Rosenbaum Larry
Atvidaberg Health Care Centre, Sweden.
Nord J Psychiatry. 2004;58(5):343-8. doi: 10.1080/08039480410005927.
Post-traumatic stress disorder (PTSD) has been included in the DSM category of psychiatric diagnoses since 1980, classified as an anxiety disorder. Since that time, its definition has undergone considerable change and today many physicians are not aware of its current diagnostic criteria or the clinical significance of its high degree of comorbidity with other psychiatric and somatic conditions. PTSD can appear in different forms, and its many manifestations often identified and dealt with, while the underlying pathological trauma and psychological damage continues unrecognized and untreated, resulting in negative consequences for the patient and society. The extent of the problem is considerable in North America but prevalence studies in Europe are practically non-existent amongst the general population, with the subsequent result being that the degree and severity of the problem in Europe remains unknown. This article briefly looks at the history and metamorphosis of PTSD and discusses its present niche in relation to primary healthcare.
自1980年以来，创伤后应激障碍（PTSD）已被纳入精神疾病诊断与统计手册（DSM）中的精神疾病类别，归类为焦虑症。从那时起，其定义经历了相当大的变化，如今许多医生并不了解其当前的诊断标准，也不了解它与其他精神和躯体疾病高度共病的临床意义。PTSD可以以不同的形式出现，其许多表现往往得到识别和处理，而潜在的病理创伤和心理损害却仍未被认识和治疗，从而给患者和社会带来负面后果。该问题在北美相当严重，但欧洲普通人群中几乎不存在患病率研究，结果是欧洲该问题的程度和严重性仍然未知。本文简要回顾了PTSD的历史和演变，并讨论了其在初级医疗保健方面的现状。
