Bosson Julia Vigna, Reuther Erin T, Cohen Alex S
Louisiana State University, Baton Rouge, LA 70803, USA.
Clin Schizophr Relat Psychoses. 2011 Oct;5(3):147-54. doi: 10.3371/CSRP.5.3.5.
The comorbidity of posttraumatic stress disorder (PTSD) and psychotic symptoms is higher than what might be expected based on the prevalence of either disorder alone. Furthermore, the presence of psychotic symptoms is evident in PTSD patients who do not otherwise meet criteria for a psychotic spectrum disorder. The current paper discusses three existing hypotheses regarding the relation of PTSD and psychosis and presents a series of case studies that illustrates this phenomenon across a diverse group of patients and scenarios. Clinical implications in light of these case studies are offered, including the suggestion that the next edition of the Diagnostic and Statistical Manual of Mental Disorders includes a specifier of PTSD with psychotic features.
创伤后应激障碍（PTSD）与精神病性症状的共病率高于仅基于单一疾病患病率所预期的情况。此外，在未达到精神病性谱系障碍标准的PTSD患者中，精神病性症状也很明显。本文讨论了关于PTSD与精神病关系的三个现有假说，并呈现了一系列案例研究，这些研究在不同的患者群体和情境中阐释了这一现象。根据这些案例研究提供了临床启示，包括建议《精神疾病诊断与统计手册》下一版纳入具有精神病性特征的PTSD说明符。
