J Trauma Stress. 2012 Jun;25(3):258-9; discussion on 260-3. doi: 10.1002/jts.21698. Epub 2012 May 15.
Child maltreatment has a high prevalence. It can lead to severe psychological and physical problems from childhood to late adulthood. At present, the recognition and treatment of child abuse and its consequences is inadequate. Diagnostic criteria, such as those defined in the Diagnostic and Statistical Manual of Mental Disorders of the American Psychiatric Association, are vital for that purpose. Resick and colleagues (2012) conclude that insufficient scientific basis now exists for incorporating complex posttraumatic stress disorder (CPTSD) into DSM-5. Although they are right from a research point of view, what would be the clinical, political, and social consequences of not including it? This comment discusses those consequences from the standpoint that treating children with developmental trauma disorder at an early age will serve to prevent later sequelae.
儿童虐待的发生率很高。它会导致从儿童期到成年后期的严重心理和生理问题。目前，对虐待儿童及其后果的认识和治疗还远远不够。为此，诊断标准（如美国精神病学会《精神障碍诊断与统计手册》中定义的标准）至关重要。Resick 及其同事（2012 年）得出结论，目前将复杂创伤后应激障碍（CPTSD）纳入 DSM-5 的科学依据不足。虽然从研究的角度来看他们是正确的，但不将其纳入 DSM-5 会带来哪些临床、政治和社会后果？从早期治疗发育创伤障碍儿童以预防后期后遗症的角度出发，本评论讨论了这些后果。
