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[创伤后应激障碍的法医精神病学评估]

[Forensic psychiatric assessment of posttraumatic stress disorder].

作者信息

Dressing H, Foerster K

机构信息

Zentralinstitut für Seelische Gesundheit Mannheim, Medizinische Fakultät Mannheim; Universität Heidelberg, J 5, 68159, Mannheim, Deutschland,

出版信息

Nervenarzt. 2014 Mar;85(3):279-80, 282-4, 286-9. doi: 10.1007/s00115-013-3903-8.

Abstract

The assessment of trauma-related disorders is becoming increasingly more important in forensic psychiatric expert opinions. The most important diagnosis in this context is posttraumatic stress disorder. The essential diagnostic criteria of this disorder are outlined. Differential diagnostic considerations are often necessary with respect to less specific symptom complexes, such as the complex posttraumatic stress disorder or diagnoses which as a rule cannot etiologically be causally associated with trauma alone, such as depression or anxiety disorders. Furthermore, the significance of symptom validity tests is critically discussed. Test results have to be considered carefully in the medicolegal context and require a thorough clinical assessment.

摘要

在法医精神病学专家意见中,对创伤相关障碍的评估变得越来越重要。在这种情况下,最重要的诊断是创伤后应激障碍。概述了该障碍的基本诊断标准。对于不太特异的症状群,如复杂创伤后应激障碍,或通常在病因上不能仅与创伤有因果关联的诊断,如抑郁症或焦虑症,往往需要进行鉴别诊断。此外,还对症状效度测试的意义进行了批判性讨论。在法医学背景下,必须仔细考虑测试结果,并且需要进行全面的临床评估。

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