The Impact of Posttraumatic Stress Disorder on Clinical Outcomes in Patients with Schizophrenia.
10.4306/jknpa.2012.51.5.249
- Author:
Chan Ho PARK
1
;
Sunny LEE
;
Nam Hee KIM
Author Information
1. Department of Psychiatry, Seoul Metropolitan Eunpyeong Hospital, Seoul, Korea. nadianam@gmail.com
- Publication Type:Original Article
- Keywords:
Schizophrenia;
Psychological trauma;
Posttraumatic stressdisorder;
Prevalence;
Outcome
- MeSH:
Humans;
Prevalence;
Psychopathology;
Schizophrenia;
Stress Disorders, Post-Traumatic
- From:Journal of Korean Neuropsychiatric Association
2012;51(5):249-254
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
OBJECTIVES: This study investigated the prevalence of trauma and posttraumatic stress disorder (PTSD) in patients with schizophrenia and compared the clinical outcomes in the PTSD group and the non-PTSD group. METHODS: Among 38 patients, a total of 35 schizophrenic patients completed the Positive and Negative Syndrome Scale (PANSS), Life Stressor Checklist-Revised (LSCL-R), and Clinician-Administered PTSD Scale (CAPS). RESULTS: Thirty three patients (94.2%) had at least one trauma and average 3.9 traumatic events in their life time. There were 12 patients (34.3%) who were diagnosed with PTSD. There were no differences of sociodemographic, duration of illness, number of admission, and duration of admission between the PTSD and non-PTSD groups. After one year treatment, the non-PTSD group had significantly improved in PANSS positive, negative, and general psychopathology scale. However, the PTSD group demonstrated no significant changes in PANSS negative and general psychopathology scale. CONCLUSION: In this study, there were high rate of prevalence of trauma and PTSD in patients with schizophrenia. PTSD had negative effects on clinical outcomes in patients with schizophrenia. Careful trauma-focused approach is necessary within this population.
