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Posttraumatic stress disorder comorbidity and clinical implications in patients with severe mental illness.

Abstract

Traumatic experiences and posttraumatic stress disorder (PTSD) are more frequent in patients with serious mental illness than in the general population. This study included 102 patients with schizophrenia, bipolar disorder, and schizoaffective disorder, according to Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition (DSM-IV) criteria. Epidemiological and clinical data were collected using the Brief Psychiatric Rating Scale and Traumatic Life Events and Distressing Event questionnaires. We found a high number of traumatic experiences, and 15.1% of the patients met all criteria for PTSD. We found no differences based on diagnosis or sex, although there was a nonsignificant trend toward greater PTSD comorbidity in women. Among patients with serious mental illness and PTSD, 64.3% had made some attempt at suicide at some point in life, compared with 37.4% of patients without PTSD.

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  • Publisher Full Text
  • Authors

    Álvarez MJ, Roura P, Foguet Q, Osés A, Solà J, Arrufat FX

    Institution

    Mental Health Department, Vic Hospital Consortium, Catalonia, Spain.

    Source

    The Journal of nervous and mental disease 200:6 2012 Jun pg 549-52

    MeSH

    Adult
    Bipolar Disorder
    Brief Psychiatric Rating Scale
    Comorbidity
    Cross-Sectional Studies
    Diagnosis, Differential
    Female
    Humans
    Male
    Middle Aged
    Psychotic Disorders
    Risk Factors
    Schizophrenia
    Stress Disorders, Post-Traumatic
    Suicide, Attempted
    United States

    Pub Type(s)

    Journal Article

    Language

    eng

    PubMed ID

    22833878