{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T16:31:29Z","timestamp":1788280289207,"version":"build-2803163510"},"reference-count":64,"publisher":"Cambridge University Press (CUP)","issue":"12","license":[{"start":{"date-parts":[[2024,10,4]],"date-time":"2024-10-04T00:00:00Z","timestamp":1728000000000},"content-version":"unspecified","delay-in-days":33,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100000664","name":"Health Technology Assessment Programme","doi-asserted-by":"publisher","award":["NIHR128623"],"award-info":[{"award-number":["NIHR128623"]}],"id":[{"id":"10.13039\/501100000664","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100001922","name":"Efficacy and Mechanism Evaluation Programme","doi-asserted-by":"publisher","award":["NIHR130971"],"award-info":[{"award-number":["NIHR130971"]}],"id":[{"id":"10.13039\/501100001922","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100019418","name":"NIHR Maudsley Biomedical Research Centre","doi-asserted-by":"publisher","award":["N\/A"],"award-info":[{"award-number":["N\/A"]}],"id":[{"id":"10.13039\/100019418","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["cambridge.org"],"crossmark-restriction":true},"short-container-title":["Psychol. Med."],"published-print":{"date-parts":[[2024,9]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec id=\"S0033291724001934_sec_a1\"><jats:title>Background<\/jats:title><jats:p>Post-traumatic stress disorder (PTSD) has been shown to predict psychotic symptomology. However, few studies have examined the relative contribution of PTSD compared to broader post-traumatic sequelae in maintaining psychosis. Complex PTSD (cPTSD), operationalized using ICD-11 criteria, includes core PTSD (intrusions, avoidance, hyperarousal) as well as additional \u201cdisturbances of self-organisation\u201d (DSO; emotional dysregulation, interpersonal difficulties, negative self-concept) symptoms, more likely to be associated with complex trauma histories. It was hypothesized that DSOs would be associated with positive psychotic symptoms (paranoia, voices, and visions) in daily life, over and above core PTSD symptoms.<\/jats:p><\/jats:sec><jats:sec id=\"S0033291724001934_sec_a2\" sec-type=\"methods\"><jats:title>Methods<\/jats:title><jats:p>This study (<jats:italic>N<\/jats:italic> = 153) employed a baseline subsample of the Study of Trauma And Recovery (STAR), a clinical sample of participants with comorbid post-traumatic stress and psychosis symptoms. Core PTSD, DSO and psychosis symptoms were assessed up to 10 times per day at quasi-random intervals over six consecutive days using Experience Sampling Methodology.<\/jats:p><\/jats:sec><jats:sec id=\"S0033291724001934_sec_a3\" sec-type=\"results\"><jats:title>Results<\/jats:title><jats:p>DSOs within the preceding 90 min predicted paranoia, voices, and visions at subsequent moments. These relationships persisted when controlling for core PTSD symptoms within this timeframe, which were themselves significant. The associations between DSOs and paranoia but not voices or visions, were significantly stronger than those between psychosis and core PTSD symptoms.<\/jats:p><\/jats:sec><jats:sec id=\"S0033291724001934_sec_a4\" sec-type=\"conclusions\"><jats:title>Conclusions<\/jats:title><jats:p>Consistent with an affective pathway to psychosis, the findings suggest that DSOs may be more important than core PTSD symptoms in maintaining psychotic experiences in daily life among people with comorbid psychosis and cPTSD, and indicate the potential importance of addressing broad post-traumatic sequelae in trauma-focused psychosis interventions.