Isserlin Leanna, Zerach Gadi, Solomon Zahava
Department of Psychiatry, University of Western Ontario. London, Canada.
Am J Orthopsychiatry. 2008 Oct;78(4):423-9. doi: 10.1037/a0014304.
Toward the development of a unifying diagnosis for acute stress responses this article attempts to find a place for combat stress reaction (CSR) within the spectrum of other defined acute stress responses. This article critically compares the diagnostic criteria of acute stress disorder (ASD), acute stress reaction (ASR), and CSR. Prospective studies concerning the predictive value of ASD, ASR, and CSR are reviewed. Questions, recommendations, and implications for clinical practice are raised concerning the completeness of the current acute stress response diagnoses, the heterogeneity of different stressors, the scope of expected outcomes, and the importance of decline in function as an indicator of future psychological, psychiatric, and somatic distress.
为了形成对急性应激反应的统一诊断，本文试图在其他已定义的急性应激反应范围内为战斗应激反应（CSR）找到一席之地。本文批判性地比较了急性应激障碍（ASD）、急性应激反应（ASR）和战斗应激反应（CSR）的诊断标准。回顾了关于ASD、ASR和CSR预测价值的前瞻性研究。针对当前急性应激反应诊断的完整性、不同应激源的异质性、预期结果的范围以及功能下降作为未来心理、精神和躯体痛苦指标的重要性，提出了有关临床实践的问题、建议和启示。
