Trauma and adaptation in severe mental illness: The role of self-reported abuse and exposure to community violence

Golan Shahar; Alexi Wisher; Matthew Chinman; David Sells; Bret Kloos; Jacob Kraemer Tebes; Larry Davidson

doi:10.1300/J229v05n01_03

Trauma and adaptation in severe mental illness: The role of self-reported abuse and exposure to community violence

Golan Shahar, Alexi Wisher, Matthew Chinman, David Sells, Bret Kloos, Jacob Kraemer Tebes, Larry Davidson

Research output: Contribution to journal › Review article › peer-review

12 Scopus citations

Abstract

The authors examined the role of self-reported physical and/or sexual abuse and recent exposure to community violence on three adaptation outcomes in Severe Mental Illness (SMI): psychotic symptoms, demoralization, and substance abuse. One hundred and nine (109) individuals with SMI were administered an extensive protocol that included the pertinent variables. Structural Equation Modeling analyses indicated that abuse predicted psychotic symptoms and demoralization, whereas exposure to community violence predicted substance abuse. These findings point to different possible trauma-adaptation configurations, and suggest that both past and present trauma complicates the adaptation of people with SMI.

Original language	English
Pages (from-to)	29-47
Number of pages	19
Journal	Journal of Trauma and Dissociation
Volume	5
Issue number	1
DOIs	https://doi.org/10.1300/J229v05n01_03
State	Published - 14 Apr 2004
Externally published	Yes

Keywords

Abuse
Community violence
Demoralization
Severe mental illness
Substance use
Trauma

ASJC Scopus subject areas

Clinical Psychology
Psychiatry and Mental health

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

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10.1300/J229v05n01_03

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abstract = "The authors examined the role of self-reported physical and/or sexual abuse and recent exposure to community violence on three adaptation outcomes in Severe Mental Illness (SMI): psychotic symptoms, demoralization, and substance abuse. One hundred and nine (109) individuals with SMI were administered an extensive protocol that included the pertinent variables. Structural Equation Modeling analyses indicated that abuse predicted psychotic symptoms and demoralization, whereas exposure to community violence predicted substance abuse. These findings point to different possible trauma-adaptation configurations, and suggest that both past and present trauma complicates the adaptation of people with SMI.",

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AU - Chinman, Matthew

AU - Sells, David

AU - Kloos, Bret

AU - Tebes, Jacob Kraemer

AU - Davidson, Larry

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N2 - The authors examined the role of self-reported physical and/or sexual abuse and recent exposure to community violence on three adaptation outcomes in Severe Mental Illness (SMI): psychotic symptoms, demoralization, and substance abuse. One hundred and nine (109) individuals with SMI were administered an extensive protocol that included the pertinent variables. Structural Equation Modeling analyses indicated that abuse predicted psychotic symptoms and demoralization, whereas exposure to community violence predicted substance abuse. These findings point to different possible trauma-adaptation configurations, and suggest that both past and present trauma complicates the adaptation of people with SMI.

AB - The authors examined the role of self-reported physical and/or sexual abuse and recent exposure to community violence on three adaptation outcomes in Severe Mental Illness (SMI): psychotic symptoms, demoralization, and substance abuse. One hundred and nine (109) individuals with SMI were administered an extensive protocol that included the pertinent variables. Structural Equation Modeling analyses indicated that abuse predicted psychotic symptoms and demoralization, whereas exposure to community violence predicted substance abuse. These findings point to different possible trauma-adaptation configurations, and suggest that both past and present trauma complicates the adaptation of people with SMI.

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KW - Demoralization

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Trauma and adaptation in severe mental illness: The role of self-reported abuse and exposure to community violence

Abstract

Keywords

ASJC Scopus subject areas

UN SDGs

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