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危重病后的创伤后应激障碍

Posttraumatic stress disorder following critical illness.

作者信息

Kross Erin K, Gries Cynthia J, Curtis J Randall

机构信息

Division of Pulmonary and Critical Care Medicine, Harborview Medical Center, School of Medicine, University of Washington, Seattle, WA 98104-2499, USA.

出版信息

Crit Care Clin. 2008 Oct;24(4):875-87, ix-x. doi: 10.1016/j.ccc.2008.06.002.

Abstract

Posttraumatic stress disorder (PTSD) is a common psychiatric condition that can occur after a traumatic event. Individuals exposed to traumatic events are at risk for PTSD and other psychologic morbidity, such as depression, panic disorder, generalized anxiety disorder, and substance abuse. The burden of PTSD can be high, with inability to work or return to prior levels of functioning. Emerging literature suggests a significantly increased risk for symptoms of PTSD among survivors of critical illness and the families of patients who survive or die after critical illness. This review summarizes these studies and provides suggestions for current clinical implications and for future research.

摘要

创伤后应激障碍(PTSD)是一种常见的精神疾病,可在创伤事件后发生。暴露于创伤事件的个体有患创伤后应激障碍和其他心理疾病的风险,如抑郁症、惊恐障碍、广泛性焦虑障碍和药物滥用。创伤后应激障碍的负担可能很高,会导致无法工作或恢复到以前的功能水平。新出现的文献表明,危重症幸存者以及危重症患者存活或死亡后的家属患创伤后应激障碍症状的风险显著增加。这篇综述总结了这些研究,并为当前的临床应用和未来的研究提供了建议。

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