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退伍军人创伤后应激障碍的诊断与管理

Diagnosis and management of posttraumatic stress disorder in returning veterans.

作者信息

Reeves Roy R

机构信息

Chief of Mental Health, G.V. (Sonny) Montgomery VA Medical Center (11M), 1500 E Woodrow Wilson Dr, Jackson, MS 39216-5116, USA.

出版信息

J Am Osteopath Assoc. 2007 May;107(5):181-9.

PMID:17596586
Abstract

As the conflict in Iraq continues, public health authorities in the United States anticipate that many returning soldiers will suffer from posttraumatic stress disorder (PTSD). Initially, most of these veterans are likely to consult their primary care physicians about health problems. However, the diagnosis of PTSD is often missed in primary care settings. The author encourages physicians to become better prepared to recognize this disorder in their patients and initiate proper treatment or appropriate referral. Current diagnostic approaches and treatment modalities for combat-related PTSD are reviewed-with an emphasis on clinical procedures for the primary care physician.

摘要

随着伊拉克冲突的持续,美国公共卫生当局预计许多归国士兵将患上创伤后应激障碍(PTSD)。最初,这些退伍军人中的大多数可能会就健康问题咨询他们的初级保健医生。然而,在初级保健环境中,PTSD的诊断常常被漏诊。作者鼓励医生更好地做好准备,识别患者中的这种疾病,并启动适当的治疗或进行适当的转诊。本文回顾了与战斗相关的PTSD的当前诊断方法和治疗方式,重点是初级保健医生的临床程序。

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