@article{ref1,
title="Does a study focused on trauma encourage patients with psychotic symptoms to seek treatment?",
journal="Psychiatric services",
year="2012",
author="Amsel, Lawrence V. and Hunter, Noel and Kim, San and Fodor, Kinga Edit and Markowitz, John C.",
volume="63",
number="4",
pages="386-389",
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. (Psychiatric Services 63:386-389, 2012; doi: 10.1176/appi.ps.201100251).<p /> <p>Language: en</p>",
language="en",
issn="1075-2730",
doi="10.1176/appi.ps.201100251",
url="http://dx.doi.org/10.1176/appi.ps.201100251"
}