revista:
Psychiatr Serv
Asunto de la revista:
PSIQUIATRIA
Año:
2012
Tipo del documento:
Article
País de afiliación:
Estados Unidos