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Developing a brief trauma screening tool for use in psychosis

Carr, SC; (2016) Developing a brief trauma screening tool for use in psychosis. Doctoral thesis , UCL (University College London). Green open access

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Abstract

Aims: There is growing evidence for the role of attachment in psychosis. Three recent reviews have summarised the assessment of attachment and its impact on recovery in psychosis (Berry et al., 2007b, Gumley et al., 2014; Korver-Nieberg et al. 2014), however, to date there has been no quantitative review of attachment in psychosis. The current study sought to systematically appraise studies investigating the prevalence of insecure attachment and the association with psychosis-spectrum experiences. Method: A systematic search was carried out between January 1980 and 30th November 2015 producing a total 25 papers. Meta-analytic techniques were employed to synthesise findings on the prevalence of insecure attachment and explore the association between insecure attachment and psychosis symptoms. Results: The prevalence of insecure attachment style was significantly higher in psychosis than in non-clinical samples, with fearful attachment the most most prevalent. Across the continuum, there was a small but significant relationship between increased symptom severity and insecure attachment. As with previous reviews, this relationship was more evident in sub-clinical samples. In contrast to previous reviews, the current analysis found a greater relationship between anxious attachment and positive symptom severity. Conclusions: The prevalence of insecure attachment appears to be high in psychosis. Attachment theory may provide greater understanding of the development of positive symptoms than previously thought, however, research needs to include more at-risk samples and longitudinal research to fully understand this relationship.

Type: Thesis (Doctoral)
Title: Developing a brief trauma screening tool for use in psychosis
Event: University College London
Open access status: An open access version is available from UCL Discovery
Language: English
Keywords: Psychosis, Trauma, Assessment
UCL classification: UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences
URI: http://discovery.ucl.ac.uk/id/eprint/1515984
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