The role of trauma, attachment, and voice-hearer's appraisals: a latent profile analysis in the AVATAR2 trial.

Background: There is evidence that attachment, trauma, and voice appraisals individually impact voice hearing in psychosis, but their intersectional relationship has not been examined. The aim of this study was to identify subgroups of individuals from the intersectional relationship between these factors and examine differences between subgroups on clinical outcomes.

Methods: A latent profile analysis was conducted on baseline data from the AVATAR2 trial ( = 345), to identify statistically distinct subgroups of individuals with psychosis who hear distressing voices based on co-occurring patterns of trauma, fearful attachment, and voice appraisals.