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Positive Symptoms of Psychosis and International Classification of Diseases 11th Revision (ICD-11) Complex Post-traumatic Stress Disorder: A Network Analysis in a Canadian Sample from Montreal: Symptômes positifs de psychose et trouble de stress post-traumatique complexe (CIM-11): Une analyse de réseau dans un échantillon canadien de Montréal.

作者信息

Levin Yafit, Mazza Amelie, Hyland Philip, Karatzias Thanos, Shevlin Mark, McGinty Grainne, Hoffman Yaakov, Lis Eric, Ben-Ezra Menachem, Rahel Bachem

机构信息

School of Social Work, Ariel University, Ariel, Israel.

Department of Psychology, University of Zurich, Zurich, Switzerland.

出版信息

Can J Psychiatry. 2025 May 15:7067437251337645. doi: 10.1177/07067437251337645.


DOI:10.1177/07067437251337645
PMID:40370082
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12081434/
Abstract

ObjectivesTraumatic experiences constitute a risk factor for developing different psychopathologies, such as post-traumatic stress disorder (PTSD), complex PTSD (CPTSD), and positive symptoms of psychosis. However, on the symptom level, it is still unclear how CPTSD and positive symptoms of psychosis associate with each other. The present study aimed to shed light on these dynamics by investigating the symptoms network of CPTSD and positive symptoms of psychosis.MethodsA network analysis was performed on CPTSD and psychosis symptoms among a Canadian community sample with a history of traumatic life events ( = 747). Measures included the international trauma questionnaire and the mPRIME screen.ResultsIn total, 4.8% of the sample reached the criteria of probable PTSD and 7% fulfilled the criteria of probable CPTSD. PTSD and CPTSD groups had a significantly higher severity of positive symptoms of psychosis compared to the no-disorder group. Network analysis revealed 3 distinct communities of symptoms of PTSD, disturbances in self-organization, and psychosis. Affective dysregulation served as the bridging symptom between the communities. Hearing one's own thoughts aloud was the most central symptom in the network.ConclusionsFindings show that positive symptoms of psychosis can be considered trauma-related responses. Furthermore, interventions targeting affective dysregulation as well as the experience and distress associated with hearing one's own thoughts aloud may contribute to symptom reduction and improved functioning.

摘要

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Positive Symptoms of Psychosis and International Classification of Diseases 11th Revision (ICD-11) Complex Post-traumatic Stress Disorder: A Network Analysis in a Canadian Sample from Montreal: Symptômes positifs de psychose et trouble de stress post-traumatique complexe (CIM-11): Une analyse de réseau dans un échantillon canadien de Montréal.

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本文引用的文献

[1]
Associations between post-traumatic stress disorders and psychotic symptom severity in adult survivors of developmental trauma: a multisite cross-sectional study in the UK and South Korea.

Lancet Psychiatry. 2023-10

[2]
A general Monte Carlo method for sample size analysis in the context of network models.

Psychol Methods. 2023-7-10

[3]
Psychotic-like experiences associated with ICD-11 PTSD and cPTSD in a cohort of Italian late adolescents.

Riv Psichiatr. 2023

[4]
Associations among psychosis, mood, anxiety, and posttraumatic stress symptoms: A network analysis.

J Trauma Stress. 2023-4

[5]
Complex post-traumatic stress disorder.

Lancet. 2022-7-2

[6]
The Role and Clinical Correlates of Complex Post-traumatic Stress Disorder in People With Psychosis.

Front Psychol. 2022-3-16

[7]
Traumatic life events as risk factors for psychosis and ICD-11 complex PTSD: a gender-specific examination.

Eur J Psychotraumatol. 2021

[8]
A systematic review of PTSD to the experience of psychosis: prevalence and associated factors.

BMC Psychiatry. 2021-1-7

[9]
A network analysis of post-traumatic stress and psychosis symptoms.

Psychol Med. 2021-10

[10]
The relevance of cognitive emotion regulation to psychotic symptoms - A systematic review and meta-analysis.

Clin Psychol Rev. 2019-6-14

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