研究证实创伤经历与精神病风险之间存在显著关联。[1]童年创伤经历者患精神病的可能性是无创伤经历者的三倍，这种风险程度可与吸烟与肺癌风险相当。[1]
创伤焦点认知行为疗法（TF-CBTp）已被证实可以有效治疗创伤后应激障碍和精神病症状，包括幻觉、妄想和偏执狂。[1]该疗法通常需要26次治疗课程，疗程持续6至12个月。[1]研究表明实施这一治疗方法不会导致患者住院人数或自杀企图增加。[1]
然而，当前医疗系统在精神病患者中仍未将创伤评估和治疗作为常规做法。[1]国际和澳大利亚临床指南已就此强调超过十年，建议对精神病患者进行创伤后应激障碍的评估和治疗，但推广这一疗法仍需增加培训资源和临床支持。[1]
Research demonstrates a significant link between traumatic experiences and the development of psychosis.[1] Individuals who experienced childhood trauma are three times more likely to develop psychosis compared to those without such experiences.[1] This elevated risk is comparable to the relationship between smoking and subsequent lung cancer development.[1]
Trauma-focused cognitive behavioral therapy for psychosis (TF-CBTp) has proven effective in treating both post-traumatic stress disorder and psychotic symptoms, including hallucinations, delusions, and paranoia.[1] The treatment typically involves 26 therapy sessions conducted over a period of six to twelve months.[1] Evidence indicates that this therapeutic approach does not lead to increased hospitalizations or suicide attempts among patients undergoing treatment.[1]
Despite the established benefits and long-standing international and Australian clinical guidelines recommending trauma assessment and treatment for psychosis patients—guidance that has been emphasized for over a decade—mental health systems have not yet integrated routine trauma evaluation and care into standard psychosis treatment protocols.[1] Expanding this therapeutic approach requires increased training resources and enhanced clinical support.[1]
