College of Nursing, Prince Sattam Bin Abdulaziz University, Al-Kharj, Saudi Arabia; Psychiatric and Mental Health Nursing Department, Mansoura University, Egypt.
Nursing Administration Department, Port Said University, Egypt.
Arch Psychiatr Nurs. 2024 Aug;51:54-61. doi: 10.1016/j.apnu.2024.05.008. Epub 2024 May 20.
Psychosis-related trauma is a prevalent condition that significantly impacts patients and often leads to an increased reliance on psychiatric nursing services. This study aimed to provide a deeper understanding of the complex relationship between cumulative trauma and the severity of psychosis symptoms among patients experiencing psychosis. Utilizing a cross-sectional research design, data were collected from 76 community-dwelling patients recruited. Patients' sociodemographic and clinical data, Cumulative Trauma Measure scores, and psychosis symptom severity scale scores were collected. A significant difference was observed between collective identity trauma and the presence of hallucinations and abnormal psychomotor behavior (Z = 4.1 and 2.69, respectively). Significant differences were also observed between role identity trauma and the presence of delusions and abnormal psychomotor behavior (Z = 3.86 and 2.06, respectively); attachment trauma and the presence of hallucinations, abnormal psychomotor behavior, and mania (Z = 2.16, 2.12, and 2.11, respectively); and survival trauma and the presence of disorganized speech (Z = 2.61). Moreover, there was a significant difference regarding secondary trauma and the presence of hallucinations, delusions, disorganized speech, abnormal psychomotor behavior, depression, and mania (Z = 4.29, 2.15, 2.11, 2.12, 4.42, and 3.39, respectively). In conclusion, total cumulative trauma explained 44.2 %, 25.8 %, 24.7 %, 16.2 %, 13.6 %, and 13.2 % of the severity of delusion, hallucination, depression, mania, abnormal psychomotor behavior, and disorganized speech, respectively, among patients experiencing psychosis. Implication for nursing practice, by recognizing the nuanced interplay between cumulative trauma and diverse manifestations of psychosis symptoms, nursing professionals can tailor their approaches to provide more holistic and patient-centered care that may significantly contribute to improved patient outcomes and the overall well-being of individuals navigating the complex landscape of psychosis-related trauma.
创伤后应激相关障碍是一种普遍存在的疾病，它会对患者产生重大影响，往往导致他们对精神科护理服务的依赖度增加。本研究旨在深入了解经历精神病患者的累积创伤与精神病症状严重程度之间的复杂关系。研究采用横断面研究设计，从 76 名居住在社区的患者中收集数据。收集患者的社会人口学和临床数据、累积创伤量表得分和精神病症状严重程度量表得分。研究发现，集体认同创伤与幻觉和异常精神运动行为的出现之间存在显著差异（Z 值分别为 4.1 和 2.69）；角色认同创伤与妄想和异常精神运动行为的出现之间也存在显著差异（Z 值分别为 3.86 和 2.06）；依恋创伤与幻觉、异常精神运动行为和躁狂的出现之间存在显著差异（Z 值分别为 2.16、2.12 和 2.11）；生存创伤与言语紊乱的出现之间存在显著差异（Z 值为 2.61）。此外，次级创伤与幻觉、妄想、言语紊乱、异常精神运动行为、抑郁和躁狂的出现之间也存在显著差异（Z 值分别为 4.29、2.15、2.11、2.12、4.42 和 3.39）。总之，总累积创伤解释了 44.2%、25.8%、24.7%、16.2%、13.6%和 13.2%的精神病患者妄想、幻觉、抑郁、躁狂、异常精神运动行为和言语紊乱严重程度。对护理实践的启示，通过认识到累积创伤与精神病症状多样化表现之间的细微相互作用，护理专业人员可以调整他们的方法，提供更全面、以患者为中心的护理，这可能会显著改善患者的预后和整体幸福感，帮助那些经历与精神病相关创伤的个体应对复杂的局面。
