PTSD and comorbid psychotic disorder: Comparison with veterans diagnosed with PTSD or psychotic disorder

Author(s): Brailey, K., Uddo, M. M., Hamilton, M. F., Beard, M. G., Borges, A. H.

Journal/Book: J Trauma Stress. 1999; 12: 233 Spring St, New York, NY 10013, USA. Plenum Publ Corp. 73-88.

Abstract: Symptoms of posttraumatic stress disorder (PTSD), psychosis, general psychopathology, role functioning, violence potential, and cognitive and emotional aspects of psychotic states were compared in three groups of veterans. Groups were defined on the basis of their DSM-IV diagnoses: Psychotic disorder and war-related PTSD, war-related PTSD without psychotic symptoms, and psychotic disorder without PTSD. Veterans with PTSD and a comorbid psychotic disorder showed significantly higher levels of positive symptoms of psychosis, general psychopathology, paranoia, and violent thoughts, feelings, and behaviors than the other two groups. These data show that patients with comorbid PTSD and psychotic disorder show levels of cognitive, emotional, and behavioral disturbance that far exceed the levels of disturbance seen in patients with PTSD without psychosis or in patients with psychotic disorder.

Note: Article Sautter FJ, Vet Affairs Med Ctr, Psychol Serv 116B, 1601 Perdido St, New Orleans,LA 70146 USA

Keyword(s): PTSD; psychosis; violence potential; comorbidity; POSTTRAUMATIC-STRESS-DISORDER; CONCURRENT PSYCHIATRIC-ILLNESS; AUDITORY HALLUCINATIONS; SCHIZOPHRENIA; SYMPTOMS; QUALITY; SCALE

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