<\/jats:p><\/jats:sec>","DOI":"10.1017\/s0033291724001934","type":"journal-article","created":{"date-parts":[[2024,10,4]],"date-time":"2024-10-04T01:25:11Z","timestamp":1728005111000},"page":"3489-3500","update-policy":"https:\/\/doi.org\/10.1017\/policypage","source":"Crossref","is-referenced-by-count":13,"title":["Complex PTSD symptoms predict positive symptoms of psychosis in the flow of daily life"],"prefix":"10.1017","volume":"54","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6356-7798","authenticated-orcid":false,"given":"Peter","family":"Panayi","sequence":"first","affiliation":[{"name":"Manchester Academic Health Sciences Centre, University of Manchester"},{"name":"Greater Manchester Mental Health NHS Foundation Trust"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emmanuelle","family":"Peters","sequence":"additional","affiliation":[{"name":"King's College London"},{"name":"South London and Maudsley NHS Foundation Trust"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Richard","family":"Bentall","sequence":"additional","affiliation":[{"name":"University of Sheffield"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amy","family":"Hardy","sequence":"additional","affiliation":[{"name":"King's College London"},{"name":"South London and Maudsley NHS Foundation Trust"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Katherine","family":"Berry","sequence":"additional","affiliation":[{"name":"Manchester Academic Health Sciences Centre, University of Manchester"},{"name":"Greater Manchester Mental Health NHS Foundation Trust"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"William","family":"Sellwood","sequence":"additional","affiliation":[{"name":"University of Lancaster, Faculty of Health & Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Robert","family":"Dudley","sequence":"additional","affiliation":[{"name":"University of York"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eleanor","family":"Longden","sequence":"additional","affiliation":[{"name":"Manchester Academic Health Sciences Centre, University of Manchester"},{"name":"Greater Manchester Mental Health NHS Foundation Trust"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Raphael","family":"Underwood","sequence":"additional","affiliation":[{"name":"King's College London"},{"name":"South London and Maudsley NHS Foundation Trust"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Craig","family":"Steel","sequence":"additional","affiliation":[{"name":"Oxford Centre for Psychological Health, Oxford Health NHS Foundation Trust"},{"name":"Oxford Institute of Clinical Psychology Training and Research, University of Oxford"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hassan","family":"Jafari","sequence":"additional","affiliation":[{"name":"Institute of Psychiatry, Psychology and Neuroscience, King's College London"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Richard","family":"Emsley","sequence":"additional","affiliation":[{"name":"Institute of Psychiatry, Psychology and Neuroscience, King's College London"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Liam","family":"Mason","sequence":"additional","affiliation":[{"name":"University College London"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rebecca","family":"Elliott","sequence":"additional","affiliation":[{"name":"University of Manchester"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Filippo","family":"Varese","sequence":"additional","affiliation":[{"name":"Manchester Academic Health Sciences Centre, University of Manchester"},{"name":"Greater Manchester Mental Health NHS Foundation Trust"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"56","published-online":{"date-parts":[[2024,10,4]]},"reference":[{"key":"S0033291724001934_ref23","doi-asserted-by":"publisher","DOI":"10.1037\/abn0000381"},{"key":"S0033291724001934_ref32","doi-asserted-by":"publisher","DOI":"10.1080\/20008198.2017.1418103"},{"key":"S0033291724001934_ref10","doi-asserted-by":"publisher","DOI":"10.1080\/20008198.2018.1512265"},{"key":"S0033291724001934_ref22","first-page":"71","volume-title":"The