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Protective Factors Associated With Post-traumatic Outcomes in Individuals With Experiences of Psychosis

Bibliographic Data

ID15525825
AuthorsCarolina Campodonico (0000-0002-7054-1107, Manchester Academic Health Science Centre, corresponding author), Keith Berry (0000-0002-7399-5462, Manchester Academic Health Science Centre), Katherine Berry (0000-0001-5422-5115), Gillian Haddock (0000-0001-5293-2772, University of Manchester), Filippo Varese (0000-0001-7244-598X, Manchester Academic Health Science Centre)
Year2021
Volume12
Pages735870-735870
Publication date2021-11-29
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueFrontiers in Psychiatry (JOURNAL)
Journal identifiersISSN: 1664-0640 • E-ISSN: 1664-0640
PublisherFrontiers Media (PUBLISHER • CH)
DOI10.3389/fpsyt.2021.735870
PMID34912247
OpenAlexW3216162544
LanguageEN
Citations received8
References cited80

Trauma and trauma-specific mental health difficulties (e.g., post-traumatic stress disorder) are highly prevalent in people with psychosis. However, not everyone develops post-traumatic symptoms, and some people even experience post-traumatic growth (PTG) following trauma. It is important to identify which protective factors are associated with less severe trauma symptoms and/or positive outcomes to inform the development and implementation of interventions fostering these variables. Eighty-five patients with experiences of psychosis took part in a cross-sectional study. They were administered questionnaires measuring exposure to traumatic events, symptoms of PTSD and complex PTSD and potential protective factors assumed to be associated with lower vulnerability for post-traumatic symptoms and higher post-traumatic growth (trait resilience, secure attachment, social support, adaptive coping, optimism, general self-efficacy). Multiple hierarchical regression showed that some of these protective factors, in particular optimism, were associated with lower post-traumatic symptoms, explaining 21% of the variance in complex PTSD symptoms and 16% of the variance in PTSD symptoms. However, the hypothesized protective factors, in particular resilience and adaptive coping, explained a considerably larger proportion of variance in PTG (44%). Our results suggest that whilst these variables provide only moderate protection from the vulnerability to experience post-traumatic stress, they may play an important role in allowing people to find meaning despite multiple traumas and subsequently lead more fulfilling lives. Therapies targeting the emotional and psychological consequences of trauma in people with psychosis might benefit from the integration of intervention strategies to enhance these additional psychological protective factors, which in turn may lead to positive treatment outcomes beyond the mere reduction of post-traumatic stress symptoms

Coping (psychology · Mental health · Optimism · Protective factor · Psychiatry · Psychological intervention · Psychological resilience · Psychosis · Psychotherapist · Social support · Traumatic stress · Vulnerability (computing · Child Abuse and Trauma · Clinical Psychology · Medicine · Posttraumatic Stress Disorder Research · Psychiatric care and mental health services · Psychology

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Unique citing works8
Citations per year2
Citation span2022 - 2026 (5)
Citation velocitycurrent
Highly citedNo
Citation typesNeutral: 8

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