ArticleFrontiers in psychiatry2021
Protective Factors Associated With Post-traumatic Outcomes in Individuals With Experiences of Psychosis.
Article in Frontiers in psychiatry, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 2 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
13 citing papers in PubMed, 2 syntheses or guidelines pooled it, 24 citations in OpenAlex.
- Psychological mediators of the associations between adverse and benevolent childhood experiences and posttraumatic stress disorder (PTSD) and complex PTSD: A systematic review and meta-analysis.Journal of traumatic stress · 2026Pooled it
- An Umbrella Review of Systematic Reviews on Trauma Informed Approaches.Community mental health journal · 2024Pooled it
- The aftermath of trauma on resting state source-level MEG microstate dynamics.European journal of psychotraumatology · 2025Article
- Trauma and social pathways to psychosis: Examining the role of attachment, social rank and dissociation in a clinical sample.The British journal of clinical psychology · 2025Article
- Recorded Rates of Trauma-Exposure in a Retrospective Epidemiologically Complete First-Episode Psychosis Cohort.Early intervention in psychiatry · 2025Article
- Associations of perceived social support, resilience and posttraumatic growth among young and middle-aged patients with first-episode psychosis.Frontiers in psychiatry · 2025Article
- U.S. Physicians' Training and Experience in Providing Trauma-Informed Care in Clinical Settings.International journal of environmental research and public health · 2024Article
- Two people making sense of a story: narrative exposure therapy as a trauma intervention in early intervention in psychosis.European journal of psychotraumatology · 2024Article
- Traumatic Stress and Resilience Among Transgender and Gender Diverse Youth.Child and adolescent psychiatric clinics of North America · 2023Review
- Research hotspots and theme trends in post-traumatic growth: A co-word analysis based on keywords.International journal of nursing sciences · 2023Review
- Validation of the Indonesian resilience evaluation scale in an undergraduate student population.BMC public health · 2022Article
- Resilience mediates the influence of hope, optimism, social support, and stress on anxiety severity among Chinese patients with cervical spondylosis.Frontiers in psychiatry · 2022Article
- The Role and Clinical Correlates of Complex Post-traumatic Stress Disorder in People With Psychosis.Frontiers in psychology · 2022Article
Corrections and comments
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Authors and funding
4 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Trauma and trauma-specific mental health difficulties (e.g., post-traumatic stress disorder) are highly prevalent in people with psychosis. However, not everyone develops post-traumatic symptoms, and some people even experience post-traumatic growth (PTG) following trauma. It is important to identify which protective factors are associated with less severe trauma symptoms and/or positive outcomes to inform the development and implementation of interventions fostering these variables. Eighty-five patients with experiences of psychosis took part in a cross-sectional study. They were administered questionnaires measuring exposure to traumatic events, symptoms of PTSD and complex PTSD and potential protective factors assumed to be associated with lower vulnerability for post-traumatic symptoms and higher post-traumatic growth (trait resilience, secure attachment, social support, adaptive coping, optimism, general self-efficacy). Multiple hierarchical regression showed that some of these protective factors, in particular optimism, were associated with lower post-traumatic symptoms, explaining 21% of the variance in complex PTSD symptoms and 16% of the variance in PTSD symptoms. However, the hypothesized protective factors, in particular resilience and adaptive coping, explained a considerably larger proportion of variance in PTG (44%). Our results suggest that whilst these variables provide only moderate protection from the vulnerability to experience post-traumatic stress, they may play an important role in allowing people to find meaning despite multiple traumas and subsequently lead more fulfilling lives. Therapies targeting the emotional and psychological consequences of trauma in people with psychosis might benefit from the integration of intervention strategies to enhance these additional psychological protective factors, which in turn may lead to positive treatment outcomes beyond the mere reduction of post-traumatic stress symptoms.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.