PMID- 32341762
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20231113
IS  - 2000-8066 (Print)
IS  - 2000-8066 (Electronic)
IS  - 2000-8066 (Linking)
VI  - 11
IP  - 1
DP  - 2020
TI  - Traumatic loss and psychosis - reconceptualising the role of trauma in psychosis.
PG  - 1725322
LID - 10.1080/20008198.2020.1725322 [doi]
LID - 1725322
AB  - Literature suggests that the occurrence of psychological trauma (PT) from various 
      negative life experiences beyond events mentioned in the DSM-criterion A, 
      receives little to no attention when comorbid with psychosis. In fact, despite 
      research indicating the intricate interplay between PT and psychosis, and the 
      need for trauma-focused interventions (TFI), there continue to be mixed views on 
      whether treating PT would worsen psychosis, with many practitioners hesitating to 
      initiate treatment for this reason. This study, therefore, aimed to understand 
      patient perspectives on the role of PT in psychosis and related treatment 
      options. A qualitative exploratory approach was adopted using in-depth interviews 
      with individuals experiencing psychosis. The Global Assessment of Functioning 
      (GAF) scale was administered on a predetermined maximum variation sample 
      resulting in two groups of participants- those with moderate-mild disability (GAF 
      54-80; n = 10) and those experiencing moderate-severe disability (GAF 41-57; n = 
      10). With the former group, a semi-structured interview schedule was used, while 
      with the latter, owing to multiple symptoms and difficulty in cognitive 
      processing, a structured interview schedule was used. Results from interpretative 
      phenomenological analysis (IPA) indicated that traumatic loss was central to 
      experienced PT, but received no attention; this often contributed to the 
      psychotic experience and/or depression, through maintenance factors such as 
      cognitive distortions and attenuated affective responses. Further, the experience 
      of loss seems to be more consequential to trauma-related symptoms than the event 
      itself. Participants opined strongly the need for TFI and the role of it in 
      promoting recovery from psychosis.
CI  - (c) 2020 The Author(s). Published by Informa UK Limited, trading as Taylor & 
      Francis Group.
FAU - Vallath, S
AU  - Vallath S
AUID- ORCID: 0000-0002-6272-2848
AD  - Department of Psychology, The Banyan, Chennai, India.
AD  - The Banyan Academy of Leadership in Mental Health (BALM), Centre for Social 
      Action and Research, Kanchipuram, India.
AD  - Faculty of Science, Athena Institute for Research on Innovation and Communication 
      in the Health & Life Sciences, Vrije Universiteit, Amsterdam, Netherlands.
FAU - Ravikanth, L
AU  - Ravikanth L
AD  - The Banyan Academy of Leadership in Mental Health (BALM), Centre for Social 
      Action and Research, Kanchipuram, India.
FAU - Regeer, B
AU  - Regeer B
AD  - Faculty of Science, Athena Institute for Research on Innovation and Communication 
      in the Health & Life Sciences, Vrije Universiteit, Amsterdam, Netherlands.
FAU - Borba, P C
AU  - Borba PC
AUID- ORCID: 0000-0003-3559-9351
AD  - Department of Psychiatry, Boston School of Medicine, MA, USA.
FAU - Henderson, D C
AU  - Henderson DC
AUID- ORCID: 0000-0001-8755-4505
AD  - Department of Psychiatry, Boston School of Medicine, MA, USA.
FAU - Scholte, W F
AU  - Scholte WF
AD  - Department of Psychiatry, Amsterdam UMC, University of Amsterdam, Amsterdam, 
      Netherlands.
AD  - ARQ National Psychotrauma Centre, Diemen, Netherlands.
LA  - eng
GR  - K01 MH100428/MH/NIMH NIH HHS/United States
PT  - Journal Article
DEP - 20200326
PL  - United States
TA  - Eur J Psychotraumatol
JT  - European journal of psychotraumatology
JID - 101559025
PMC - PMC7170325
OTO - NOTNLM
OT  - Negative life experiences
OT  - homelessness
OT  - schizophrenia
OT  - trauma-focused interventions
OT  - traumatic loss
OT  - * Events are less consequential, loss experienced has more impact.
OT  - * Therapy for traumatic loss is key to recovery and safe in psychosis.
OT  - * "Traumatic loss" interplays with trauma related symptoms and psychosis.
EDAT- 2020/04/29 06:00
MHDA- 2020/04/29 06:01
PMCR- 2020/03/26
CRDT- 2020/04/29 06:00
PHST- 2019/04/29 00:00 [received]
PHST- 2020/01/10 00:00 [revised]
PHST- 2020/01/14 00:00 [accepted]
PHST- 2020/04/29 06:00 [entrez]
PHST- 2020/04/29 06:00 [pubmed]
PHST- 2020/04/29 06:01 [medline]
PHST- 2020/03/26 00:00 [pmc-release]
AID - 1725322 [pii]
AID - 10.1080/20008198.2020.1725322 [doi]
PST - epublish
SO  - Eur J Psychotraumatol. 2020 Mar 26;11(1):1725322. doi: 
      10.1080/20008198.2020.1725322. eCollection 2020.