open handbook of experience sampling methodology","author":"Eisele","year":"2022"},{"key":"S0033291724001934_ref13","doi-asserted-by":"publisher","DOI":"10.1111\/acps.12956"},{"key":"S0033291724001934_ref46","doi-asserted-by":"publisher","DOI":"10.1037\/a0017915"},{"key":"S0033291724001934_ref60","doi-asserted-by":"publisher","DOI":"10.1037\/a0029317"},{"key":"S0033291724001934_ref4","doi-asserted-by":"publisher","DOI":"10.1093\/schbul\/sbad127"},{"key":"S0033291724001934_ref30","doi-asserted-by":"publisher","DOI":"10.1017\/S0033291720001300"},{"key":"S0033291724001934_ref34","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpsychires.2005.09.007"},{"key":"S0033291724001934_ref53","doi-asserted-by":"publisher","DOI":"10.1037\/a0017653"},{"key":"S0033291724001934_ref61","doi-asserted-by":"publisher","DOI":"10.1192\/bjo.2022.544"},{"key":"S0033291724001934_ref36","doi-asserted-by":"publisher","DOI":"10.1002\/wps.20057"},{"key":"S0033291724001934_ref25","doi-asserted-by":"publisher","DOI":"10.1080\/17522439.2019.1626472"},{"key":"S0033291724001934_ref18","doi-asserted-by":"publisher","DOI":"10.1037\/ser0000380"},{"key":"S0033291724001934_ref8","doi-asserted-by":"publisher","DOI":"10.1016\/j.psychres.2020.112838"},{"key":"S0033291724001934_ref17","volume-title":"Assessing schizophrenia in daily life: The experience sampling method","author":"Delespaul","year":"1995"},{"key":"S0033291724001934_ref3","doi-asserted-by":"publisher","DOI":"10.1192\/bjp.2018.264"},{"key":"S0033291724001934_ref24","doi-asserted-by":"publisher","DOI":"10.1017\/S0033291719003155"},{"key":"S0033291724001934_ref35","doi-asserted-by":"publisher","DOI":"10.1080\/20008198.2019.1709709"},{"key":"S0033291724001934_ref15","doi-asserted-by":"publisher","DOI":"10.1002\/jts.22669"},{"key":"S0033291724001934_ref40","doi-asserted-by":"publisher","DOI":"10.1348\/014466503322528892"},{"key":"S0033291724001934_ref41","doi-asserted-by":"publisher","DOI":"10.1002\/wps.20513"},{"key":"S0033291724001934_ref64","volume-title":"International classification of diseases-11","year":"2019"},{"key":"S0033291724001934_ref54","volume-title":"Psychometric validation of an adapted self-rated version of the PSYRATS","author":"Tsang","year":"2023"},{"key":"S0033291724001934_ref27","doi-asserted-by":"publisher","DOI":"10.1017\/S0033291799008661"},{"key":"S0033291724001934_ref49","doi-asserted-by":"publisher","DOI":"10.1016\/j.psychres.2014.03.019"},{"key":"S0033291724001934_ref14","doi-asserted-by":"publisher","DOI":"10.3389\/fpsyg.2020.544565"},{"key":"S0033291724001934_ref55","volume-title":"Guideline for the treatment and planning of services for complex post-traumatic stress disorder in adults","author":"McFetridge","year":"2017"},{"key":"S0033291724001934_ref59","doi-asserted-by":"publisher","DOI":"10.1090\/S0002-9947-1943-0012401-3"},{"key":"S0033291724001934_ref47","doi-asserted-by":"publisher","DOI":"10.1016\/j.psychres.2020.112896"},{"key":"S0033291724001934_ref57","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijhcs.2019.10.003"},{"key":"S0033291724001934_ref16","doi-asserted-by":"publisher","DOI":"10.3389\/fpsyg.2016.00891"},{"key":"S0033291724001934_ref11","doi-asserted-by":"publisher","DOI":"10.4324\/9781315398341-3"},{"key":"S0033291724001934_ref58","doi-asserted-by":"publisher","DOI":"10.1093\/schbul\/sbs050"},{"key":"S0033291724001934_ref21","doi-asserted-by":"publisher","DOI":"10.1016\/j.schres.2006.04.024"},{"key":"S0033291724001934_ref28","doi-asserted-by":"publisher","DOI":"10.3389\/fpsyg.2017.00697"},{"key":"S0033291724001934_ref29","doi-asserted-by":"publisher","DOI":"10.1093\/schbul\/sbv175"},{"key":"S0033291724001934_ref45","doi-asserted-by":"publisher