Howard Simon, Hopwood Malcolm
Younger Veterans Outpatient Services, Veterans' Psychiatry Unit, Heidelberg Repatriation Hospital, Victoria.
Aust Fam Physician. 2003 Sep;32(9):683-7.
Post-traumatic stress disorder (PTSD) is an anxiety disorder which occurs following exposure to a traumatic, potentially life threatening event. It is frequently comorbid with other anxiety and mood disorders, substance misuse and physical symptoms that may cloud its presentation. In itself, PTSD is a frequently chronic disabling condition associated with a marked impact on social, occupational and family functioning that also carries an increased risk of suicide. Early intervention once the disorder is present, represents the most effective chance of reducing disability. Appropriate diagnosis and referral are among the key skills required by the general practitioner to deal with this condition.
This article aims to provide an overview of PTSD for GPs including clinical features, epidemiological aspects, approach to assessment and treatment, and specialist resources available.
Recent world events including terrorist attacks, wars in Afghanistan and Iraq, and Middle East turmoil have raised community awareness of the impact of trauma. General practitioners are in a unique position to be involved in the early diagnosis and treatment of PTSD, which has been shown to improve outcome.
创伤后应激障碍（PTSD）是一种焦虑症，发生于暴露于创伤性、可能危及生命的事件之后。它常与其他焦虑和情绪障碍、物质滥用以及可能掩盖其症状的躯体症状共病。PTSD本身是一种常见的慢性致残性疾病，对社会、职业和家庭功能有显著影响，还会增加自杀风险。一旦出现该障碍，早期干预是减少残疾的最有效机会。恰当的诊断和转诊是全科医生处理这种情况所需的关键技能之一。
本文旨在为全科医生提供PTSD的概述，包括临床特征、流行病学情况、评估和治疗方法以及可用的专科资源。
近期的世界事件，包括恐怖袭击、阿富汗和伊拉克战争以及中东动荡，提高了社区对创伤影响的认识。全科医生在参与PTSD的早期诊断和治疗方面具有独特地位，事实证明这可改善治疗效果。
