School of Psychology and Speech Pathology, Curtin Health Innovation Research Institute, Faculty of Health Sciences, Curtin University, Bentley, Western Australia.
J Trauma Dissociation. 2013;14(4):404-22. doi: 10.1080/15299732.2012.753653.
There has been abundant research targeting the secondary and tertiary prevention and treatment of posttraumatic stress disorder (PTSD), including different forms of debriefing, treatments for acute stress disorder, and targeted intervention strategies (M. T. Feldner, C. M. Monson, & M. J. Friedman, 2007). However, there remains a scarcity of research pertaining to the primary, pretrauma prevention of PTSD. A systematic review was conducted in order to identify and synthesize all programs aimed at the primary prevention of PTSD to date. A broad search strategy was used, yielding 15,014 studies in 4 languages published between 1915 and 2012. Studies in which a resilience-building intervention was delivered prior to a potentially traumatic event, with data collected regarding psychological well-being, were eligible. A total of 7 studies were identified as meeting these criteria. Currently, there is no solid body of research on the primary prevention of PTSD to justify or guide interventions. The limitations and future directions of research in this domain are discussed.
已经有大量研究针对创伤后应激障碍（PTSD）的二级和三级预防和治疗，包括不同形式的汇报、急性应激障碍的治疗以及有针对性的干预策略（M.T.费尔德纳、C.M.蒙森和 M.J.弗里德曼，2007）。然而，对于 PTSD 的一级、创伤前预防，研究仍然很少。为了确定并综合迄今为止所有旨在预防 PTSD 的一级预防的方案，进行了一项系统评价。采用了广泛的搜索策略，在 4 种语言中检索到了 1915 年至 2012 年间发表的 15014 项研究。符合以下标准的研究，即在潜在创伤事件之前进行增强适应力的干预，并收集有关心理健康的数据。共确定了 7 项符合这些标准的研究。目前，尚无关于 PTSD 一级预防的扎实研究来证明或指导干预措施。讨论了该领域研究的局限性和未来方向。