","DOI":"10.1186\/s13063-022-06215-x"},{"key":"S0033291724001934_ref56","doi-asserted-by":"publisher","DOI":"10.2196\/14475"},{"key":"S0033291724001934_ref42","doi-asserted-by":"publisher","DOI":"10.1111\/bjc.12174"},{"key":"S0033291724001934_ref37","doi-asserted-by":"publisher","DOI":"10.1037\/met0000078"},{"key":"S0033291724001934_ref50","doi-asserted-by":"publisher","DOI":"10.1016\/j.psychres.2016.08.057"},{"key":"S0033291724001934_ref44","doi-asserted-by":"publisher","DOI":"10.3389\/fpsyg.2022.791996"},{"key":"S0033291724001934_ref26","doi-asserted-by":"publisher","DOI":"10.4135\/9781483384450"},{"key":"S0033291724001934_ref48","doi-asserted-by":"publisher","DOI":"10.1017\/S0033291720002172"},{"key":"S0033291724001934_ref20","doi-asserted-by":"publisher","DOI":"10.1016\/j.psychres.2022.114872"},{"key":"S0033291724001934_ref5","doi-asserted-by":"publisher","DOI":"10.1016\/j.schres.2019.11.020"},{"key":"S0033291724001934_ref6","doi-asserted-by":"publisher","DOI":"10.1002\/wps.20841"},{"key":"S0033291724001934_ref33","doi-asserted-by":"publisher","DOI":"10.3389\/fpsyt.2017.00092"},{"key":"S0033291724001934_ref12","doi-asserted-by":"publisher","DOI":"10.1007\/s10862-016-9540-3"},{"key":"S0033291724001934_ref19","doi-asserted-by":"publisher","DOI":"10.1093\/schbul\/sby020"},{"key":"S0033291724001934_ref63","doi-asserted-by":"publisher","DOI":"10.1016\/j.cpr.2018.05.009"},{"key":"S0033291724001934_ref1","doi-asserted-by":"publisher","DOI":"10.1017\/S0033291720002421"},{"key":"S0033291724001934_ref7","doi-asserted-by":"publisher","DOI":"10.1016\/j.psychres.2015.03.008"},{"key":"S0033291724001934_ref39","doi-asserted-by":"publisher","DOI":"10.1016\/j.jad.2023.01.010"},{"key":"S0033291724001934_ref31","doi-asserted-by":"publisher","DOI":"10.1016\/j.schres.2019.10.055"},{"key":"S0033291724001934_ref62","doi-asserted-by":"publisher","DOI":"10.1037\/pas0000486"},{"key":"S0033291724001934_ref2","doi-asserted-by":"publisher","DOI":"10.1111\/eip.13356"},{"key":"S0033291724001934_ref43","doi-asserted-by":"publisher","DOI":"10.4324\/9781315398341"},{"key":"S0033291724001934_ref9","doi-asserted-by":"publisher","DOI":"10.1186\/s12888-022-03808-3"},{"key":"S0033291724001934_ref38","doi-asserted-by":"publisher","DOI":"10.3389\/fdgth.2023.1182175"},{"key":"S0033291724001934_ref51","volume-title":"Statistical software: Release 14","year":"2015"},{"key":"S0033291724001934_ref52","doi-asserted-by":"publisher","DOI":"10.1016\/j.schres.2015.06.020"}],"container-title":["Psychological Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S0033291724001934","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,9,23]],"date-time":"2025-09-23T06:14:44Z","timestamp":1758608084000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S0033291724001934\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,9]]},"references-count":64,"journal-issue":{"issue":"12","published-print":{"date-parts":[[2024,9]]}},"alternative-id":["S0033291724001934"],"URL":"https:\/\/doi.org\/10.1017\/s0033291724001934","relation":{},"ISSN":["0033-2917","1469-8978"],"issn-type":[{"value":"0033-2917","type":"print"},{"value":"1469-8978","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,9]]},"assertion":[{"value":"Copyright \u00a9 The Author(s), 2024. Published by Cambridge University Press","name":"copyright","label":"Copyright","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}},{"value":"This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http:\/\/creativecommons.org\/licenses\/by\/4.0\/), which permits unrestricted re-use, distribution and reproduction, provided the original article is properly cited.","name":"license","label":"License","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}},{"value":"This content has been made available to all.","name":"free","label":"Free to read"}]}}