Najjar Fedra, Weller Ronald A, Weisbrot Jessica, Weller Elizabeth B
Institute for Juvenile Research, University of Illinois at Chicago, 1747 West Roosevelt Road, Room 155, Chicago, IL 60608, USA.
Curr Psychiatry Rep. 2008 Apr;10(2):104-8. doi: 10.1007/s11920-008-0019-0.
This article reviews current concepts of and treatments for post-traumatic stress disorder (PTSD) in children and adolescents. We discuss the DSM-IV-TR diagnostic criteria and their applicability to children and adolescents. We also review the history of PTSD and the development of its diagnostic criteria. We present the concept of complex trauma and trauma's effect on the developing child and describe a new diagnosis labeled developmental trauma disorder that would better describe children and adolescents who have been exposed to abuse and neglect. Finally, we summarize psychotherapeutic and psychopharmacologic approaches to treating PTSD in children and adolescents. More research is needed on the diagnosis and treatment of PTSD in children and adolescents.
本文综述了儿童和青少年创伤后应激障碍（PTSD）的当前概念及治疗方法。我们讨论了《精神疾病诊断与统计手册》第四版修订版（DSM-IV-TR）的诊断标准及其对儿童和青少年的适用性。我们还回顾了PTSD的历史及其诊断标准的发展。我们提出了复杂创伤的概念以及创伤对发育中儿童的影响，并描述了一种名为发育性创伤障碍的新诊断，它能更好地描述遭受虐待和忽视的儿童和青少年。最后，我们总结了治疗儿童和青少年PTSD的心理治疗和精神药理学方法。关于儿童和青少年PTSD的诊断和治疗，还需要更多的研究。
