Trauma and Adaptation in Severe Mental Illness

The Role of Self-Reported Abuse and Exposure to Community Violence

Published in: Journal of Trauma and Dissociation, v. 5, no. 1, Jan. 2004, p. 29-47

Posted on RAND.org on January 01, 2004

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

Read More

Access further information on this document at www.haworthpress.com

This article was published outside of RAND. The full text of the article can be found at the link above.

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.

This report is part of the RAND Corporation External publication series. Many RAND studies are published in peer-reviewed scholarly journals, as chapters in commercial books, or as documents published by other organizations.

Our mission to help improve policy and decisionmaking through research and analysis is enabled through our core values of quality and objectivity and our unwavering commitment to the highest level of integrity and ethical behavior. To help ensure our research and analysis are rigorous, objective, and nonpartisan, we subject our research publications to a robust and exacting quality-assurance process; avoid both the appearance and reality of financial and other conflicts of interest through staff training, project screening, and a policy of mandatory disclosure; and pursue transparency in our research engagements through our commitment to the open publication of our research findings and recommendations, disclosure of the source of funding of published research, and policies to ensure intellectual independence. For more information, visit www.rand.org/about/principles.

The RAND Corporation is a nonprofit institution that helps improve policy and decisionmaking through research and analysis. RAND's publications do not necessarily reflect the opinions of its research clients and sponsors.