Post-psychotic trauma: contributory factors and interventions

3097 15 17445 7 30921 document 17445 Turner10ClinPsyD1.pdf application/pdf 191a0f6f85250de8abf7189e9f54e867 MD5 1170725 2011-12-02 18:47:40 http://etheses.bham.ac.uk//id/eprint/3097/1/Turner10ClinPsyD1.pdf 3097 1 1 application/pdf text en public

Turner10ClinPsyD1.pdf

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http://eprints.org/relation/isVersionOf http://etheses.bham.ac.uk/id/document/17445 http://eprints.org/relation/isVolatileVersionOf http://etheses.bham.ac.uk/id/document/17445 http://eprints.org/relation/isIndexCodesVersionOf http://etheses.bham.ac.uk/id/document/17445 archive 4031 disk0/00/00/30/97 2011-12-02 18:48:37 2022-01-27 11:29:49 2011-12-02 18:48:37 thesis show 0 Turner Michelle Hayley Jones Christopher University of Birmingham Post-psychotic trauma: contributory factors and interventions unpub BF 10col_life The literature review examines the high prevalence rate of posttraumatic stress disorder (PTSD) in people with a severe mental illness such as psychosis and discusses why such high rates may be found. There is anecdotal and empirical evidence that attests to the distressing nature of psychotic symptoms and treatment related experiences, including hospitalisation. The review looked at the contribution of such experiences in causing symptoms of PTSD. Interventions aimed at reducing symptoms of PTSD in people with a severe mental illness were then evaluated. It was concluded that the studies showed promising results in reducing PTSD symptoms, but the evidence base was still relatively small. Future research is needed to establish what interventions are effective and how established treatments for PTSD in other non-psychotic populations can be adapted to meet the needs of this vulnerable group. The empirical paper presents a quantitative study that aimed to look at the relationship between post-psychotic trauma, shame and depression in a clinical sample of people with first episode psychosis. Symptoms of PTSD were assessed in relation to a traumatic event that had occurred during a previous psychotic episode. The study distinguished between different types of shame to look at their relationship with PTSD symptoms and depression, an area that had not been investigated before in this clinical sample. Participants were asked about their experiences of internal and external shame in relation to having a mental illness and general shame. Consistent with previous research a significant proportion of people had clinically significant levels of psychosis related PTSD symptoms and depression; with shame found to correlate with both. However internal shame was found to make a unique contribution to depression, whilst external and general shame made a unique contribution to PTSD symptoms. This has implications for future research by showing it is not enough to simply measure overall or global shame. It also highlights the need to develop interventions that address shame, depression and symptoms of trauma in people with first episode psychosis. The paper is prepared for the submission to the journal Clinical Psychology and Psychotherapy. 2010-12 2010-06 graduation 3008559 eng author unchecked This unpublished thesis/dissertation is copyright of the author and/or third parties. The intellectual property rights of the author or third parties in respect of this work are as defined by The Copyright Designs and Patents Act 1988 or as modified by any successor legislation. Any use made of information contained in this thesis/dissertation must be in accordance with that legislation and must be properly acknowledged. Further distribution or reproduction in any format is prohibited without the permission of the copyright holder. public 121 University of Birmingham School of Psychology d_cp na 2010-12 graduation